| Utilization Review Coordinator Job Description |
 |
| The following is a full job description for Utilization Review Coordinator. Here are the requirements and responsibilities for Utilization Review Coordinator along with statistics. If after reading this page you determine that Utilization Review Coordinator is not the position you are looking for, you may want to try one of these similar titles: Utilization Review Technician, Utilization Management Director, Managed Care Coordinator, Utilization Review Manager - Home Care, Managed Care Supervisor, Loan Review Manager, Commercial Loan Review Manager, Talent Acquisition Coordinator, Medical Claims Review Manager |
|
| Requirements and Responsibilities For Utilization Review Coordinator |
| 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. Reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Consults with physicians as needed. May require a bachelor's degree. Typically reports to a supervisor. Typically requires Registered Nurse(RN). Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. Typically requires 4 to 7 years of related experience. |
| |
|
| Also referred to as: Registered Nurse (RN) - Utilization Review, Utilization Review Specialist |
|
| Similar Jobs: Utilization Review Technician, Utilization Management Director, Managed Care Coordinator, Utilization Review Manager - Home Care, Managed Care Supervisor, Loan Review Manager, Commercial Loan Review Manager, Talent Acquisition Coordinator, Medical Claims Review Manager |
|
| Level of Education: Utilization Review Coordinator Salaries with an Associate's Degree, Utilization Review Coordinator Salaries with a Bachelor's Degree, Utilization Review Coordinator Salaries with a Master's Degree or MBA, Utilization Review Coordinator Salaries with a JD, MD, PhD or Equivalent |
|
|
| Industries: Edu., Gov't. & Nonprofit, Healthcare | |
