The Utilization Review Coordinator performs a variety of duties to ensure the best possible utilization of clinical/behavioral healthcare resources related to the delivery of substance use disorder ...
The Utilization Review Coordinator performs a variety of duties to ensure the best possible utilization of clinical/behavioral healthcare resources related to the delivery of substance use disorder ...
Description The UR Coordinator's primary responsibility is managing, reviewing, and monitoring utilization of patient resources and obtaining payor authorization as required for all provided services.
Description The UR Coordinator's primary responsibility is managing, reviewing, and monitoring utilization of patient resources and obtaining payor authorization as required for all provided services.
Responsibilities Full-time Utilization Review Coordinator Opening The Pavilion Behavioral Health System has been the leading provider of behavioral health and addictions treatment for families in ...
Responsibilities Full-time Utilization Review Coordinator Opening The Pavilion Behavioral Health System has been the leading provider of behavioral health and addictions treatment for families in ...
Utilization Review Coordinator
Williamsport, PA · On-site
$42K - $46K/yr
Description The Utilization Review Coordinator performs a variety of duties to ensure the best possible utilization of clinical/behavioral healthcare resources related to the delivery of substance ...
Utilization Review Coordinator
Williamsport, PA · On-site
$42K - $46K/yr
Description The Utilization Review Coordinator performs a variety of duties to ensure the best possible utilization of clinical/behavioral healthcare resources related to the delivery of substance ...
Job Type Full-time Description The UR Coordinator's primary responsibility is managing, reviewing, and monitoring utilization of patient resources and obtaining payor authorization as required for ...
Job Type Full-time Description The UR Coordinator's primary responsibility is managing, reviewing, and monitoring utilization of patient resources and obtaining payor authorization as required for ...
Reporting to the Director of Utilization Review with a dotted-line relationship to the Director of Revenue Cycle Management, the UR and RCM Support Coordinator works in close partnership with billing ...
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Reporting to the Director of Utilization Review with a dotted-line relationship to the Director of Revenue Cycle Management, the UR and RCM Support Coordinator works in close partnership with billing ...
Overview North Valley Behavioral Hospital, a brand new psychiatric hospital within the NeuroPsychiatric Hospitals network, is looking for a Utilization Review Coordinator to coordinate patients ...
Overview North Valley Behavioral Hospital, a brand new psychiatric hospital within the NeuroPsychiatric Hospitals network, is looking for a Utilization Review Coordinator to coordinate patients ...
Responsibilities Utilization Review (UR) Coordinator Position: Full-Time Shift: Daytime For over 60 years, Calvary Healing Center has provided a full continuum of care, specializing in addiction ...
Responsibilities Utilization Review (UR) Coordinator Position: Full-Time Shift: Daytime For over 60 years, Calvary Healing Center has provided a full continuum of care, specializing in addiction ...
North Valley Behavioral Hospital, a brand new psychiatric hospital within the NeuroPsychiatric Hospitals network, is looking for a Utilization Review Coordinator to coordinate patients' services ...
North Valley Behavioral Hospital, a brand new psychiatric hospital within the NeuroPsychiatric Hospitals network, is looking for a Utilization Review Coordinator to coordinate patients' services ...
Overview North Valley Behavioral Hospital, a brand new psychiatric hospital within the NeuroPsychiatric Hospitals network, is looking for a Utilization Review Coordinator to coordinate patients ...
Overview North Valley Behavioral Hospital, a brand new psychiatric hospital within the NeuroPsychiatric Hospitals network, is looking for a Utilization Review Coordinator to coordinate patients ...
Coordinates the utilization management functions of a patient caseload through collaboration with the interdisciplinary treatment team and performance of reviews, with external review organizations ...
Coordinates the utilization management functions of a patient caseload through collaboration with the interdisciplinary treatment team and performance of reviews, with external review organizations ...
... Utilization Review Reports as necessary. · Coordinates and makes Retrospective Appeals to third party payers. · Meets weekly with Administrator on appropriate issues. · Other duties as assigned ...
... Utilization Review Reports as necessary. · Coordinates and makes Retrospective Appeals to third party payers. · Meets weekly with Administrator on appropriate issues. · Other duties as assigned ...
Through services including benefits verification, billing and claims submission, and utilization review, we help treatment centers optimize revenue cycle management while focusing on delivering ...
Through services including benefits verification, billing and claims submission, and utilization review, we help treatment centers optimize revenue cycle management while focusing on delivering ...
Coordinates the utilization management functions of a patient caseload through collaboration with the interdisciplinary treatment team and performance of reviews, with external review organizations ...
Coordinates the utilization management functions of a patient caseload through collaboration with the interdisciplinary treatment team and performance of reviews, with external review organizations ...
Coordinates the utilization management functions of a patient caseload through collaboration with the interdisciplinary treatment team and performance of reviews, with external review organizations ...
Coordinates the utilization management functions of a patient caseload through collaboration with the interdisciplinary treatment team and performance of reviews, with external review organizations ...
