... for a Utilization Review Coordinator to coordinate patients' services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating with ...
... for a Utilization Review Coordinator to coordinate patients' services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating with ...
Join us and be part of a team dedicated to making a lasting difference in the lives of patients and families every day NeuroPsychiatric Hospital of Indianapolis is looking for a Utilization Review ...
Join us and be part of a team dedicated to making a lasting difference in the lives of patients and families every day NeuroPsychiatric Hospital of Indianapolis is looking for a Utilization Review ...
... for a Utilization Review Coordinator to coordinate patients' services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating with ...
... for a Utilization Review Coordinator to coordinate patients' services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating with ...
... for a Utilization Review Coordinator to coordinate patients' services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating with ...
... for a Utilization Review Coordinator to coordinate patients' services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating with ...
Join us and be part of a team dedicated to making a lasting difference in the lives of patients and families every day NeuroPsychiatric Hospitals of Indianapolis is looking for a Utilization Review ...
Join us and be part of a team dedicated to making a lasting difference in the lives of patients and families every day NeuroPsychiatric Hospitals of Indianapolis is looking for a Utilization Review ...
... for a Utilization Review Coordinator to coordinate patients' services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating with ...
... for a Utilization Review Coordinator to coordinate patients' services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating with ...
Review admissions and ongoing patient cases; recommend or escalate cases that do not meet criteria to leadership or the Utilization Review Committee * Facilitate timely discharges, transfers, and ...
Review admissions and ongoing patient cases; recommend or escalate cases that do not meet criteria to leadership or the Utilization Review Committee * Facilitate timely discharges, transfers, and ...
Review admissions and ongoing patient cases; recommend or escalate cases that do not meet criteria to leadership or the Utilization Review Committee * Facilitate timely discharges, transfers, and ...
Review admissions and ongoing patient cases; recommend or escalate cases that do not meet criteria to leadership or the Utilization Review Committee * Facilitate timely discharges, transfers, and ...
Review admissions and ongoing patient cases; recommend or escalate cases that do not meet criteria to leadership or the Utilization Review Committee * Facilitate timely discharges, transfers, and ...
Review admissions and ongoing patient cases; recommend or escalate cases that do not meet criteria to leadership or the Utilization Review Committee * Facilitate timely discharges, transfers, and ...
Coordinate and support the hospital's Utilization Review and Case Management program to ensure appropriate level of care, efficient resource use, and timely discharge planning. * Review patient ...
Coordinate and support the hospital's Utilization Review and Case Management program to ensure appropriate level of care, efficient resource use, and timely discharge planning. * Review patient ...
Conducts pre-certification, inpatient, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member ...
Conducts pre-certification, inpatient, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member ...
... review of the total resources available to patient pre and post-discharge from rehabilitation care. The Utilization Reviewer collaborates with the payer and rehabilitation team to ensure a successful ...
... review of the total resources available to patient pre and post-discharge from rehabilitation care. The Utilization Reviewer collaborates with the payer and rehabilitation team to ensure a successful ...
Utilization Review RN
$30 - $34/hr
Expected to review 20 cases a day with a 95% accuracy rate. Responsible for collaborating with healthcare providers and members to promote quality member outcomes, to optimize member benefits, and to ...
Utilization Review RN
$30 - $34/hr
Expected to review 20 cases a day with a 95% accuracy rate. Responsible for collaborating with healthcare providers and members to promote quality member outcomes, to optimize member benefits, and to ...
Join us and be part of a team dedicated to making a lasting difference in the lives of patients and families every day Overview Doctor's NeuroPsychiatric Hospitals is looking for a Utilization Review ...
Join us and be part of a team dedicated to making a lasting difference in the lives of patients and families every day Overview Doctor's NeuroPsychiatric Hospitals is looking for a Utilization Review ...
Join us and be part of a team dedicated to making a lasting difference in the lives of patients and families every day Doctor's NeuroPsychiatric Hospitals is looking for a Utilization Review ...
Join us and be part of a team dedicated to making a lasting difference in the lives of patients and families every day Doctor's NeuroPsychiatric Hospitals is looking for a Utilization Review ...
