Involves coordinating with healthcare providers to maintain compliance with utilization management guidelines and optimizing treatment plans for effective patient care and resource utilization.
Involves coordinating with healthcare providers to maintain compliance with utilization management guidelines and optimizing treatment plans for effective patient care and resource utilization.
Coordinates with healthcare providers to ensure compliance with utilization management guidelines. * Supports the optimization of treatment plans to promote effective patient care and appropriate ...
Coordinates with healthcare providers to ensure compliance with utilization management guidelines. * Supports the optimization of treatment plans to promote effective patient care and appropriate ...
Assists the manager of CMC in creating the agenda and obtaining data. g. Assists with agenda planning for the Utilization Review Committee meetings. h. Coordination of care activities: i.
Assists the manager of CMC in creating the agenda and obtaining data. g. Assists with agenda planning for the Utilization Review Committee meetings. h. Coordination of care activities: i.
Coordinates with healthcare providers to ensure compliance with utilization management guidelines. * Supports the optimization of treatment plans to promote effective patient care and appropriate ...
Coordinates with healthcare providers to ensure compliance with utilization management guidelines. * Supports the optimization of treatment plans to promote effective patient care and appropriate ...
Coordinates with healthcare providers to ensure compliance with utilization management guidelines. * Supports the optimization of treatment plans to promote effective patient care and appropriate ...
Coordinates with healthcare providers to ensure compliance with utilization management guidelines. * Supports the optimization of treatment plans to promote effective patient care and appropriate ...
Coordinates with healthcare providers to ensure compliance with utilization management guidelines. * Supports the optimization of treatment plans to promote effective patient care and appropriate ...
Coordinates with healthcare providers to ensure compliance with utilization management guidelines. * Supports the optimization of treatment plans to promote effective patient care and appropriate ...
AS A UTILIZATION MANAGEMENT COORDINATOR/SOCIAL WORKER , you will be responsible for preadmission, admission, continued stay, clinical quality and cost effective outcomes for a caseload of patients.
AS A UTILIZATION MANAGEMENT COORDINATOR/SOCIAL WORKER , you will be responsible for preadmission, admission, continued stay, clinical quality and cost effective outcomes for a caseload of patients.
Utilization Management Director
Orange, CA · On-site
$200K - $235K/yr
Build and lead a clinical team, which may include UM nurses, clinical reviewers, care coordinators ... Utilization Management Program Oversight * Oversee the review of requested healthcare services to ...
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Utilization Management Director
Orange, CA · On-site
$200K - $235K/yr
Build and lead a clinical team, which may include UM nurses, clinical reviewers, care coordinators ... Utilization Management Program Oversight * Oversee the review of requested healthcare services to ...
Overview RN, Utilization Management Support quality patient care by ensuring appropriate utilization, timely authorizations, and effective care coordination. ???? Work Style: Onsite ???? Location:
Overview RN, Utilization Management Support quality patient care by ensuring appropriate utilization, timely authorizations, and effective care coordination. ???? Work Style: Onsite ???? Location:
Utilization Management Nurse
$80K - $95K/yr
IntusCare replaces outdated technology and manual workarounds with purpose-built solutions for care coordination, risk adjustment, population health, and utilization management. IntusCare empowers ...
Utilization Management Nurse
$80K - $95K/yr
IntusCare replaces outdated technology and manual workarounds with purpose-built solutions for care coordination, risk adjustment, population health, and utilization management. IntusCare empowers ...
Collaborates with interdisciplinary teams to enhance care coordination. * Ensures accurate ... Three (3) years of utilization review, case management, or third-party payer experience.
Collaborates with interdisciplinary teams to enhance care coordination. * Ensures accurate ... Three (3) years of utilization review, case management, or third-party payer experience.
Utilization Review Coordinator
Scottsdale, AZ · On-site
The Utilization Management Coordinator reports to the Utilization Management Director. UM Coordinators provide an ongoing, systematic process for the assessment of the necessity and efficiency of the ...
Utilization Review Coordinator
Scottsdale, AZ · On-site
The Utilization Management Coordinator reports to the Utilization Management Director. UM Coordinators provide an ongoing, systematic process for the assessment of the necessity and efficiency of the ...
Job Title: Coord, Utilization Mgmt I Job Location: Owings Mills, MD 100% remote however the resource must reside in the DMV. Top 5 Required Skills - * Communication * Data entry * Medical terminology
Job Title: Coord, Utilization Mgmt I Job Location: Owings Mills, MD 100% remote however the resource must reside in the DMV. Top 5 Required Skills - * Communication * Data entry * Medical terminology
The RN Coordinator Utilization Management to review submitted authorization requests for medical necessity, appropriateness of care and benefit eligibility. This position reviews applicable ...
New
The RN Coordinator Utilization Management to review submitted authorization requests for medical necessity, appropriateness of care and benefit eligibility. This position reviews applicable ...
New
The RN Coordinator Utilization Management to review submitted authorization requests for medical necessity, appropriateness of care and benefit eligibility. This position reviews applicable ...
