Utilization Review Coordinator Salary in Miami, Florida

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 Coordinator in Miami, Florida

The average salary of a(n) Utilization Review Coordinator in Miami, Florida is $100,286.

The average hourly rate of a(n) Utilization Review Coordinator in Miami, Florida is $48.21.

The average bonus of a(n) Utilization Review Coordinator in Miami, Florida is $5,656.00.

Job Description:

Analyzes and evaluates patients' medical records, charts, computer printouts, and support documents to ensure criteria for admission to health-care facility, treatment, and length of stay are met, and to ensure cost effective utilization of resources, according to established criteria: Analyzes insurance, governmental, and accrediting agency standards to determine criteria concerning admissions, treatment, and length of stay of patients. Reviews admission records, medical records, charts, and supporting documentation to establish reason for admission, diagnosis, and length of stay. Approves admission or refers case to facility utilization review committee for review and course of action when case fails to meet admission standards. Determines necessity, cost effectiveness, and documentation of treatment and care provided, utilizing coding and classification manuals, insurance, governmental, and accrediting agency regulations and standards to determine that established criteria for admission and care have been met. Reviews pre-certification request and application for admission, calculates estimated cost of prescribed medical treatment, prepares required paperwork, and approves admission based on predetermined criteria for pre-hospitalization request from health providers or insurance subscribers. Monitors health care treatment provided to patient during patient's stay in medical facility and compares inpatient medical records to established criteria and confers with medical personnel and other professional staff to determine legitimacy of treatment and length of stay, to ensure services are within prescribed limitations, to ensure availability of future benefits, and to guard against potentially abused medical procedures and diagnoses. Retrieves medical data from medical records, charts, and computer, and abstracts required data from records to use in compiling reports and for statistical purposes. Acts as liaison for insurance provider, contractors, and subscribers to explain and interpret provisions of contractual agreements and health benefits and to process complaints. May assist review committee to plan and conduct federally mandated quality assurance reviews. May direct activities of utilization review staff. May conduct telephone reviews to ensure that patient admission to provider facility meets established criteria. May interview patient to obtain medical history information and determine necessity of treatment. Less

Analyzes and evaluates patients' medical records, charts, computer printouts, and support documents to ensure criteria for admission to health-care facility, treatment, and length of stay are met, and to ensure cost effective utilization of resources, according to established criteria: Analyzes... More

How helpful is this page?

Are you a(n) Utilization Review Coordinator?

Get a more personalized salary report now. Get Report

Average Salaries for Similar Jobs in Miami, Florida

Job Openings by Indeed job search

Results for Utilization Review Coordinator in Miami, Florida

FF&E Planning Coordinator - Miami, FL

WSP | Parsons Brinckerhoff

The FF&E Planning Coordinator:. €¢Ensures effective utilization of FF&E budget on all projects assigned. WSP|Parsons Brinckerhoff is seeking a FF&E Planning...

View job on Indeed.com

Case Manager - Integrated Care - Miami, FL

Magellan Health

Experience in utilization review, concurrent review and/or risk management a plus. Home Care, Long-Term Care, MLTC experience preferred, including appropriate...

View job on Indeed.com

Interdisciplinary Team Manager - Miami Lakes, FL

Catholic Health Services

Performs utilization review of continuous care and inpatient levels of care for all patients on the team. Monitors utilization of resources by every patient to...

View job on Indeed.com

COORDINATOR-WARRANTY -US - Fort Lauderdale, FL

Stewart & Stevenson Service

Basic computer navigation and utilization skills required. Monitor and review in-process claims to ensure claims are being addressed and resolved....

View job on Indeed.com

COORDINATOR-WARRANTY -US - Fort Lauderdale, FL

Stewart & Stevenson

Basic computer navigation and utilization skills required. Monitor and review in-process claims to ensure claims are being addressed and resolved....

View job on Indeed.com

Discover How Much You
Should Be Paid

Work in Compensation or HR?    x