Utilization Review Coordinator Salary in Pennsylvania - Commonwealth Average, Pennsylvania

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 Pennsylvania - Commonwealth Average, Pennsylvania

The average salary of a(n) Utilization Review Coordinator in Pennsylvania - Commonwealth Average, Pennsylvania is $97,422.

The average hourly rate of a(n) Utilization Review Coordinator in Pennsylvania - Commonwealth Average, Pennsylvania is $46.84.

The average bonus of a(n) Utilization Review Coordinator in Pennsylvania - Commonwealth Average, Pennsylvania is $5,495.00.

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 Pennsylvania - Commonwealth Average, Pennsylvania

Job Openings by Indeed job search

Results for Utilization Review Coordinator in Pennsylvania - Commonwealth Average, Pennsylvania

Human Resources Associate - Audubon, PA

BioClinica

Communicating with Training Coordinator to ensure set up is complete. Is looking for intelligent, creative and dedicated professionals to join our growing team....

View job on Indeed.com

Resource Coordinator - Multiple Openings - Harrisburg, PA

Pennsylvania Higher Education Assistance Agency (PHEAA)

Collaborate with Information Technology (IT) Project Managers and other relevant parties to review resource utilization and capacity....

View job on Indeed.com

Resin Production Schedule and Control/Training Coordinator - Bristol, PA

Arkema Americas

Optimize asset utilization by maximizing production output while attending demand and inventory requirements....

View job on Indeed.com

NCLEX COORDINATOR/INSTRUCTOR - Philadelphia, PA

Prism Career Institute

Meets with at-risk students on a regular basis to monitor utilization of remediation strategies. Ability to identify trends in specific weak areas of nursing...

View job on Indeed.com

Recruitment and Retention Coordinator - Bethlehem, PA

Home Instead Senior Care

Recruitment and Engagement Coordinator Job Description. • Maintain at least 90% in CAREGiver utilization. The Recruitment and Engagement Coordinator is expected...

View job on Indeed.com

Discover How Much You
Should Be Paid

Work in Compensation or HR?    x