Know ATS Score
CV/Résumé Score
  • Expertini Resume Scoring: Our Semantic Matching Algorithm evaluates your CV/Résumé before you apply for this job role: Utilization Review Coordinator PRN.
United States Jobs Expertini

Urgent! Utilization Review Coordinator PRN Job Opening In Greer – Now Hiring Southwest Healthcare System

Utilization Review Coordinator PRN



Job description

Responsibilities

To provide quality case management services to all patient populations and their families.

To serve as a member of the interdisciplinary team supporting the organization’s treatment program and philosophy and assure the deliverance of quality treatment to patients and their families.

To proactively monitor and optimize reimbursement for organization services.


• Maintain appropriate records of the Utilization Review Department.


• Prepare and submit appeals.


• Attends mandatory training.


• Conducts admission reviews and pre-certs.


• Conducts concurrent and extended stay reviews.


• Prepares and submits appeals to third party payors.


• Schedules and conducts treatment team meetings to provide total case management of the patient by reading and discussing written progress notes from charts and communicating any state or local agency legal requirement for case management with the interdisciplinary team.


• Participates in activities which enhance professional growth and development.


• Demonstrates conduct in keeping with CCBH’s ethical standards.


• Complies with facility safety, infection control and security program.


• Supports facility service excellence standards.


Qualifications

Graduate of accredited RN program with current RN license, or a Masters in Counseling/Social Work or related field.

Experience in psychiatric nursing preferred; high school, preferably college level reading, writing, and math skills.

Excellent telephone, computer, and communication skills.

Knowledge of health care service delivery systems and third party reimbursement; understanding of admission and discharge function.

Familiar with medical terminology, diagnostic terms and treatment modalities; knowledge of medical record keeping; strong interpersonal, organizational, evaluative, and time management skills; policy interpretation skills.

Must be familiar with applicable standards and regulations.

Flexible; pays attention to detail; able to comprehend psychiatric evaluations, consults, labs, etc.; responsiveness to deadlines; assertiveness, persistence and persuasiveness; able to work with minimal direction or supervision.


Required Skill Profession

Other Healthcare Practitioners And Technical Occupations



Your Complete Job Search Toolkit

✨ Smart • Intelligent • Private • Secure

Start Using Our Tools

Join thousands of professionals who've advanced their careers with our platform

Rate or Report This Job
If you feel this job is inaccurate or spam kindly report to us using below form.
Please Note: This is NOT a job application form.


    Unlock Your Utilization Review Potential: Insight & Career Growth Guide


  • Real-time Utilization Review Jobs Trends in Greer, United States (Graphical Representation)

    Explore profound insights with Expertini's real-time, in-depth analysis, showcased through the graph below. This graph displays the job market trends for Utilization Review in Greer, United States using a bar chart to represent the number of jobs available and a trend line to illustrate the trend over time. Specifically, the graph shows 4421 jobs in United States and 2 jobs in Greer. This comprehensive analysis highlights market share and opportunities for professionals in Utilization Review roles. These dynamic trends provide a better understanding of the job market landscape in these regions.

  • Are You Looking for Utilization Review Coordinator PRN Job?

    Great news! is currently hiring and seeking a Utilization Review Coordinator PRN to join their team. Feel free to download the job details.

    Wait no longer! Are you also interested in exploring similar jobs? Search now: .

  • The Work Culture

    An organization's rules and standards set how people should be treated in the office and how different situations should be handled. The work culture at Southwest Healthcare System adheres to the cultural norms as outlined by Expertini.

    The fundamental ethical values are:
    • 1. Independence
    • 2. Loyalty
    • 3. Impartiality
    • 4. Integrity
    • 5. Accountability
    • 6. Respect for human rights
    • 7. Obeying United States laws and regulations
  • What Is the Average Salary Range for Utilization Review Coordinator PRN Positions?

    The average salary range for a varies, but the pay scale is rated "Standard" in Greer. Salary levels may vary depending on your industry, experience, and skills. It's essential to research and negotiate effectively. We advise reading the full job specification before proceeding with the application to understand the salary package.

  • What Are the Key Qualifications for Utilization Review Coordinator PRN?

    Key qualifications for Utilization Review Coordinator PRN typically include Other Healthcare Practitioners And Technical Occupations and a list of qualifications and expertise as mentioned in the job specification. Be sure to check the specific job listing for detailed requirements and qualifications.

  • How Can I Improve My Chances of Getting Hired for Utilization Review Coordinator PRN?

    To improve your chances of getting hired for Utilization Review Coordinator PRN, consider enhancing your skills. Check your CV/Résumé Score with our free Tool. We have an in-built Resume Scoring tool that gives you the matching score for each job based on your CV/Résumé once it is uploaded. This can help you align your CV/Résumé according to the job requirements and enhance your skills if needed.

  • Interview Tips for Utilization Review Coordinator PRN Job Success
    Southwest Healthcare System interview tips for Utilization Review Coordinator PRN

    Here are some tips to help you prepare for and ace your job interview:

    Before the Interview:
    • Research: Learn about the Southwest Healthcare System's mission, values, products, and the specific job requirements and get further information about
    • Other Openings
    • Practice: Prepare answers to common interview questions and rehearse using the STAR method (Situation, Task, Action, Result) to showcase your skills and experiences.
    • Dress Professionally: Choose attire appropriate for the company culture.
    • Prepare Questions: Show your interest by having thoughtful questions for the interviewer.
    • Plan Your Commute: Allow ample time to arrive on time and avoid feeling rushed.
    During the Interview:
    • Be Punctual: Arrive on time to demonstrate professionalism and respect.
    • Make a Great First Impression: Greet the interviewer with a handshake, smile, and eye contact.
    • Confidence and Enthusiasm: Project a positive attitude and show your genuine interest in the opportunity.
    • Answer Thoughtfully: Listen carefully, take a moment to formulate clear and concise responses. Highlight relevant skills and experiences using the STAR method.
    • Ask Prepared Questions: Demonstrate curiosity and engagement with the role and company.
    • Follow Up: Send a thank-you email to the interviewer within 24 hours.
    Additional Tips:
    • Be Yourself: Let your personality shine through while maintaining professionalism.
    • Be Honest: Don't exaggerate your skills or experience.
    • Be Positive: Focus on your strengths and accomplishments.
    • Body Language: Maintain good posture, avoid fidgeting, and make eye contact.
    • Turn Off Phone: Avoid distractions during the interview.
    Final Thought:

    To prepare for your Utilization Review Coordinator PRN interview at Southwest Healthcare System, research the company, understand the job requirements, and practice common interview questions.

    Highlight your leadership skills, achievements, and strategic thinking abilities. Be prepared to discuss your experience with HR, including your approach to meeting targets as a team player. Additionally, review the Southwest Healthcare System's products or services and be prepared to discuss how you can contribute to their success.

    By following these tips, you can increase your chances of making a positive impression and landing the job!

  • How to Set Up Job Alerts for Utilization Review Coordinator PRN Positions

    Setting up job alerts for Utilization Review Coordinator PRN is easy with United States Jobs Expertini. Simply visit our job alerts page here, enter your preferred job title and location, and choose how often you want to receive notifications. You'll get the latest job openings sent directly to your email for FREE!