Maintain accurate utilization review and authorization records. * Assist with denial management, appeals, and peer reviews. * Ensure compliance with payer, regulatory, and hospital requirements.
Maintain accurate utilization review and authorization records. * Assist with denial management, appeals, and peer reviews. * Ensure compliance with payer, regulatory, and hospital requirements.
Route authorization requests to the appropriate Utilization Management team and communicate status ... * Assist with Annual Notice of Change (ANOC) and Evidence of Coverage (EOC) distribution and ...
Quick apply
Route authorization requests to the appropriate Utilization Management team and communicate status ... * Assist with Annual Notice of Change (ANOC) and Evidence of Coverage (EOC) distribution and ...
Physician (Medical Director)
Florence, KY · On-site +1
$240K - $265K/yr
... assistant and nursing students, Utilization management personnel, and Internal Medicine staff). Duties include, but are not limited to: * Participate in all required UM/QM activities relating to ...
Physician (Medical Director)
Florence, KY · On-site +1
$240K - $265K/yr
... assistant and nursing students, Utilization management personnel, and Internal Medicine staff). Duties include, but are not limited to: * Participate in all required UM/QM activities relating to ...
Duties include, but are not limited to: * Assist in the drafting of standard operating procedures. * Reviews imaging requests and consults and directs scheduling priorities. * Utilization management.
Duties include, but are not limited to: * Assist in the drafting of standard operating procedures. * Reviews imaging requests and consults and directs scheduling priorities. * Utilization management.
Care Coordination Assistant
$17.24 - $24.35/hr
You will efficiently manage information flow and assist healthcare team members in delivering care ... At least 3 years previous experience in health care, care coordination, utilization review ...
New
Care Coordination Assistant
$17.24 - $24.35/hr
You will efficiently manage information flow and assist healthcare team members in delivering care ... At least 3 years previous experience in health care, care coordination, utilization review ...
New
Route authorization requests to the appropriate Utilization Management team and communicate status ... * Assist with Annual Notice of Change (ANOC) and Evidence of Coverage (EOC) distribution and ...
Route authorization requests to the appropriate Utilization Management team and communicate status ... * Assist with Annual Notice of Change (ANOC) and Evidence of Coverage (EOC) distribution and ...
Route authorization requests to the appropriate Utilization Management team and communicate status ... * Assist with Annual Notice of Change (ANOC) and Evidence of Coverage (EOC) distribution and ...
Route authorization requests to the appropriate Utilization Management team and communicate status ... * Assist with Annual Notice of Change (ANOC) and Evidence of Coverage (EOC) distribution and ...
Route authorization requests to the appropriate Utilization Management team and communicate status ... * Assist with Annual Notice of Change (ANOC) and Evidence of Coverage (EOC) distribution and ...
Route authorization requests to the appropriate Utilization Management team and communicate status ... * Assist with Annual Notice of Change (ANOC) and Evidence of Coverage (EOC) distribution and ...
Route authorization requests to the appropriate Utilization Management team and communicate status ... * Assist with Annual Notice of Change (ANOC) and Evidence of Coverage (EOC) distribution and ...
Route authorization requests to the appropriate Utilization Management team and communicate status ... * Assist with Annual Notice of Change (ANOC) and Evidence of Coverage (EOC) distribution and ...
Route authorization requests to the appropriate Utilization Management team and communicate status ... * Assist with Annual Notice of Change (ANOC) and Evidence of Coverage (EOC) distribution and ...
Route authorization requests to the appropriate Utilization Management team and communicate status ... * Assist with Annual Notice of Change (ANOC) and Evidence of Coverage (EOC) distribution and ...
Health Plan Member Services Analyst
Louisville, KY · On-site +1
Route authorization requests to the appropriate Utilization Management team and communicate status ... * Assist with Annual Notice of Change (ANOC) and Evidence of Coverage (EOC) distribution and ...
Health Plan Member Services Analyst
Louisville, KY · On-site +1
Route authorization requests to the appropriate Utilization Management team and communicate status ... * Assist with Annual Notice of Change (ANOC) and Evidence of Coverage (EOC) distribution and ...
Route authorization requests to the appropriate Utilization Management team and communicate status ... * Assist with Annual Notice of Change (ANOC) and Evidence of Coverage (EOC) distribution and ...
Quick apply
Route authorization requests to the appropriate Utilization Management team and communicate status ... * Assist with Annual Notice of Change (ANOC) and Evidence of Coverage (EOC) distribution and ...
Commercial Roofing Production Superintendent
$80K - $100K/yr
Coordinate material deliveries and equipment utilization. * Monitor inventory and material usage ... Monitor project progress and communicate updates to management. * Assist with project closeout ...
Quick apply
Commercial Roofing Production Superintendent
$80K - $100K/yr
Coordinate material deliveries and equipment utilization. * Monitor inventory and material usage ... Monitor project progress and communicate updates to management. * Assist with project closeout ...
Thoroughly understand client resource utilization to identify waste in time and resources to ... efficiencies * Assist the client with tool building and/or modification * Foster a spirit of ...
Thoroughly understand client resource utilization to identify waste in time and resources to ... efficiencies * Assist the client with tool building and/or modification * Foster a spirit of ...
