Utilization Review Supervisor Salary in Holly Springs, North Carolina

To get your salary data, use the search bar below or browse by job, city, or state.
loading...

Job title is required

loading...

Job location is required.

Average Salary for Utilization Review Supervisor in Holly Springs, North Carolina

The average salary of a(n) Utilization Review Supervisor in Holly Springs, North Carolina is $38,238.

The average hourly rate of a(n) Utilization Review Supervisor in Holly Springs, North Carolina is $18.38.

The average bonus of a(n) Utilization Review Supervisor in Holly Springs, North Carolina is $478.00.

Job Description:

Plans, organizes, and supervises, under general direction, the activities of the Utilization Review unit of a hospital. Ensures compliance with reimbursement rules of third-party payers. Performs the more complex utilization review work. Monitors and ensures hospital compliance with Medic-Cal, Medicare, and insurance reimbursement policies, the maintenance of patient care quality, and the maximizing of reimbursements for services provided. Reports to the Hospital Quality Assurance Manager. Plans, organizes, and supervises the staff of the Utilization Review unit. Reviews and analyzes government and accrediting agency standards governing admissions, treatment, and continued stay of patients. Develops policies and procedures for adherence to governmental and accrediting agency standards. Coordinates the work of the Utilization Review staff with medical staff to ensure appropriate and timely patient care action and to maximize reimbursement. Analyzes individual patient records to determine appropriateness of admission. Reviews patient treatment plans for adherence to established criteria and standards. Refers cases that fail to meet criteria to the Patient Care Review Committee for review and course of action. Conducts studies and prepares reports for the review committee, medical staff, and administration. Serves as review committee liaison with other committees to coordinate formulation of policy and procedures. Explains procedures and documentation requirements to medical staff, managers, and other hospital personnel. Interviews, selects, trains, and evaluates Utilization Review staff. Less

Plans, organizes, and supervises, under general direction, the activities of the Utilization Review unit of a hospital. Ensures compliance with reimbursement rules of third-party payers. Performs the more complex utilization review work. Monitors and ensures hospital compliance with Medic-Cal, Medicare,... More

How helpful is this page?

Are you a(n) Utilization Review Supervisor?

Get a more personalized salary report now. Get Report

Average Salaries for Similar Jobs in Holly Springs, North Carolina

Job Openings by Indeed job search

Results for Utilization Review Supervisor in Holly Springs, North Carolina

Supervisor Concrete Plant Production - Raleigh, NC

Carolina Sunrock

Supervisor Concrete Plant Production:. Works closely with concrete dispatch to optimize truck and personnel utilization each day....

View job on Indeed.com

Operations Supervisor - Raleigh, NC

CPI Security Systems

Review daily logs and reports to detect recurring slowdowns or errors. Coordinate Installation and Service activities with all other functions of the...

View job on Indeed.com

Coordinator/Surgical Svcs Scheduling - Raleigh, NC

Rex Healthcare

Reviews daily and monthly room utilization; Collaborates with the anesthesia supervisor regarding resource availability and needs....

View job on Indeed.com

SUPERVISOR, CLINICAL SERVICES - Durham, NC

Duke University and Duke University Health System

Participates in utilization review to monitor and manage appropriate patient and agency episodic costs and utilization....

View job on Indeed.com

Assistant Professor of Exercise Science/Program Coordinator - Raleigh, NC

Shaw University

Other duties as assigned by supervisor. O Assess and review the needs of the program (faculty, supplies, instrumentation, etc.)....

View job on Indeed.com

Discover How Much You
Should Be Paid

Work in Compensation or HR?    x