The RN Coordinator Utilization Management to review submitted authorization requests for medical necessity, appropriateness of care and benefit eligibility. This position reviews applicable ...
RN Coordinator Utilization Management
Menasha, WI · On-site +1
The RN Coordinator Utilization Management to review submitted authorization requests for medical necessity, appropriateness of care and benefit eligibility. This position reviews applicable ...
RN Coordinator Utilization Management
Menasha, WI · On-site +1
The RN Coordinator Utilization Management to review submitted authorization requests for medical necessity, appropriateness of care and benefit eligibility. This position reviews applicable ...
This role supports patient care coordination, fosters physician collaboration, and aligns with ... Lead and manage a team of utilization review professionals providing guidance, training, and ...
This role supports patient care coordination, fosters physician collaboration, and aligns with ... Lead and manage a team of utilization review professionals providing guidance, training, and ...
Care Coordinator, Utilization Management
Edison, NJ · On-site
$107K/yr
The Care Management, Care Coordinator, Utilization Management is a member of the healthcare team and is responsible for coordinating, communicating, and facilitating the clinical progression of the ...
Care Coordinator, Utilization Management
Edison, NJ · On-site
$107K/yr
The Care Management, Care Coordinator, Utilization Management is a member of the healthcare team and is responsible for coordinating, communicating, and facilitating the clinical progression of the ...
UR COORDINATOR
Streamwood, IL · On-site
Responsibilities Utilization Management Coordinator Full-Time The candidate selected will be responsible for the following: The Utilization Management Coordinator is responsible for conducting ...
UR COORDINATOR
Streamwood, IL · On-site
Responsibilities Utilization Management Coordinator Full-Time The candidate selected will be responsible for the following: The Utilization Management Coordinator is responsible for conducting ...
Director, Utilization Management
Oakland, CA · On-site
This role supports patient care coordination, fosters physician collaboration, and aligns with ... Lead and manage a team of utilization review professionals providing guidance, training, and ...
Director, Utilization Management
Oakland, CA · On-site
This role supports patient care coordination, fosters physician collaboration, and aligns with ... Lead and manage a team of utilization review professionals providing guidance, training, and ...
Utilization Management Coordinator information
See salary details
$15.87 - $18.66
7% of jobs
$21.23 is the 25th percentile. Wages below this are outliers.
$18.66 - $21.46
19% of jobs
$21.46 - $24.26
22% of jobs
The median wage is $24.54 / hr.
$24.26 - $27.05
11% of jobs
$27.05 - $29.85
4% of jobs
$29.85 - $32.65
5% of jobs
$33.83 is the 75th percentile. Wages above this are outliers.
$32.65 - $35.45
14% of jobs
$35.45 - $38.24
10% of jobs
$38.24 - $41.04
4% of jobs
$41.04 - $43.84
2% of jobs
$43.84 - $46.63
1% of jobs
$15
$29
$46
How much do utilization management coordinator jobs pay per hour?
What are the key skills and qualifications needed to thrive as a Utilization Management Coordinator, and why are they important?
What does a Utilization Management Coordinator do?
How does a Utilization Management Coordinator typically collaborate with clinical staff and insurance providers?
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Other
Posted 17 days ago
Job description
Make an impact by supporting the right care at the right time through utilization management excellence.
Work Style: Onsite
Location: St. Agustine, FL
FTE: Full-Time (1.0 FTE)
Schedule: Monday - Friday, 3:00 PM - 11:00 PM
Plays a critical role in evaluating patient medical records to ensure the necessity and appropriateness of healthcare services. Involves coordinating with healthcare providers to maintain compliance with utilization management guidelines and optimizing treatment plans for effective patient care and resource utilization. Requires clear communication of authorization decisions and ongoing monitoring to support timely discharge planning. Analyzes utilization data to identify trends and collaborates with interdisciplinary teams to enhance care coordination while ensuring accurate documentation and regulatory compliance.
Responsibilities
Key Responsibilities
- Evaluates patient medical records to determine the medical necessity and appropriateness of healthcare services.
- Coordinates with healthcare providers and care teams to ensure compliance with utilization management guidelines and payer requirements.
- Supports effective treatment planning, patient care coordination, and appropriate resource utilization.
- Communicates authorization decisions and utilization determinations while supporting timely discharge planning efforts.
- Analyzes utilization management data and trends to identify opportunities for improved care coordination and operational efficiency.
- Collaborates with interdisciplinary teams to ensure accurate documentation, regulatory compliance, and quality patient outcomes.
Education & Licensure
- Registered Nurse (RN) with a current Florida nursing license required.
- Minimum of three (3) years of experience in utilization review, utilization management, or case management required.
- Knowledge of healthcare utilization guidelines, payer requirements, and regulatory compliance standards.
- Experience evaluating medical necessity, treatment plans, and appropriate levels of care.
- Strong communication and collaboration skills related to authorization determinations and care coordination.
- Demonstrated ability to analyze utilization data, identify trends, and support patient care and discharge planning initiatives.
About UF Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Gainesville, FL, US
Year founded
1958