Utilization Review Coordinator Salary in Minneapolis, Minnesota

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Average Salary for Utilization Review Coordinator in Minneapolis, Minnesota

The average salary of a(n) Utilization Review Coordinator in Minneapolis, Minnesota is $100,212.

The average hourly rate of a(n) Utilization Review Coordinator in Minneapolis, Minnesota is $48.18.

The average bonus of a(n) Utilization Review Coordinator in Minneapolis, Minnesota is $5,652.00.

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

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Case Manager, RN - Eden Prairie, MN - Eden Prairie, MN

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Experience in utilization review, concurrent review or risk management. RN, Acute Care, Managed Care, Case Management, Certified Case Manager, CCM, Eden Prairie...

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Facility Services Coordinator - Saint Paul, MN

Minnesota Department of Health

Space utilization studies. The types of projects this coordinator will manage include:. Ability to read construction drawings at a level required to review and...

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MDS Coordinator - .8 Benefits Eligibile - Saint Louis Park, MN

Sholom Community

(b) conducts concurrent MDS (Minimum Data Set) reviews to assure achievement of maximum allowable RUG (Resource Utilization Group) categories;...

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Health Support Coordinator Job - Eagan, MN

Blue Cross and Blue Shield of Minnesota

In this role, the Health Support Coordinator provides moderate to advanced support to IHM clinicians with their utilization management, case management, and...

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Scheduling Coordinator - Edina, MN

Tristar Power Solutions

Responsible for coordinating all technical resources for highest utilization. Timely review of all service tickets and associated time and expense reporting....

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