Utilization Review Coordinator
$50K - $65K/yr
Utilization Review Coordinator Schedule: * 8:30am-5pm M-F Compensation: * $50K-$65K per year We're ... Conduct concurrent reviews on patients to ensure documentation meets insurance requirements for ...
$50K - $65K/yr
Utilization Review Coordinator Schedule: * 8:30am-5pm M-F Compensation: * $50K-$65K per year We're ... Conduct concurrent reviews on patients to ensure documentation meets insurance requirements for ...
$50K - $65K/yr
Utilization Review Coordinator Schedule: * 8:30am-5pm M-F Compensation: * $50K-$65K per year We're ... Conduct concurrent reviews on patients to ensure documentation meets insurance requirements for ...
Omaha, NE · On-site
Utilization Review Nurse We have openings in our Omaha, Nebraska office for Utilization Review ... Group Health Insurance (Medical, Dental, and Vision) * Life and AD&D Insurance * Long Term ...
Omaha, NE · On-site
Utilization Review Nurse We have openings in our Omaha, Nebraska office for Utilization Review ... Group Health Insurance (Medical, Dental, and Vision) * Life and AD&D Insurance * Long Term ...
What you will be doing? The Utilization Review (UR) Specialist is a critical member of the ... This role ensures timely approvals and continued stay authorizations from insurance payers by ...
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What you will be doing? The Utilization Review (UR) Specialist is a critical member of the ... This role ensures timely approvals and continued stay authorizations from insurance payers by ...
Tulsa, OK · On-site
This role serves as a liaison between clinical staff and insurance companies, coordinating timely authorizations and communicating utilization decisions. The Utilization Review Specialist supports ...
Tulsa, OK · On-site
This role serves as a liaison between clinical staff and insurance companies, coordinating timely authorizations and communicating utilization decisions. The Utilization Review Specialist supports ...
The Utilization Review Specialist asses, plans, implements and evaluates the internal processes to ... Company Paid Life Insurance and Disability and more! We are an Equal Opportunity Employer!
The Utilization Review Specialist asses, plans, implements and evaluates the internal processes to ... Company Paid Life Insurance and Disability and more! We are an Equal Opportunity Employer!
Mountain View Hospital is looking for a Utilization Review Coordinator to join our team! JOB ... Medical, Dental and Vision Insurance * Paid Time Off (vacation, holidays and sick days) and Medical ...
Mountain View Hospital is looking for a Utilization Review Coordinator to join our team! JOB ... Medical, Dental and Vision Insurance * Paid Time Off (vacation, holidays and sick days) and Medical ...
Tulsa, OK · On-site
The Utilization Review Specialist asses, plans, implements and evaluates the internal processes to ... Company Paid Life Insurance and Disability and more! We are an Equal Opportunity Employer!
Tulsa, OK · On-site
The Utilization Review Specialist asses, plans, implements and evaluates the internal processes to ... Company Paid Life Insurance and Disability and more! We are an Equal Opportunity Employer!
Perform utilization review for: * Preauthorization requests * Appeals (first and second level ... Additionally, we offer voluntary life insurance options for you, your spouse, and your children. We ...
Perform utilization review for: * Preauthorization requests * Appeals (first and second level ... Additionally, we offer voluntary life insurance options for you, your spouse, and your children. We ...
Tempe, AZ · Remote
$35 - $45.94/hr
We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI ...
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Tempe, AZ · Remote
$35 - $45.94/hr
We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI ...
As a Utilization Review Nurse (UR Nurse), you'll play an important role in helping us offer customized, self-funded insurance options to our clients and members. The UR Nurse is responsible for ...
As a Utilization Review Nurse (UR Nurse), you'll play an important role in helping us offer customized, self-funded insurance options to our clients and members. The UR Nurse is responsible for ...
Augusta, GA · On-site
... insurance companies/authorizing entities to ensure initial precertification and continued ... utilization review. CERTIFICATIONS, LICENSES, REGISTRATION LMHC, LAPC, LPC, LMSW, LCSW, LPN or RN ...
Augusta, GA · On-site
... insurance companies/authorizing entities to ensure initial precertification and continued ... utilization review. CERTIFICATIONS, LICENSES, REGISTRATION LMHC, LAPC, LPC, LMSW, LCSW, LPN or RN ...
Torrance, CA · On-site
$21 - $26/hr
Insurance Authorizations: * Obtain initial and concurrent authorizations for Detox, Residential ... utilization review experience, preferably in behavioral health or mental health settings
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Torrance, CA · On-site
$21 - $26/hr
Insurance Authorizations: * Obtain initial and concurrent authorizations for Detox, Residential ... utilization review experience, preferably in behavioral health or mental health settings
Winston, OR · On-site
$41K - $47K/yr
Utilization Review Specialist HYBRID, must be able to travel to 3031 NE STEPHENS ST. ROSEBURG, OR ... Medical, dental, and vision insurance * 401(k) with company match (fully vested immediately)
Winston, OR · On-site
$41K - $47K/yr
Utilization Review Specialist HYBRID, must be able to travel to 3031 NE STEPHENS ST. ROSEBURG, OR ... Medical, dental, and vision insurance * 401(k) with company match (fully vested immediately)
Dallas, TX · On-site
$90K - $98K/yr
As a Utilization Review Nurse (UR Nurse) , you'll play an important role in helping us offer customized, self-funded insurance options to our clients and members. The UR Nurse is responsible for ...
