| Utilization Review Technician Job Description |
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| The following is a full job description for Utilization Review Technician. Here are the requirements and responsibilities for Utilization Review Technician along with statistics. If after reading this page you determine that Utilization Review Technician is not the position you are looking for, you may want to try one of these similar titles: Utilization Review Coordinator, Utilization Management Director, Utilization Review Manager - Home Care, Managed Care Supervisor, Managed Care Coordinator, Loan Review Manager, Commercial Loan Review Manager, Medical Claims Review Manager, Civil Engineering Technician I |
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| Requirements and Responsibilities For Utilization Review Technician |
| Conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Consults with nurses and physicians as needed. Position is non-RN. May require an associate degree or its equivalent. Typically reports to a supervisor. May require Registered Health Information Technician (RHIT). Gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. Typically requires 2 to 4 years of related experience. |
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| Also referred to as: Patient Care Utilization Monitoring/Review Technician |
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| Similar Jobs: Utilization Review Coordinator, Utilization Management Director, Utilization Review Manager - Home Care, Managed Care Supervisor, Managed Care Coordinator, Loan Review Manager, Commercial Loan Review Manager, Medical Claims Review Manager, Civil Engineering Technician I |
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| Level of Education: Utilization Review Technician Salaries with a High School Diploma or Technical Certificate, Utilization Review Technician Salaries with an Associate's Degree, Utilization Review Technician Salaries with a Bachelor's Degree, Utilization Review Technician Salaries with a Master's Degree or MBA, Utilization Review Technician Salaries with a JD, MD, PhD or Equivalent |
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| Industries: Edu., Gov't. & Nonprofit, Healthcare | |
