Utilization Review Coordinator

4 weeks ago


Smyrna, United States Ridgeview Institute - Smyrna Full time
JOIN OUR TEAM AS A UTILIZATION REVIEW COORDINATOR (UR)

Your Work Matters How will you make a difference?

As a Utilization Review Coordinator (UR Coordinator), you'll advocate for our patients, ensuring they receive the best care possible by liaising with external case managers and managed care organizations to certify and re-certify insurance benefits. You'll be able to help our treatment team understand insurance requirements for continued stay and discharge planning and maintain a thorough understanding of patient treatments through constant communication with the team. You will advocate for patient access to services during treatment team meetings, individual physician contact, and lead treatment team meetings and continued stay reviews as indicated. Your role is critical in guiding patients through their treatment journey and discharge planning, making a real difference every day

  • Review treatment plans and advocate for additional services.
  • Promote effective use of resources for patients.
  • Maintain contact with physicians and team members.
  • Collaborate on continued stay and discharge planning.
  • Ensure patients are placed in appropriate care levels.
  • Document case management activities and track insurance reviews.
  • Provide patient status updates and insurance requirements to staff.
  • Manage the insurance appeals process and coordinate discharge plans.

Your Experience Matters What We’re Looking For

  • Education: Bachelor's or Master's degree from an accredited college or university in social work, mental health, nursing, or related degree.
  • Experience: A minimum of two (2) years of related experience in a healthcare setting or managed care company, with expertise in patient assessment, treatment planning, utilization management, and/or case management preferred.

Your Care Matters What We Provide For Our Team

  • 401(k) + matching
  • Health insurance
  • 100% company-paid life insurance coverage up to 2x your annual salary
  • Vision insurance
  • Dental insurance
  • 100% company-paid long-term disability insurance
  • Paid time off
  • Paid Holidays
  • Cafeteria on site
  • Employee engagement events
  • Employee assistance program
  • Employee recognition program
  • Free parking

What Sets Us Apart

  • Career & training development opportunities
  • Dynamic and inclusive work environment
  • Engaged management team dedicated to your success
  • A guiding mission and set of values that serve as both our north star and yours, anchoring our collective purpose and aspirations

Disclaimer: Benefits are subject to change at the discretion of Ridgeview Institute Smyrna.

Compensation

This is a full-time, non-exempt role; the expected compensation range is $18.00 to $25.00/hour. We’re eager to engage with all qualified candidates, and consideration will be given to experience and skill level. Join us as our Utilization Review Coordinator (UR)

  • Smyrna, United States Schneider Electric Full time

    What will you do? Discover the opportunity to join an international, dynamic, and responsible company that fosters the development of all its people around the world. Every day, we empower employees to achieve more and experience exciting careers. Find out how our values and unique position make Schneider Electric the employer of choice. Schneider Electric...


  • Smyrna, Georgia, United States Opex Solutions Inc Full time

    Care Coordinators play a crucial role in ensuring the medical readiness of Soldiers. We are seeking a qualified individual to fill this position at OpEx Solutions, Inc. in Tennessee.Job OverviewThe estimated annual salary for this role is $70,000 - $100,000 based on experience and location.This position involves reviewing Soldier medical information to...


  • Smyrna, Georgia, United States R.F. Knox Full time

    R.F. Knox is hiring a Design Operations Coordinator to lead our team's daily operations and ensure seamless project execution.Job DescriptionThis role requires strong CAD skills, excellent communication, and the ability to motivate external teams. The ideal candidate will have experience in project management and be proficient in utilizing CAD software to...


  • Smyrna, United States Articularis Healthcare Full time

    Job DescriptionJob DescriptionSalary: MAArticularis Healthcare Group (AHG) is currently seeking a full-time Referral Coordinator in our Smyrna, GA practice.OurBenefits:4-day work weekBenefitspackage that includes group medical, dental, vision, short-term& long-term disability insurance, paid holidays, PTO and 401K.OurCompany:Articularis Healthcare Group, Inc...


  • Smyrna, Georgia, United States Actus Consulting Group Full time

    Job Title: Supply Chain CoordinatorDescription: We are seeking an experienced Supply Chain Coordinator to oversee the daily activities of our warehouse, ensuring efficient utilization of space and resources. The successful candidate will be responsible for supervising staff, managing inventory, and implementing operational...


  • Smyrna, Georgia, United States Opex Solutions Inc Full time

    Job Title: Behavioral Health Management CoordinatorOpEx Solutions, Inc. is seeking a highly motivated Behavioral Health Management Coordinator to support our government contract for the Tennessee Army National Guard. As a key member of our team, you will play a vital role in ensuring the successful implementation of behavioral health management...


  • Smyrna, United States Banfield Full time

    Job Description Client Service Coordinator SUMMARY OF JOB PURPOSE AND FUNCTIONThe Client Service Coordinator ("CSC") drives the flow of clients and pets through the hospital, maximizes the productivity of the veterinary medical team (in terms of numbers of clients and pets), ensures good communication with associates and clients, and coordinates the care of...