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Dallas, TX · On-site
$90K - $98K/yr
As a Utilization Review Nurse (UR Nurse) , you'll play an important role in helping us offer customized, self-funded insurance options to our clients and members. The UR Nurse is responsible for ...
Orlando, FL · On-site
$90K - $98K/yr
As a Utilization Review Nurse (UR Nurse) , you'll play an important role in helping us offer customized, self-funded insurance options to our clients and members. The UR Nurse is responsible for ...
Quick apply
Orlando, FL · On-site
$90K - $98K/yr
As a Utilization Review Nurse (UR Nurse) , you'll play an important role in helping us offer customized, self-funded insurance options to our clients and members. The UR Nurse is responsible for ...
Omaha, NE · Hybrid
The Utilization Review Nurse ensures all aspects of an injured worker's treatment are effective ... Group Health Insurance (Medical, Dental, and Vision) * Life and AD&D Insurance * Long Term ...
Omaha, NE · Hybrid
The Utilization Review Nurse ensures all aspects of an injured worker's treatment are effective ... Group Health Insurance (Medical, Dental, and Vision) * Life and AD&D Insurance * Long Term ...
Omaha, NE · On-site
The Utilization Review Nurse ensures all aspects of an injured worker's treatment are effective ... Group Health Insurance (Medical, Dental, and Vision) * Life and AD&D Insurance * Long Term ...
Omaha, NE · On-site
The Utilization Review Nurse ensures all aspects of an injured worker's treatment are effective ... Group Health Insurance (Medical, Dental, and Vision) * Life and AD&D Insurance * Long Term ...
Tucson, AZ · On-site
As a Utilization Review Specialistjoining our team, you're embracing a vital mission dedicated to ... Contacts external case managers and managed care organizations to obtain certification of insurance ...
Tucson, AZ · On-site
As a Utilization Review Specialistjoining our team, you're embracing a vital mission dedicated to ... Contacts external case managers and managed care organizations to obtain certification of insurance ...
Brookfield, WI · On-site +1
Vision insurance
Recent work experience in a hospital or insurance company providing utilization review services * Knowledge of Medicare, Medicaid, and Managed Care requirements * Progressive knowledge of community ...
Recent work experience in a hospital or insurance company providing utilization review services * Knowledge of Medicare, Medicaid, and Managed Care requirements * Progressive knowledge of community ...
$15.63 - $19.08
14% of jobs
$21.93 is the 25th percentile. Wages below this are outliers.
$19.08 - $22.53
14% of jobs
$22.53 - $25.98
17% of jobs
The median wage is $27.88 / hr.
$25.98 - $29.44
11% of jobs
$29.44 - $32.89
8% of jobs
$32.89 - $36.34
6% of jobs
$38.93 is the 75th percentile. Wages above this are outliers.
$36.34 - $39.79
7% of jobs
$39.79 - $43.25
7% of jobs
$43.25 - $46.70
5% of jobs
$46.70 - $50.15
5% of jobs
$50.15 - $53.61
5% of jobs
$15
$31
$53

Utilization Review Coordinator
Schedule:
Compensation:
We’re looking for people who are excited to join our passionate, authentic, and courageous team. We’re uncompromising in the pursuit of excellence: our core values are more than just words on a page — we live and breathe them. To work at our company is to make a promise to help our patients achieve their wildest dreams. Our mission is to unlock human potential and save a million lives over the next hundred years.
Our company operates Residential Treatment Programs for individuals with Substance Abuse Disorder. We seek not merely to restore sobriety, but to transform our patients’ worlds from a state of darkness to vibrant technicolor. We believe that treatment is local, individualized, holistic, and relational.
Summary
The Utilization Review Coordinator performs all functions related to utilization review. This role acts as a clinical liaison between payers and facilities, providing information and feedback to assist in optimal patient care reimbursement. The coordinator partners with Revenue Cycle Management to ensure all processes are managed effectively.
Responsibilities
Ensure all provided care is authorized within contractual timelines
Initiate precertification for patients entering treatment programs using clinical knowledge
Conduct concurrent reviews on patients to ensure documentation meets insurance requirements for level of care
Track patients across locations to ensure timely and accurate billing
Implement quality control by communicating effectively with treatment teams
Obtain authorization for patients in Medicaid facilities
Lead retroactive appeals to obtain authorization for discharged patients
Collaborate with Revenue Cycle Management to resolve related issues
Minimum Qualifications
Bachelor’s degree in behavioral health or related field required
1-2 years of professional clinical experience
Clinical license preferred
Familiarity with SharePoint and Excel
Proficiency in Microsoft Office
At our company, we value diversity and are proud to be an Equal Employment Opportunity Employer. We respect the time and energy it takes to apply and will respond promptly to your application. Thank you for your interest in joining our team.