Previous Utilization Review experience in a behavioral healthcare facility preferred. JOB ... Reports appropriate denial and authorization information to designated resource. * Assist UM ...
Previous Utilization Review experience in a behavioral healthcare facility preferred. JOB ... Reports appropriate denial and authorization information to designated resource. * Assist UM ...
UR Coordinator, Full Time
$24 - $32/hr
About the Role RiverVista is seeking a detail-oriented and knowledgeable Utilization Review (UR ... Track authorization dates, renewals, and required clinical updates * Assist with audit preparation ...
UR Coordinator, Full Time
$24 - $32/hr
About the Role RiverVista is seeking a detail-oriented and knowledgeable Utilization Review (UR ... Track authorization dates, renewals, and required clinical updates * Assist with audit preparation ...
Provides leadership to Assistant Medical Director teams based upon specialty or geographic area and performs utilization management review in area of expertise. Fosters continuous improvement in ...
Provides leadership to Assistant Medical Director teams based upon specialty or geographic area and performs utilization management review in area of expertise. Fosters continuous improvement in ...
Assistant Director of Nursing ADON/MDS Nurse RN
Stow, OH · On-site
$69K - $92K/yr
Assistant Director of Nursing (ADON) / MDS Nurse (RN) Location: The Pavilion at Stow Job Type ... Lead care plan and Medicare/Utilization Review meetings * Monitor resident care, assessments, and ...
Quick apply
Assistant Director of Nursing ADON/MDS Nurse RN
Stow, OH · On-site
$69K - $92K/yr
Assistant Director of Nursing (ADON) / MDS Nurse (RN) Location: The Pavilion at Stow Job Type ... Lead care plan and Medicare/Utilization Review meetings * Monitor resident care, assessments, and ...
Family Practice Physician Outpatient Only Practitioner - Physicians Only Apply - Perm
Columbus, OH · On-site
$215K - $344K/yr
Medical Director / Columbus, OH Assist the Chief Medical Director to direct & coordinate the ... Performs medical review activities pertaining to utilization review, quality assurance, and medical ...
Family Practice Physician Outpatient Only Practitioner - Physicians Only Apply - Perm
Columbus, OH · On-site
$215K - $344K/yr
Medical Director / Columbus, OH Assist the Chief Medical Director to direct & coordinate the ... Performs medical review activities pertaining to utilization review, quality assurance, and medical ...
Collaborate with facility and regional leadership to enhance clinical and financial outcomes * Assist with onboarding and education of new MDS staff throughout the region Qualifications: * Current ...
Collaborate with facility and regional leadership to enhance clinical and financial outcomes * Assist with onboarding and education of new MDS staff throughout the region Qualifications: * Current ...
Understands current and future state and other program information to assist with business ... Reviews hearing rights for appropriateness and submits them for processing to ensure compliance ...
Understands current and future state and other program information to assist with business ... Reviews hearing rights for appropriateness and submits them for processing to ensure compliance ...
Collaborate with facility and regional leadership to enhance clinical and financial outcomes * Assist with onboarding and education of new MDS staff throughout the region Qualifications: * Current ...
Collaborate with facility and regional leadership to enhance clinical and financial outcomes * Assist with onboarding and education of new MDS staff throughout the region Qualifications: * Current ...
Collaborate with facility and regional leadership to enhance clinical and financial outcomes * Assist with onboarding and education of new MDS staff throughout the region Qualifications: * Current ...
Quick apply
Collaborate with facility and regional leadership to enhance clinical and financial outcomes * Assist with onboarding and education of new MDS staff throughout the region Qualifications: * Current ...
Care Mgmt Coord
Cincinnati, OH · On-site
Performs utilization review for patients served. Requires weekend, holiday, and off site commitment ... assist • Refrain from using cell phones for personal reasons in public spaces or patient care ...
Care Mgmt Coord
Cincinnati, OH · On-site
Performs utilization review for patients served. Requires weekend, holiday, and off site commitment ... assist • Refrain from using cell phones for personal reasons in public spaces or patient care ...
Care Mgmt Coord
Cincinnati, OH · On-site
Performs utilization review for patients served. Requires weekend, holiday, and off site commitment ... can assist Refrain from using cell phones for personal reasons in public spaces or patient care ...