Join us and be part of a team dedicated to making a lasting difference in the lives of patients and families every day Overview Doctor's NeuroPsychiatric Hospitals is looking for a Utilization Review ...
Join us and be part of a team dedicated to making a lasting difference in the lives of patients and families every day Overview Doctor's NeuroPsychiatric Hospitals is looking for a Utilization Review ...
Utilization Management Rep I Utilization Management RepresentativeI Virtual: This role enables ... Refers cases requiring clinical review to a Nurse reviewer. * Responsible for the identification ...
Utilization Management Rep I Utilization Management RepresentativeI Virtual: This role enables ... Refers cases requiring clinical review to a Nurse reviewer. * Responsible for the identification ...
Utilization Management RepresentativeI Virtual: This role enables associates to work virtually ... Refers cases requiring clinical review to a Nurse reviewer. * Responsible for the identification ...
Utilization Management RepresentativeI Virtual: This role enables associates to work virtually ... Refers cases requiring clinical review to a Nurse reviewer. * Responsible for the identification ...
Be Seen First
Utilization Management Nurse
Columbus, IN · On-site
By performing review of services prospectively, retrospectively, and throughout the episode of care ... utilization review, and medical necessity * Act and perform within the scope of professional ...
Quick apply
Be Seen First
Utilization Management Nurse
Columbus, IN · On-site
By performing review of services prospectively, retrospectively, and throughout the episode of care ... utilization review, and medical necessity * Act and perform within the scope of professional ...
Utilization Management Nurse
Columbus, IN · On-site
By performing review of services prospectively, retrospectively, and throughout the episode of care ... utilization review, and medical necessity * Act and perform within the scope of professional ...
Utilization Management Nurse
Columbus, IN · On-site
By performing review of services prospectively, retrospectively, and throughout the episode of care ... utilization review, and medical necessity * Act and perform within the scope of professional ...
Weekend Utilization Review information
What does a typical weekend shift look like for a Utilization Review professional?
Weekend Utilization Review professionals typically work independently, reviewing patient cases for medical necessity, appropriateness of care, and compliance with payer guidelines during non-standard business hours. You will analyze patient charts, interact with clinical staff, and document findings, often collaborating remotely with other care coordinators or medical teams. While much of the role is desk-based, quick decision-making and effective communication are essential due to faster-paced weekend workflows. This schedule can offer greater autonomy and flexibility, but may also require prioritizing tasks and managing multiple cases efficiently to ensure continuous patient care.
What is a Weekend Utilization Review job?
A Weekend Utilization Review job involves assessing patient care and medical services during weekends to ensure they meet medical necessity and insurance guidelines. Professionals in this role review clinical documentation, coordinate with healthcare providers, and determine appropriate levels of care for patients. They typically work for hospitals, insurance companies, or other healthcare organizations. Strong analytical skills, medical knowledge, and familiarity with regulatory requirements are essential for success in this role.
What are the key skills and qualifications needed to thrive in the Weekend Utilization Review position, and why are they important?
Success as a Weekend Utilization Review professional requires a strong background in nursing or healthcare, critical thinking skills, and a thorough understanding of medical necessity criteria, such as InterQual or Milliman guidelines. Familiarity with electronic medical records (EMR) systems and utilization management software is highly beneficial, and RN or healthcare-related licensure is often required. Exceptional communication, attention to detail, and the ability to work independently on weekends are crucial soft skills. Mastering these areas allows efficient and accurate reviews of patient care, supporting optimal healthcare resource allocation outside of standard work hours.
What are the most commonly searched types of Utilization Review jobs in Indiana? The most popular types of Utilization Review jobs in Indiana are:
What are popular job titles related to Weekend Utilization Review jobs in Indiana? For Weekend Utilization Review jobs in Indiana, the most frequently searched job titles are:
What job categories do people searching Weekend Utilization Review jobs in Indiana look for? The top searched job categories for Weekend Utilization Review jobs in Indiana are:
- Anthem Utilization Review Nurse
- Registered Nurse Case Review
- Therapy Utilization Review
- Work From Home Dental Utilization Review
- Remote Aetna Utilization Review Nurse
- Speech Therapy Utilization Review
- Coordinator Aetna Utilization Review
- Remote Aetna Utilization Review
- Lpn Utilization Review Work From Home
- Full Time Navihealth Utilization Review
What cities in Indiana are hiring for Weekend Utilization Review jobs? Cities in Indiana with the most Weekend Utilization Review job openings:
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 25 days ago
Job description
About Us
Healing Body and Mind.
