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Utilization Review 1099 Jobs in Utah (NOW HIRING)

HOME CAREGIVERS PARTNERSHIP LLC

RN

Vernal, UT

Participates in utilization review of medical records as assigned. * Gives total patient care as needed. * Takes on-call duty nights, weekends and holidays as assigned. * Completes and submits OASIS ...

HOME CAREGIVERS PARTNERSHIP LLC

RN

South Ogden, UT

Participates in utilization review of medical records as assigned. * Gives total patient care as needed. * Takes on-call duty nights, weekends and holidays as assigned. * Completes and submits OASIS ...

HOME CAREGIVERS PARTNERSHIP LLC

RN

Tooele, UT

Participates in utilization review of medical records as assigned. * Gives total patient care as needed. * Takes on-call duty nights, weekends and holidays as assigned. * Completes and submits OASIS ...

HOME CAREGIVERS PARTNERSHIP LLC

RN

Saint George, UT · On-site

Participates in utilization review of medical records as assigned. * Gives total patient care as needed. * Takes on-call duty nights, weekends and holidays as assigned. * Completes and submits OASIS ...

Home Caregivers Partnership

RN

Roosevelt, UT · On-site

$65 - $80/hr

Participates in utilization review of medical records as assigned. * Gives total patient care as needed * Completes and submits OASIS assessments, reassessments, and transfers, resumptions of care ...

HOME CAREGIVERS PARTNERSHIP LLC

RN

South Ogden, UT · On-site

Participates in utilization review of medical records as assigned. * Gives total patient care as needed. * Takes on-call duty nights, weekends and holidays as assigned. * Completes and submits OASIS ...

HOME CAREGIVERS PARTNERSHIP LLC

RN

South Ogden, UT

Participates in utilization review of medical records as assigned. * Gives total patient care as needed. * Takes on-call duty nights, weekends and holidays as assigned. * Completes and submits OASIS ...

HOME CAREGIVERS PARTNERSHIP LLC

RN

Springville, UT · On-site

Participates in utilization review of medical records as assigned. * Gives total patient care as needed. * Takes on-call duty nights, weekends and holidays as assigned. * Completes and submits OASIS ...

HOME CAREGIVERS PARTNERSHIP LLC

RN

Springville, UT

Participates in utilization review of medical records as assigned. * Gives total patient care as needed. * Takes on-call duty nights, weekends and holidays as assigned. * Completes and submits OASIS ...

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Showing results 21-40

All JobsUtilization Review 1099 JobsUtilization Review 1099 Jobs in Utah

Utilization Review 1099 information

What is a utilization review 1099?

A Utilization Review 1099 position refers to a healthcare professional, often a nurse or therapist, who works as an independent contractor (not a direct employee) to review medical cases for necessity and efficiency. The '1099' designation means they receive a Form 1099 for tax purposes and are responsible for their own taxes. Utilization Review specialists evaluate patient records to ensure treatments are appropriate and meet insurance or regulatory guidelines. These roles are often remote and offer flexible hours, but do not provide traditional employee benefits.

What are the key skills and qualifications needed to thrive as a utilization review 1099?

To thrive as a Utilization Review 1099 professional, you need a strong clinical background (often as a registered nurse or similar), experience with medical necessity criteria, and familiarity with insurance guidelines. Proficiency with utilization management software, electronic health records (EHRs), and knowledge of regulatory requirements are typically required, along with URAC or CCM certification being advantageous. Excellent analytical thinking, attention to detail, and effective communication skills are essential for collaborating with healthcare providers and payers. These skills ensure accurate, efficient review of patient care for coverage decisions, compliance, and cost-effective healthcare delivery.

What are some typical challenges faced by utilization review 1099 contractors, and how can they be managed?

Utilization Review professionals working as 1099 contractors often face challenges such as fluctuating caseloads, varying client requirements, and the need to stay current with changing regulations independently. Unlike full-time employees, contractors must also manage their own schedules, billing, and sometimes provide their own resources and training. To succeed, it's important to establish clear communication with clients, maintain up-to-date credentials, and leverage professional networks or continuing education resources to stay informed about industry changes.

What is the difference between Utilization Review 1099 vs Utilization Review Nurse?

