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Utilization Review Coordinator Salary
in Arkansas, United States

$94,513 (USD)

Average Salary

$45/hr

Average Hourly

$5,331

Average Bonus

Salary Recap

The average pay for an Utilization Review Coordinator is $94,513 a year and $45 an hour in Arkansas, United States. The average salary range for an Utilization Review Coordinator is between $66,151 and $117,399. On average, a Master's Degree is the highest level of education for an Utilization Review Coordinator. This compensation analysis is based on salary survey data collected directly from employers and anonymous employees in Arkansas, United States.

Average Salary Chart

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Job Summary

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.

Salary Potential

Estimated salary in 2024:
$109,566
5 Year Change:
16 %

Education

Skills

Utilization Review Coordinator Job Listings for Arkansas, United States

Medical Director- Behavioral Health Utilization Review
Nov 7
Sherwood, AR, USA
Cameron Craig
This is a role where you are directing and coordinating the medical management, quality improvement ... Performs medical review activities pertaining to utilization review, quality assurance, and medical ...
Medical Director- Behavioral Health Utilization Review
Nov 6
Sherwood, USA
Job Juncture, Inc.
This is a role where you are directing and coordinating the medical management, quality improvement ... Performs medical review activities pertaining to utilization review, quality assurance, and medical ...
RN Weekend Supervisor (EOW)
Jan 9
Fort Smith, AR, USA
Legacy Health & Rehab of Fort Smith
... utilization review activities. * Receives physicians' instructions regarding resident care and ... Ability to plan and direct the department, coordinating with other departments. Benefits: * We ...
Patient Care Manager - RN - Full Time
Jan 18
Salem, United States
LHC Group
Uses coordination notes to document, as needed and appropriate. * Reviews assessments and plans of ... and utilization of services, equipment, and supplies through activities such as random patient ...
Patient Care Manager - RN
Jan 14
Bryant, United States
LHC Group
Uses coordination notes to document, as needed and appropriate. * Reviews assessments and plans of ... and utilization of services, equipment, and supplies through activities such as random patient ...
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