  • Smyrna, Georgia, United States Opex Solutions Inc Full time

    Job OverviewOpEx Solutions Inc. is a subject-matter expert in operations process management, and we are currently seeking a skilled Medical Operations Coordinator to join our team.This full-time position offers an estimated annual salary of $65,000 - $85,000 and provides opportunities for career growth and professional development.Key...


  • Smyrna, Georgia, United States FOUR POINT PROPERTIES INC GA Full time

    Job DescriptionThe Property Leasing Coordinator will play a crucial role in maximizing revenue and minimizing vacancy loss by ensuring budgeted occupancy is met and maintaining positive tenant relationships.Key Responsibilities:Tenant Interaction and Leasing:Greet prospective tenants and provide them with tours of available units.Highlight property features,...


  • Smyrna, Georgia, United States firstPRO 360 Full time

    Job OverviewWe are seeking a detail-oriented Financial Services Coordinator to join our team in the Smyrna, GA area. This role involves preparing and processing client invoices with accuracy and adherence to firm/client billing guidelines.Key Responsibilities:Review attorney time entries for completeness and compliance with client billing agreements.Enter...


  • Smyrna, Georgia, United States K. Hovnanian Companies Full time

    We're looking for a skilled Construction Project Manager or Home Building Operations Coordinator to join our team at K. Hovnanian Companies.In this role, you'll play a crucial part in ensuring the smooth execution of our home building projects.You'll track and manage various milestones, including preconstruction and foundation start dates.Your attention to...


  • Smyrna, Delaware, United States Pinnacle Rehab and Health Center Full time

    Pinnacle Rehab and Health Center is a leading provider of healthcare services in Smyrna, DE. We are currently seeking a highly skilled Registered Nurse to join our team as a Nurse Care Coordinator. As a key member of our healthcare team, you will be responsible for directing and supervising the implementation of resident care plans. Your salary will be...


  • Smyrna, Tennessee, United States The Joint Chiropractic Full time

    About This RoleWe are seeking a highly motivated and organized individual to join our team as a Front Desk Coordinator. As a key member of our staff, you will be responsible for providing exceptional patient experiences and ensuring seamless operations within our clinics. In this role, you will have the opportunity to gain valuable experience in sales,...


  • Smyrna, Georgia, United States FOUR POINT PROPERTIES INC GA Full time

    About This Role">We are seeking a highly skilled Leasing Consultant to join our team at Four Point Properties Inc (GA). As a key member of our property management staff, you will be responsible for finding and leasing suitable residential properties to prospective tenants.">Main Responsibilities">Tenant Interaction and Leasing:Engage with potential tenants,...


  • Smyrna, Georgia, United States Williamson Health Full time

    Company OverviewWilliamson Health is a comprehensive healthcare system that offers world-class care to the residents of Williamson County and surrounding communities.Job DescriptionWe are seeking a skilled Nursing Care Coordinator to join our team. In this role, you will be responsible for coordinating and implementing patient care in a timely and accurate...


  • Smyrna, United States TriStar StoneCrest Medical Center Full time

    PACU Clinical Nurse Coordinator at TriStar StoneCrest Medical Center summary: The PACU Clinical Nurse Coordinator at TriStar StoneCrest Medical Center is responsible for ensuring high-quality, patient-centered care in the post-anesthesia care unit. This role involves collaboration with the management team to assess and enhance patient care services, as...


  • Smyrna, United States Town of Smyrna Full time

    Employment Status: Full- Time FLSA Status: Bargaining Union Position Classification: Non-Emergency Essential Department: Planning & Zoning Reports To: Planning Director Supervisory Responsibility: None Primary Work Location: In/around the Town, with reporting, office duties and meetings at Town Hall I.Position Summary Coordinates and manages the input,...


  • Smyrna, Tennessee, United States CORPORATE FLIGHT MANAGEMENT INC Full time

    About the Role:We are seeking a highly skilled Aircraft Maintenance professional to join our team at Corporate Flight Management Inc.Key Responsibilities:Forecast and coordinate scheduling of short- and long-term maintenance requirements on company aircraft.Work with Operations and Maintenance Control to organize aircraft routing for efficient compliance...


  • Smyrna, United States TriStar StoneCrest Medical Center Full time

    Description Introduction Are you looking for a place to deliver excellent care patients deserve? At TriStar StoneCrest Medical Center we support our colleagues in their positions. Join our Team as a(an) PACU Clinical Nurse Coordinator and access programs to assist with every stage of your career. Benefits TriStar StoneCrest Medical Center, offers a...


  • Smyrna, United States TriStar StoneCrest Medical Center Full time

    Description IntroductionAre you looking for a place to deliver excellent care patients deserve? At TriStar StoneCrest Medical Center we support our colleagues in their positions. Join our Team as a(an) PACU Clinical Nurse Coordinator and access programs to assist with every stage of your career.BenefitsTriStar StoneCrest Medical Center, offers a total...