AspectUtilization Review 1099Utilization Review Nurse
CredentialsVaries; often self-employed or independent contractorsRegistered Nurse (RN) license required
Work EnvironmentRemote or freelance; contract basisHealthcare facilities, insurance companies, or clinics
Employer/Industry UsageFreelance or independent consulting in healthcareHospitals, insurance providers, healthcare organizations
Work FocusReviewing medical necessity for insurance claimsAssessing patient records, making clinical decisions

Utilization Review 1099 typically refers to independent contractors reviewing insurance claims, often working remotely. Utilization Review Nurse is a licensed RN performing clinical assessments within healthcare settings. While both roles involve utilization review, the 1099 role emphasizes independent contracting, whereas the nurse role requires clinical credentials and direct patient or clinical record involvement.

What are popular job titles related to Utilization Review 1099 jobs in Utah?

For Utilization Review 1099 jobs in Utah, the most frequently searched job titles are:

What job categories do people searching Utilization Review 1099 jobs in Utah look for?

The top searched job categories for Utilization Review 1099 jobs in Utah are:

What cities in Utah are hiring for Utilization Review 1099 jobs?

Cities in Utah with the most Utilization Review 1099 job openings:

Utilization Review 1099 jobs near you

RN

HOME CAREGIVERS PARTNERSHIP LLC

Salt Lake City, UT

Full-time

Re-posted 3 days ago

Job description

A Registered Nurse administers skilled nursing care to patients on an intermittent basis in their place of residence. This is performed in accordance with physician orders and plan of care under the direction and supervision of the Clinical Manager.


QUALIFICATIONS

  1. Graduate of an approved school of professional nursing and currently licensed in the state(s) in which practicing.
  2. One (1) year nursing experience, preferred.
  3. Acceptance of philosophy and goals of this Agency.
  4. Ability to exercise initiative and independent judgment.


RESPONSIBILITIES

  1. Provides services in accordance with the plan of care.
  2. Makes the initial evaluation visit, determines the immediate care and support needs of the patient, assesses
  3. eligibility and homebound status and develops the plan of care in coordination with other IDT members.
  4. Regularly reevaluates the patients nursing needs and revises the care plan to meet the patients needs.
  5. Initiates the plan of care and necessary revisions.
  6. Furnishes those services requiring substantial specialized nursing skill.
  7. Initiates appropriate preventive and rehabilitative nursing procedures.
  8. Prepares clinical and progress notes for each patient visit and summaries of care conferences on patients in a timely manner as per Agency policy.
  9. Coordinates services with other members of the IDT, all physicians involved in the patient care, other care providers, patient, representative and caregivers when appropriate.
  10. Informs physician and other personnel of changes in the patients condition and needs.
  11. Counsels the patient and family/significant others in meeting nursing related needs.
  12. Participates in in-service programs, supervising and teaching other nursing personnel.
  13. Understands and adheres to established Agency policies and procedures.
  14. Processes orders and notifies physician of patient needs and changes in condition. Completes certification/recertification orders and discharge summaries.
  15. Determines the amount and type of nursing needed by each individual patient.
  16. Refers to Physical Therapist, Speech Language Pathologist, Occupational Therapist and Medical Social Worker
  17. those patients requiring their specialized skills.
  18. Supervises the LPN/LVN every 30-days and supervises the HHA/CNA every 14-days (or per regulatory requirements) and teaches other nursing personnel.
  19. Assigns home health aides to specific patients with written patient care instructions.
  20. Conducts patient care conferences on patients assigned to his/her care.
  21. Participates in peer review and quality management as assigned.
  22. Participates in utilization review of medical records as assigned.
  23. Gives total patient care as needed.
  24. Takes on-call duty nights, weekends and holidays as assigned.
  25. Completes and submits OASIS assessments, reassessments, and transfers, resumptions of care, discharges and significant change in condition in accordance with Agency defined time frames.
  26. Appropriately utilizes ICD-10 diagnoses and codes.
  27. Observes confidentiality, safeguards all patient related information.
  28. Attends staff meetings and patient care conferences as scheduled.
  29. Completes documentation and paperwork in a timely manner per Agency policy.
  30. Immediately reports to Administrator/Clinical Manager any patient incidents/variances or complaints.
  31. Demonstrates competent performance of technical skills according to established procedures.
  32. Understands and adheres to established policies and procedures.
  33. Adheres to Agency standards and consistently interprets and accurately performs all assigned responsibilities.
  34. Maintains acceptable attendance status, per Agency policy.
  35. Reports all incomplete work assignments to Clinical Manager.
  36. Appearance is always within Agency standard; is clean and well-groomed.
  37. Demonstrates effective time management skills through daily documentation and infrequent overtime for routine assignments.
  38. Maintains clean and neat work environment.
  39. Demonstrates sound judgment, critical thinking and decision making.
  40. Maintains current CPR certification.
  41. Performs other duties as assigned.

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