High School Diploma or equivalent is required * 1-2 years minimum of management experience ... Utilization of Zebra PDA, POS Systems, Microsoft Office Programs, and Payroll/Scheduling Software
High School Diploma or equivalent is required * 1-2 years minimum of management experience ... Utilization of Zebra PDA, POS Systems, Microsoft Office Programs, and Payroll/Scheduling Software
High School Diploma or equivalent is required * 1-2 years minimum of management experience ... Utilization of Zebra PDA, POS Systems, Microsoft Office Programs, and Payroll/Scheduling Software
Quick apply
High School Diploma or equivalent is required * 1-2 years minimum of management experience ... Utilization of Zebra PDA, POS Systems, Microsoft Office Programs, and Payroll/Scheduling Software
Case Management | Work Hours: 1930 - 0330 | Weekend Requirements: N/A | 1.0 FTE Job Summary ... May assist patients/families with referrals to community agencies, post-acute providers, and/or ...
Case Management | Work Hours: 1930 - 0330 | Weekend Requirements: N/A | 1.0 FTE Job Summary ... May assist patients/families with referrals to community agencies, post-acute providers, and/or ...
Case Management | Work Hours: 1930 - 0330 | Weekend Requirements: N/A | 1.0 FTE Job Summary ... May assist patients/families with referrals to community agencies, post-acute providers, and/or ...
Case Management | Work Hours: 1930 - 0330 | Weekend Requirements: N/A | 1.0 FTE Job Summary ... May assist patients/families with referrals to community agencies, post-acute providers, and/or ...
ACTIVITIES ASSISTANT
Hardinsburg, KY · On-site
$13 - $15.50/hr
Participate in performance improvement and utilization review programs * Maintain daily record of ... Effectively manages the care of assigned patients using knowledge, skills, judgment and decision ...
Quick apply
ACTIVITIES ASSISTANT
Hardinsburg, KY · On-site
$13 - $15.50/hr
Participate in performance improvement and utilization review programs * Maintain daily record of ... Effectively manages the care of assigned patients using knowledge, skills, judgment and decision ...
Assistant Manager - 2nd - 33569
Louisville, KY · On-site
$13.50 - $18.90/hr
Shipping and Receiving Price Management (Price Changes, Markdowns etc.) Singles Damaged Merchandise ... Utilization of all available training tools Consistent reinforcement of operational standards
Assistant Manager - 2nd - 33569
Louisville, KY · On-site
$13.50 - $18.90/hr
Shipping and Receiving Price Management (Price Changes, Markdowns etc.) Singles Damaged Merchandise ... Utilization of all available training tools Consistent reinforcement of operational standards
Utilization Management Assistant information
See Kentucky salary details
$25.2K - $28.4K
1% of jobs
$28.4K - $31.6K
4% of jobs
$31.6K - $34.8K
7% of jobs
$36.9K is the 25th percentile. Wages below this are outliers.
$34.8K - $38K
18% of jobs
The median wage is $40.3K / yr.
$38K - $41.2K
27% of jobs
$43.2K is the 75th percentile. Wages above this are outliers.
$41.2K - $44.4K
28% of jobs
$44.4K - $47.6K
7% of jobs
$47.6K - $50.8K
3% of jobs
$50.8K - $54K
2% of jobs
$54K - $57.2K
1% of jobs
$57.2K - $60.4K
1% of jobs
$25.2K
$42K
$60.4K
How much do utilization management assistant jobs pay per year?
What are the key skills and qualifications needed to thrive as a utilization management assistant?
What skills do you need for utilization management assistant?
What are some common challenges utilization management assistants face when working with insurance pre-authorizations?
What is a utilization management assistant?
Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 9 days ago
Universal Health Services rating
6.8
Based on 253 frontline employees who took The Breakroom Quiz
491st of 887 rated healthcare providers
Job description
Utilization Review Coordinator Opportunity
Cumberland Hall Hospital is a 97 bed, licensed, acute psychiatric hospital located in beautiful Hopkinsville, KY. Cumberland Hall features individual units for youth, adults and active-duty military, and offers inpatient acute care, partial hospitalization, and intensive outpatient programs. On average, over 1500 patients receive care from our compassionate health care team each year at Cumberland Hall Hospital.
Website: https://cumberlandhallhospital.com/
The Utilization Review Coordinator is responsible for evaluating and coordinating patient care services to ensure medical necessity, appropriate level of care, and compliance with insurance and regulatory requirements. This role works closely with clinical staff, physicians, and insurance providers to obtain authorizations, support reimbursement, minimize denials, and promote efficient utilization of hospital resources while maintaining quality patient care.
Job Duties to include:
- Review admissions and continued stays for medical necessity.
- Obtain and maintain insurance authorizations and approvals.
- Communicate with payers regarding clinical information and coverage.
- Monitor authorization status and help prevent reimbursement denials.
- Coordinate with treatment teams on level-of-care decisions.
- Maintain accurate utilization review and authorization records.
- Assist with denial management, appeals, and peer reviews.
- Ensure compliance with payer, regulatory, and hospital requirements.
- Challenging and rewarding work environment
- Competitive Compensation and Generous Paid Time Off
- Excellent Medical, Dental, Vision and Prescription Drug Plans
- 401(k) with company match and discounted stock plan
- SoFi Student Loan Refinancing Program
- Retention Bonus Program
- Career development opportunities within UHS and its 300+ Subsidiaries!
- More information is available on our Benefits Guest Website: benefits.uhsguest.com
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $15.8 billion in 2024. UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com
Qualifications
Utilization Review Coordinator Requirements:
- Education: Masters prepared in Social Work or Licensed Registered Nurse
- Experience: Two years psychiatric experience with knowledge of psychotropic medications.
- Licenses/Certificates: Current nursing license to practice in Kentucky or master's degree in social work
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.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and oir subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters
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About Universal Health Services
Sourced by ZipRecruiter
Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
King of Prussia, PA, US