Utilization Review Assistant
Odessa, TX · On-site
Assists UM Department with utilization review processes, including the collection and analysis of various computer-based data related to Utilization Review, Care Coordination, and Commercial ...
Odessa, TX · On-site
Assists UM Department with utilization review processes, including the collection and analysis of various computer-based data related to Utilization Review, Care Coordination, and Commercial ...
Odessa, TX · On-site
Assists UM Department with utilization review processes, including the collection and analysis of various computer-based data related to Utilization Review, Care Coordination, and Commercial ...
Assists UM Department with utilization review processes, including the collection and analysis of various computer-based data related to Utilization Review, Care Coordination, and Commercial ...
Assists UM Department with utilization review processes, including the collection and analysis of various computer-based data related to Utilization Review, Care Coordination, and Commercial ...
Hiring Now for RN Utilization Review Coordinator Department: Case Management Shift: Full-time ... Communicate with physicians when cases do not meet admission or continued stay criteria and assist ...
Hiring Now for RN Utilization Review Coordinator Department: Case Management Shift: Full-time ... Communicate with physicians when cases do not meet admission or continued stay criteria and assist ...
Austin, TX · Remote
$84K - $118K/yr
... and utilization review. * Review admissions and service requests within assigned unit for ... Provide case management and/or consultation for complex cases. * Assist departmental staff with ...
Austin, TX · Remote
$84K - $118K/yr
... and utilization review. * Review admissions and service requests within assigned unit for ... Provide case management and/or consultation for complex cases. * Assist departmental staff with ...
Hiring Now for RN Utilization Review Coordinator Department: Case Management Shift: Full-time ... Communicate with physicians when cases do not meet admission or continued stay criteria and assist ...
Hiring Now for RN Utilization Review Coordinator Department: Case Management Shift: Full-time ... Communicate with physicians when cases do not meet admission or continued stay criteria and assist ...
Hiring Now for RN Utilization Review Coordinator Department: Case Management Shift: Full-time ... Communicate with physicians when cases do not meet admission or continued stay criteria and assist ...
Hiring Now for RN Utilization Review Coordinator Department: Case Management Shift: Full-time ... Communicate with physicians when cases do not meet admission or continued stay criteria and assist ...
Utilization Review Nurse for Workers' Comp Job Purpose: Review Workers Compensation requests ... Complete production logging. * Assist leadership team with training and coordinating back-up ...
Utilization Review Nurse for Workers' Comp Job Purpose: Review Workers Compensation requests ... Complete production logging. * Assist leadership team with training and coordinating back-up ...
... and will assist the treatment team in understanding the insurance company's requirements for ... The UR Coordinator attends treatment team meetings and continued stay reviews as indicated.
... and will assist the treatment team in understanding the insurance company's requirements for ... The UR Coordinator attends treatment team meetings and continued stay reviews as indicated.
... and will assist the treatment team in understanding the insurance company's requirements for ... The UR Coordinator attends treatment team meetings and continued stay reviews as indicated.
... and will assist the treatment team in understanding the insurance company's requirements for ... The UR Coordinator attends treatment team meetings and continued stay reviews as indicated.
... and will assist the treatment team in understanding the insurance company's requirements for ... The UR Coordinator attends treatment team meetings and continued stay reviews as indicated.
... and will assist the treatment team in understanding the insurance company's requirements for ... The UR Coordinator attends treatment team meetings and continued stay reviews as indicated.
... and will assist the treatment team in understanding the insurance company's requirements for ... The UR Coordinator attends treatment team meetings and continued stay reviews as indicated.
... and will assist the treatment team in understanding the insurance company's requirements for ... The UR Coordinator attends treatment team meetings and continued stay reviews as indicated.
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
El Paso, TX · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
El Paso, TX · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
El Paso, TX · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
El Paso, TX · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Lubbock, TX · On-site
$21.54/hr
Responsibilities: * Provide Utilization Management functions in Mental Health Services ... Conduct additional specific UM Reviews as needed. * Assist with the administrative functions of the ...
Lubbock, TX · On-site
$21.54/hr
Responsibilities: * Provide Utilization Management functions in Mental Health Services ... Conduct additional specific UM Reviews as needed. * Assist with the administrative functions of the ...
The Utilization Review Coordinator conducts utilization reviews to determine if patients are ... and assist with construction of appeal letters. * Tracks denial information for reporting to ...
The Utilization Review Coordinator conducts utilization reviews to determine if patients are ... and assist with construction of appeal letters. * Tracks denial information for reporting to ...
San Antonio, TX · On-site
The Utilization Review Coordinator conducts utilization reviews to determine if patients are ... and assist with construction of appeal letters. * Tracks denial information for reporting to ...
San Antonio, TX · On-site
The Utilization Review Coordinator conducts utilization reviews to determine if patients are ... and assist with construction of appeal letters. * Tracks denial information for reporting to ...
San Antonio, TX · On-site
The Utilization Review Coordinator conducts utilization reviews to determine if patients are ... and assist with construction of appeal letters. * Tracks denial information for reporting to ...
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San Antonio, TX · On-site
The Utilization Review Coordinator conducts utilization reviews to determine if patients are ... and assist with construction of appeal letters. * Tracks denial information for reporting to ...
... utilization review (No OASIS Review Caseload Required) Partner with physicians, therapists, schedulers, QAPI, and field staff to ensure regulatory compliance and continuity of care Assist the ...
... utilization review (No OASIS Review Caseload Required) Partner with physicians, therapists, schedulers, QAPI, and field staff to ensure regulatory compliance and continuity of care Assist the ...
Southlake, TX · On-site
$65K - $90K/yr
Serve as a clinical resource to non-clinical staff * Assist with quality audits and maintain ... Minimum one (1) year of case management and/ or utilization review in acute care or insurance ...
Southlake, TX · On-site
$65K - $90K/yr
Serve as a clinical resource to non-clinical staff * Assist with quality audits and maintain ... Minimum one (1) year of case management and/ or utilization review in acute care or insurance ...
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.
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.
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.

8.4
Based on 33 frontline employees who took The Breakroom Quiz
27th of 890 rated healthcare providers
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Health care and social assistance
1,001 - 5,000 Employees
Odessa, TX, US
1949