Utilization Review Technician jobs in Louisiana

Utilization Review Technician conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Being a Utilization Review Technician reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Additionally, Utilization Review Technician consults with nurses and physicians as needed. Position is non-RN. May require an associate degree or its equivalent. Typically reports to a supervisor. May require Registered Health Information Technician (RHIT). The Utilization Review Technician gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Utilization Review Technician typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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DIRECTOR - UTILIZATION REVIEW / MGMT
  • Universal Health Services, Inc.
  • Harahan, LA FULL_TIME
  • Responsibilities

    River Oaks Hospital, located in metropolitan New Orleans, Louisiana, is a private psychiatric facility for adults, adolescents and children. Since 1970, River Oaks has established a tradition of excellence in the treatment of acute psychiatric illness, dual diagnosis, alcohol and drug detoxification, trauma based disorders, compulsive behaviors, and eating disorders, River Oaks has provided quality treatment to service individuals suffering from mental illness, and/or addictive disorders. Situated on a 14-acre campus, services are available at all levels of care (inpatient, day or partial hospitalization, outpatient, and intensive outpatient).

    River Oaks Hospital is seeking a dynamic and talented UTILIZATION REVIEW DIRECTOR to direct and serve within the Utilization Management team. Evaluates patient medical records to determine severity of patient's illness and the appropriateness of level of care. Serves as liaison for patients and facility with insurance companies. Negotiates and advocates for patient length of stay and level of care. Coordinates utilization review activities with other departments to ensure reimbursement for services provided by the facility. Promotes patient care consistent with the philosophy and objectives of River Oaks Hospital. Performs duties in accordance with the ANA Standards of Practice for Psychiatric Mental Health Care, and facility mission, values, policies, and behavioral standards.

    Please visit riveroakshospital.com to submit your application today!


    Qualifications

    MINIMUM QUALIFICATIONS REQUIRED:

    • Experience: 3-5 years clinical experience with a psychiatric mental health population desired. 2-3 years experience in Utilization Review. Management experience preferred.
    • Education: Bachelors prepared healthcare professional (Nursing, Counseling, Psychology or Social Work). Masters preferred.
    • Licensure/Certification: Licensed Therapist or Social Worker (LPC/LMSW/LCSW) preferred.
    • Working Knowledge: Possesses knowledge of psychiatric care, utilization review, insurance reimbursement procedures, DSM-V, etc. Current knowledge of regulating /accrediting agency guidelines. Basic knowledge of statistical analysis desired.
    • Treat Everyone As a Guest
    • Demonstrate Professionalism and Excellence in all things I do.
    • Practice Teamwork

    This opportunity provides the following:

    - Challenging and rewarding work environment

    - Growth and development opportunities within UHS and its subsidiaries

    - Competitive Compensation

    - Excellent Medical, Dental, Vision and Prescription Drug Plan

    - 401k plan with company match

    - Generous Paid Time Off

    One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $11.6 billion in 2020. In 2021, UHS was again recognized as one of the World's Most Admired Companies by Fortune; in 2020, ranked #281 on the Fortune 500; and listed #330 in Forbes ranking of U.S.' Largest Public Companies. Headquartered in King of Prussia, PA, UHS has 89,000 employees and through its subsidiaries operates 26 acute care hospitals, 334 behavioral health facilities, 39 outpatient facilities, and ambulatory care access points, an insurance offering, a physician network, and various related services located in 38 U.S. states, Washington, D.C., Peurto Rico, and the United Kingdom.


    EEO Statement

    All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

    We believe that diversity and inclusion among our teammates is critical to our success.

    Notice

    At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: or 1-800-852-3449.