Responsibilities Utilization Review (UR) Coordinator Position: Full-Time Shift: Daytime For over 60 years, Calvary Healing Center has provided a full continuum of care, specializing in addiction ...
Responsibilities Utilization Review (UR) Coordinator Position: Full-Time Shift: Daytime For over 60 years, Calvary Healing Center has provided a full continuum of care, specializing in addiction ...
Utilization Review Coordinator
San Jose, CA · On-site
$195K - $249K/yr
Description Under direction, to review, monitor and assess utilization of hospital services; to administer Utilization Review procedures as required under federal, state, and county regulations as ...
Utilization Review Coordinator
San Jose, CA · On-site
$195K - $249K/yr
Description Under direction, to review, monitor and assess utilization of hospital services; to administer Utilization Review procedures as required under federal, state, and county regulations as ...
Assists the utilization review process taking on various tasks including data collection of demographic, claim and medical information; non-medical analysis; and outcomes reporting. Performs routine ...
Assists the utilization review process taking on various tasks including data collection of demographic, claim and medical information; non-medical analysis; and outcomes reporting. Performs routine ...
... Utilization Review Reports as necessary. · Coordinates and makes Retrospective Appeals to third party payers. · Meets weekly with Administrator on appropriate issues. · Other duties as assigned ...
... Utilization Review Reports as necessary. · Coordinates and makes Retrospective Appeals to third party payers. · Meets weekly with Administrator on appropriate issues. · Other duties as assigned ...
Coordinates the utilization management functions of a patient caseload through collaboration with the interdisciplinary treatment team and performance of reviews, with external review organizations ...
Coordinates the utilization management functions of a patient caseload through collaboration with the interdisciplinary treatment team and performance of reviews, with external review organizations ...
Utilization Review Coordinator Prn 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 review coordinator prn jobs pay per hour?
What is the difference between Utilization Review Coordinator Prn vs Utilization Review Nurse?
| Aspect | Utilization Review Coordinator Prn | Utilization Review Nurse |
|---|---|---|
| Credentials | Typically requires a nursing license or relevant healthcare certification | Registered Nurse (RN) license, often with additional certifications in case management or utilization review |
| Work Environment | Flexible, PRN (as-needed) basis, often in hospital or insurance settings | Full-time or part-time, hospital, insurance companies, or healthcare facilities |
| Employer & Industry | Hospitals, insurance companies, healthcare organizations | Hospitals, insurance providers, healthcare organizations |
The Utilization Review Coordinator Prn and Utilization Review Nurse roles both involve evaluating healthcare services for appropriateness and necessity. The main difference lies in the employment status and certification requirements: the Coordinator Prn works on an as-needed basis and may require a healthcare-related license, while the Nurse role typically requires an RN license and involves more direct patient care oversight. Both roles are essential in healthcare utilization management but differ in scheduling and scope of responsibilities.
What cities are hiring for Utilization Review Coordinator Prn jobs?
Cities with the most Utilization Review Coordinator Prn job openings:
What states have the most Utilization Review Coordinator Prn jobs?
States with the most job openings for Utilization Review Coordinator Prn jobs include:
What job categories do people searching Utilization Review Coordinator Prn jobs look for?
The top searched job categories for Utilization Review Coordinator Prn jobs are:
- Utilization Care Manager
- Behavioral Care Coordinator
- Full Time Bcba Utilization Review
- Cbhh
- Full Time Behavioral Health Care Coordinator
- Insurance Utilization Reviewer
- Utilization Management Care Coordinator
- United Healthcare Navigator
- Manager Yoga Retreat Coordinator
- Part Time Anthem Utilization Review Nurse

Full-time
Posted 28 days ago
Job description
The Utilization Review Coordinator performs a variety of duties to ensure the best possible utilization of clinical/behavioral healthcare resources related to the delivery of substance use disorder treatment.
Essential Duties and Responsibilities
- Facilitates communications between facility intake, billing, and clinical department as related to obtaining and maintaining client funding for clinical services.
- Prepares and facilitates client pre-certification enrollments, continued stay, transition of care, and discharge reviews in a timely manner.
- Maintains case files in prescribed manner.
- Completes admission, continued stay and discharge ASAMs for residents admitted to the facility during work hours.
- Acts as the point of contact with MCO and SCA agencies on matters related to obtaining funding and continuation of funding for clients.
- Assists counseling staff with identifying client discharge options to include continuing care placement, outpatient services, and other community-based services.
- Updates and maintains an on-going database of referral agencies and discharge referral sources and the appropriate contacts within those agencies.
- Acts as the facility liaison in resolving any funding issues that may arise with the MCO/SCA or DOC and maintain detailed records of any communications between the facility and funding agency (e.g. documents when, where and to whom ASAM forms are sent, records receipt of funding authorizations, etc.
- Coordinates data entry in the WITS and funder-specific systems.
- Complies with all H.I.PA.A. and confidentiality requirements.
- Performs other duties as assigned.