Care Mgmt Coord
Cincinnati, OH · On-site
Performs utilization review for patients served. Requires weekend, holiday, and off site commitment ... can assist Refrain from using cell phones for personal reasons in public spaces or patient care ...
Care Mgmt Coord
Cincinnati, OH · On-site
Performs utilization review for patients served. Requires weekend, holiday, and off site commitment ... can assist Refrain from using cell phones for personal reasons in public spaces or patient care ...
Care Mgmt Coord
Cincinnati, OH · On-site
Performs utilization review for patients served. Requires weekend, holiday, and off site commitment ... can assist Refrain from using cell phones for personal reasons in public spaces or patient care ...
Physician Reviewer-Radiology (Part Time)
Columbus, OH · On-site
$95 - $100/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Physician Reviewer-Radiology (Part Time)
Columbus, OH · On-site
$95 - $100/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Physician Reviewer-Radiology (Full-Time)
Columbus, OH · On-site
$95 - $96/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Physician Reviewer-Radiology (Full-Time)
Columbus, OH · On-site
$95 - $96/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Rheumatologist-Physician Reviewer-Radiology (Full-Time)
Columbus, OH · On-site
$95 - $109/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Rheumatologist-Physician Reviewer-Radiology (Full-Time)
Columbus, OH · On-site
$95 - $109/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Otolaryngologist-Physician Reviewer-Radiology (Full-Time)
Columbus, OH · On-site
$95 - $109/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Otolaryngologist-Physician Reviewer-Radiology (Full-Time)
Columbus, OH · On-site
$95 - $109/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Endocrinology-Physician Reviewer-Radiology (Full-Time)
Columbus, OH · On-site
$95 - $109/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Endocrinology-Physician Reviewer-Radiology (Full-Time)
Columbus, OH · On-site
$95 - $109/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
STNA
Cleveland, OH · On-site
$14.50 - $19.25/hr
Utilization Review Coordinator * Manage the Care Planning process * Manage certification signed by Medical Director * Input medical diagnosis using ICD 10 coding * Obtain and analysis data/reports ...
Quick apply
STNA
Cleveland, OH · On-site
$14.50 - $19.25/hr
Utilization Review Coordinator * Manage the Care Planning process * Manage certification signed by Medical Director * Input medical diagnosis using ICD 10 coding * Obtain and analysis data/reports ...
Conduct nursing peer reviews as assigned. * Educate Patient-Centered Medical Home (PCMH) staff on the role of Utilization Management. * Assist the PCMH team in notifying patients admitted to civilian ...
Quick apply
Conduct nursing peer reviews as assigned. * Educate Patient-Centered Medical Home (PCMH) staff on the role of Utilization Management. * Assist the PCMH team in notifying patients admitted to civilian ...
Conduct nursing peer reviews as assigned. * Educate Patient-Centered Medical Home (PCMH) staff on the role of Utilization Management. * Assist the PCMH team in notifying patients admitted to civilian ...
Conduct nursing peer reviews as assigned. * Educate Patient-Centered Medical Home (PCMH) staff on the role of Utilization Management. * Assist the PCMH team in notifying patients admitted to civilian ...
Utilization Review Assistant information
See Ohio salary details
$9.67 - $14.06
14% of jobs
$16.31 is the 25th percentile. Wages below this are outliers.
$14.06 - $18.46
22% of jobs
$18.46 - $22.85
13% of jobs
The median wage is $23.36 / hr.
$22.85 - $27.25
14% of jobs
$27.25 - $31.64
11% of jobs
$32.74 is the 75th percentile. Wages above this are outliers.
$31.64 - $36.04
9% of jobs
$36.04 - $40.43
7% of jobs
$40.43 - $44.83
4% of jobs
$44.83 - $49.22
3% of jobs
$49.22 - $53.62
2% of jobs
$53.62 - $58.01
1% of jobs
$9
$28
$58
How much do utilization review assistant jobs pay per hour?
What is a utilization review assistant?
A Utilization Review Assistant supports the utilization review process by reviewing medical records, verifying insurance coverage, and ensuring that healthcare services meet necessary guidelines. They assist in gathering documentation, communicating with insurance providers, and coordinating with medical staff to facilitate approvals for treatments. Their role helps ensure that healthcare services are provided efficiently while maintaining compliance with insurance policies and regulations.