    Authorized by

    Corporate Human Resources

     

  • 8 Days Ago

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Utilization Review RN
  • Blue Cross and Blue Shield of Louisiana
  • Baton Rouge, LA CONTRACTOR
  • We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to appl...
  • 10 Days Ago

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Utilization Review Manager
  • Ochsner Health
  • Lafayette, LA FULL_TIME
  • This job manages the daily operations of all assigned divisions within the case management department in collaboration with the case management and social services leadership. Manages plans and organi...
  • 1 Month Ago

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DIRECTOR - UTILIZATION REVIEW / MGMT
  • UHS
  • HARAHAN, LA FULL_TIME
  • Responsibilities River Oaks Hospital, located in metropolitan New Orleans, Louisiana, is a private psychiatric facility for adults, adolescents and children. Since 1970, River Oaks has established a t...
  • 14 Days Ago

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DIRECTOR - UTILIZATION REVIEW / MGMT
  • River Oaks Hospital
  • Harahan, LA FULL_TIME
  • Responsibilities: River Oaks Hospital, located in metropolitan New Orleans, Louisiana, is a private psychiatric facility for adults, adolescents and children. Since 1970, River Oaks has established a ...
  • 14 Days Ago

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Utilization Review Coordinator
  • Compass Health
  • Crowley, LA FULL_TIME
  • Compass Health is hiring for a Full-Time Utilization Review Coordinator at our Home Office in Crowley, LA.The Utilization Review team member coordinates information between third party payors and medi...
  • 18 Days Ago

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Senior Technical Expert, Avionics
  • American Honda Motor Co.
  • Greensboro, NC
  • Job Purpose You will help shape the future technology of the HondaJet by providing guidance on compliance and FAA regula...
  • 6/9/2024 12:00:00 AM

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Technical/Professional - Technician
  • First Tek, Inc.
  • Manassas, VA
  • Job Description: Candidates must be local to the Manassas, VA area as position is an onsite position. Work, diagnose and...
  • 6/9/2024 12:00:00 AM

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Prototype Motorcycle Technical Specialist
  • Technical Professionals Group
  • Stanfield, AZ
  • Job Description Job Description CTR is seeking Technical Specialist with experience and knowledge of lab based testing e...
  • 6/8/2024 12:00:00 AM

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Aerodynamics Technical Expert- Senior
  • Modern Technology Solutions, Inc.
  • Dayton, OH
  • Own Your Future. Modern Technology Solutions, Inc. (MTSI) is seeking an Aerodynamics Technical Expert in Dayton, OH. Why...
  • 6/8/2024 12:00:00 AM

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Aerodynamics Technical Expert- Senior
  • Modern Technology Solutions, Inc.
  • Jamestown, OH
  • Own Your Future. Modern Technology Solutions, Inc. (MTSI) is seeking an Aerodynamics Technical Expert in Dayton, OH. Why...
  • 6/8/2024 12:00:00 AM

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Aerodynamics Technical Expert- Senior
  • Modern Technology Solutions, Inc.
  • Saint Paris, OH
  • Own Your Future. Modern Technology Solutions, Inc. (MTSI) is seeking an Aerodynamics Technical Expert in Dayton, OH. Why...
  • 6/8/2024 12:00:00 AM

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Technical Expert-Security
  • Mobile Communications America, Inc.
  • Austin, TX
  • MCA, your trusted advisor for wireless communications, data, and security, is seeking an experienced Technical Expert Te...
  • 6/7/2024 12:00:00 AM

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Technical Expert, Electrical
  • ASARCO LLC
  • Marana, AZ
  • Technical Expert, Electrical Employee Type: Salary City: Marana State/Territory: US-AZ Positions Open: 1 Site Name: Silv...
  • 6/7/2024 12:00:00 AM

Louisiana is bordered to the west by Texas; to the north by Arkansas; to the east by Mississippi; and to the south by the Gulf of Mexico. The state may properly be divided into two parts, the uplands of the north, and the alluvial along the coast. The alluvial region includes low swamp lands, coastal marshlands and beaches, and barrier islands that cover about 20,000 square miles (52,000 km2). This area lies principally along the Gulf of Mexico and the Mississippi River, which traverses the state from north to south for a distance of about 600 mi (970 km)) and empties into the Gulf of Mexico; ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Technician jobs
$60,121 to $83,884

Utilization Review Technician in Little Rock, AR
Based on our compensation data, the estimated salary potential for Utilization Review Technician will increase 16 % over 5 years.
February 07, 2020
Utilization Review Technician in Fairbanks, AK
Current National Pharmacy Technician Certification (PTCB, ExCPT or NCCT) required.
February 03, 2020
Utilization Review Technician in Winston Salem, NC
When considering cost of living, this places Durham, NC as 3rd out of the 4 largest nearby metros in terms of quality of life for Utilization Review Technicians**.
January 02, 2020