Base: $56,971.20-$84,749.60; bonus/equity: not app...
Fully remote
Admission screening
Medical necessity review
Appropriateness of setting
The Utilization Review Coordinator performs admission screening for patients in a bed for medical necessity, and reviews for appropriateness of setting and utilization
Job Summary
The Utilization Review Coordinator performs admission screening for patients in a bed for medical necessity, and reviews for appropriateness of setting and utilization.
Communicate with physicians, patients, members of the Healthcare team, Coordinated Business Office staff, Denial Management staff, and third-party payors to justify the admission or continued stay.
Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.
Matching Summary
The Utilization Review Coordinator performs admission screening for patients in a bed for medical necessity, and reviews for appropriateness of setting and utilization.
Salary
Base: $56971.20-$84749.60; Bonus/Equity: Not Applicable; Benefits: Comprehensive benefit offerings
Skills & Requirements
Must-have
admission screening
medical necessity review
appropriateness of setting
concurrent reviews
payer rules and regulations
Nice-to-have
compassionate care
comprehensive care
resource person
team education
Key Requirements
Associate degree in nursing/patient care required
Registered Nurse (RN - Indiana AND Illinois licensure) required
3 years of nursing/patient care experience required
2 years of Utilization or Case Management experience preferred