What skills and qualifications are needed to be a utilization review assistant?
To thrive as a Utilization Review Assistant, you need attention to detail, basic understanding of medical terminology, strong organizational skills, and typically a high school diploma or equivalent. Familiarity with healthcare management software and electronic health records (EHR) systems, along with experience in data entry, is important for this role. Strong communication, problem-solving abilities, and a customer service-oriented attitude help you excel when interacting with clinical staff and patients. These skills are essential for ensuring accurate review processes, compliance with regulations, and effective coordination within healthcare teams.
What does a utilization review assistant do?
A Utilization Review Assistant typically spends their day reviewing medical records, verifying patient information, and ensuring documentation meets insurance or regulatory requirements. They often work closely with nurses, physicians, case managers, and billing staff to collect necessary data and clarify documentation. The work is usually performed in an office within a hospital, clinic, or insurance company, where prioritizing tasks and maintaining confidentiality are key. This collaborative, detail-oriented environment provides a valuable introduction to healthcare administration and can open doors to broader roles in utilization management or case management.
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- Cvs Health Utilization Management
- Commission Cvs Health Utilization Management
- Seasonal Remote Hedis Review Nurse
- Full Time Navihealth Utilization Review
- Utilization Review Salary
- Authorization Utilization Review Bcba
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Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 4 days ago
Job description
Job Address:
10123 Alliance Road, Suite 320 Blue Ash, OH 45242New Vista Health and Wellnessis currently recruiting aUtilization Review Coordinatorfor our team in Blue Ash OH!
WHO WE ARE
The New Vista mission:Inspiring Hope, Restoring Peace of Mind, Healing Lives.At New Vista, our passionate and highly trained team of professionals inspires hope and delivers holistic care to those in need of behavioral health services in a contemporary and healing environment - one that is conducive to providing the life skills needed to regain stability and independence. With a blend of group therapy, clinical treatment, and unique surroundings, our beautiful healthcare centers provide a safe, serene, healing environment for adults and seniors with a variety of complex needs.
Our compassionate team members work in a challenging yet rewarding environment where each person is a part of making direct impact on our patient's lives.
COME JOIN OUR TEAM ASUTILIZATION REVIEW COORDINATOR ATRIVER VISTA!
PERKS AT WORK
Team Members enjoy a variety of perks in working with the NewVista brand company. We offer competitive market wages along with a full, robust package:
Healthcare + Life Balance
- Medical Packages with Rx - 3 Choices
- Flexible Spending Accounts (FSA)
- Dependent Day Care
- Spending Accounts
- Health Spending Accounts (HSA) with a company match
- Dental Care Program - 2 choices
- Vision Plan
- Life Insurance Options
- Accidental Insurances
- Paid Time Off + Paid Holidays
- Employee Assistance Programs
- 401k with a Company Match
Education + Leadership Development
- Up to $15,000 in Tuition Reimbursements OR Student Loan forgiveness
- Handle with Care Trainer - Certifications
Recognition + Rewards
- On the spot recognition
- Prizes
- Team Member of the Quarter
- Team Member of the Year
- Monthly Celebrations
- Team Member Recognition Cards
Education
- High school diploma or GED (Required)
- Bachelor's Degree in Nursing, Social Work, Mental Health/Behavioral Sciences, or related field preferred.
- Previous Utilization Review experience in a behavioral healthcare facility preferred.
JOB RESPONSIBILITIES
As Utilization Review Coordinator, you will :
- Obtain initial authorizations and provide discharge notifications for inpatient and outpatient behavioral health treatment.
- Coordinate authorization information with third party payors in a timely manner.
- Complete thorough and accurate documentation in all required systems.
- Maintain communication system based on documentation and verbal exchange regarding treatment with other UM staff and staff at the facilities as needed.
- Reports appropriate denial and authorization information to designated resource.
- Assist UM Specialists in scheduling and following up on results of Peer to Peer requests for physicians and CNP.
- Provide support to the UM Specialists.
Skills:
- Ability to multi-task
- Strong organization skills
- Strong problem-solving skills
- Ability to work well independently and as a part of a team
Qualified candidates, apply now for a chance to join our outstanding team as weInspire Hope, Restore Peace of Mind, and Heal Lives.