NeuroPsychiatric Hospitals is a national leader in behavioral healthcare, specializing in patients with acute psychiatric and complex medical needs. Our hospitals use an interdisciplinary, multi-specialty approach that delivers high-quality, patient-centered care when it's needed most.
With locations in Indiana, Michigan, Texas, and Arizona, we're expanding access to our unique model of care across the United States. Join us and be part of a team dedicated to making a lasting difference in the lives of patients and families every day
Overview
NeuroPsychiatric Hospitals of Indianapolis is looking for a Utilization Review Coordinator to coordinate patients' services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating with multidisciplinary teams.
Benefits of joining NPH
Responsibilities
Qualifications
Education: Bachelor's in Behavioral Health, Social Work, Counseling, Nursing or Psychology required. Master's degree preferred.
Experience: Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 years of case management experience, including discharge planning in a hospital setting required.
Licensure: Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred. Basic Life Support (BLS) and Handle with Care (HWC) obtained during orientation, if applicable.
Skills: Must have strong knowledge of medications and demonstrate exceptional time management, data entry, and communication skills. Must be detail oriented.#INDEEDLOW
Healing Body and Mind.
NeuroPsychiatric Hospitals is a national leader in behavioral healthcare, specializing in patients with acute psychiatric and complex medical needs. Our hospitals use an interdisciplinary, multi-specialty approach that delivers high-quality, patient-centered care when it's needed most.
With locations in Indiana, Michigan, Texas, and Arizona, we're expanding access to our unique model of care across the United States. Join us and be part of a team dedicated to making a lasting difference in the lives of patients and families every day
Overview
NeuroPsychiatric Hospitals of Indianapolis is looking for a Utilization Review Coordinator to coordinate patients' services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating with multidisciplinary teams.
Benefits of joining NPH
- Competitive pay rates
- Medical, Dental, and Vision Insurance
- NPH 401(k) plan with up to 4% Company match
- Employee Assistance Program (EAP) Programs
- Generous PTO and Time Off Policy
- Special tuition offers through Capella University
- Work/life balance with great professional growth opportunities
- Employee Discounts through LifeMart
Responsibilities
- Filing documents as needed.
- Initial Precertification with payors.
- Concurrent Clinical review with payors.
- Document in the electronic system daily in real time.
- Admission audit.
- Ensures that CON's/RON's and CMS certifications are completed by provider.
- Consistently demonstrates professionalism with all internal and external customers as evidenced by positive customer and peer Communicates effectively with all staff and patients as evidenced by the establishment and maintenance of productive working relationships.
- Maintains knowledge of current trends and developments in the field by reading appropriate books; journals and other literature and attending related seminars or conferences.
- Maintains a professional approach with Assures protection and privacy of health information as attained through written, electronic or oral disclosures.
- Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
- Seeks guidance and remains knowledgeable of, and complies with, all applicable federal and state laws, as well as hospital polices that apply.
- Complies with hospital expectations regarding ethical behavior and standards of conduct.
- Complies with federal and hospital requirements in the areas of protected health information and patient information.
- Reconsiderations, assists with appeals as needed, arrange peer to peer level reviews, and report the outcomes to the VP of Care Management and Team.
- Provides education to nursing staff. ;eadership team, and providers regarding documentation.
- Actively works with the business office regarding resolution of appeals/denials and retrospective reviews.
Qualifications
Education: Bachelor's in Behavioral Health, Social Work, Counseling, Nursing or Psychology required. Master's degree preferred.
Experience: Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 years of case management experience, including discharge planning in a hospital setting required.
Licensure: Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred. Basic Life Support (BLS) and Handle with Care (HWC) obtained during orientation, if applicable.
Skills: Must have strong knowledge of medications and demonstrate exceptional time management, data entry, and communication skills. Must be detail oriented.#INDEEDLOW