Utilization Revenue Coordinator PRN

Join Our Talent Network

Skip to main content

Menu

• Search Jobs

• Search All Jobs

• Applicant Resources

• About Us

• Who We Are

• Compensation & Benefits

• Access and Opportunity

• Military Recruitment

• Events

• Talent Networks

• Featured Jobs

• Nursing

• Allied Health

• Administrative/Non-Clinical

• Leadership & Executive

• Browse All Opportunities

• Locations

• Alabama

• Charlotte

• Floyd

• Navicent

• Wake Forest Baptist

• Wake Forest University School of Medicine

• Physicians/APP

• Students

Enter keyword, facility, job title, skills

Enter City, State or Zip

Back to Search Results

Utilization Revenue Coordinator PRN

Charlotte, NC, United States

Job ID: R257635

Shift: Various

Share: mail

mail to friend share to facebook share to twitter share to linkedin

Apply Now

Department:

11972 Regional Non Enterprise Corporate - Resource Center

Status:

Part time

Benefits Eligible:

No

Hours Per Week:

0

Schedule Details/Additional Information:

M-F 8-430 hours will vary based on need

Pay Range:

$35.50 - $53.25

Essential Functions

• Identifies clinical, financial and psychosocial needs of patients/families and provides leadership and guidance to the multidisciplinary team to develop an individualized plan of care.
• Coordinates appeals when applicable state Medicaid cases are denied with the DHS Hearing Officer.
• Ensures that essential information and necessary forms are forwarded to the Medical Audit and Appeals Department.
• Performs admission and concurrent reviews.
• Applies clinical guidelines during Admission and Concurrent reviews and identifies potential third party denials. Works with multidisciplinary team to identify and implement alternative plans of care.
• Refers pertinent information to the Medical Director, and/or Service Director in a timely manner.
• Collaborates on a daily basis with the physician to plan and implement the medical and multidisciplinary plan of care, utilizing clinical pathways when appropriate and available.
• Works with team members and administration to identify problem areas and implement resolutions.
• Develops and maintains accurate case records of assigned cases. Documents in the patient's medical record according to department and facility standards.

Physical Requirements

Works in an office setting, extensive walking throughout the facility. Prolonged periods of sitting reviewing medical records and documentation. Repetitive wrist motion and occasional lifting of 10-20 pounds. Requires frequent verbal and written communication in English. Intact sight and hearing with or without assistive devices is required.

Education, Experience and Certifications

Graduation from an accredited School of Nursing. applicable state RN licensure required. Related experience preferred. Basic Life Support for Healthcare Provider (BLS HCP) from AHA required.

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training

• Premium pay such as shift, on call, and more based on a teammate's job

• Incentive pay for select positions

• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs

• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability

• Flexible Spending Accounts for eligible health care and dependent care expenses

• Family benefits such as adoption assistance and paid parental leave

• Defined contribution retirement plans with employer match and other financial wellness programs

• Educational Assistance Program

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.

About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Assists and collaborates with Outcomes Managers/Care Coordinators (OM/CCC) in providing specific clinical information that meets expectations of third party payors; responsible for timely provision/flow of clinical information to/from third party payor and OM/CCC to ensure certification/approval of inpatient services. Provides clinical expertise/knowledge support to the payor specialists' and reviews clinical information prior to sending to payor as needed to ensure information meets acute clinical care guidelines as determined by Clinical Care Management.

mail to friend share to facebook share to twitter share to linkedin

Apply Now

Similar Jobs

Utilization Revenue Coordinator PRN

Charlotte, NC, United States

RN Coordinator - Utilization Review Acute Rehab Remote PRN Days

Charlotte, NC, United States

RN Coordinator - Utilization Review Acute Rehab Remote PRN Days

Charlotte, NC, United States

312890 - Utilization Management Nurse Weekend Program

Charlotte, NC, United States

RN Patient Flow Coordinator - Carolinas Hospitalist Group Single Call PRN

Charlotte, NC, United States

RN Patient Flow Coordinator - Carolinas Hospitalist Group Single Call PRN Days

Charlotte, NC, United States

RN Care Manager - Pineville Clinical Care Management PRN Days

Charlotte, NC, United States

Registered Nurse (RN) - Radiology PRN

Charlotte, NC, United States

Care Manager Registered Nurse PRN University

Charlotte, NC, United States

RN Transition Coordinator - Transition Services (Monroe/Union County) FT Days

Charlotte, NC, United States

Registered Nurse (RN)- Atrium Outpatient Concierge Care Division PRN Float

Charlotte, NC, United States

Registered Nurse (RN) - PACU PRN

Charlotte, NC, United States

Registered Nurse (RN) - PACU PRN

Charlotte, NC, United States

RN Transition Coordinator - Transition Services (Charlotte) FT Days

Charlotte, NC, United States

Registered Nurse (RN) - One Day Surgery PACU PRN

Charlotte, NC, United States

RN Patient Flow Coordinator - Carolinas Hospitalist Group Single Call PT Nights

Charlotte, NC, United States

RN Patient Flow Coordinator - Carolinas Hospitalist Group Single Call FT Nights

Charlotte, NC, United States

Registered Nurse (RN) - Emergency Department

Charlotte, NC, United States

Registered Nurse (RN) - Emergency Department

Charlotte, NC, United States

Clinical Services Coordinator (RN) - Community Based Palliative Care Float PRN

Charlotte, NC, United States

Centering Pregnancy Coordinator Registered Nurse (RN)- Atrium Health Myers Park North Park OBGYN FT

Charlotte, NC, United States

RN Administrative Supervisor - AH Levine Children's Hospital

Charlotte, NC, United States

Centering Pregnancy Coordinator Registered Nurse (RN)- Atrium Health Myers Park North Park OBGYN FT

Charlotte, NC, United States

Registered Nurse (RN) Administrative Supervisor - AH Carolinas Medical Center

Charlotte, NC, United States

RN Patient Flow Coordinator - Carolinas Hospitalist Group Single Call PT Days

Charlotte, NC, United States

facebook twitter linkedin instagram youtube

• My Account
• View All Jobs
• Teammates Site
• AtriumHealth.org

EOE/AA Employer Disability Accommodations E-Verify FAQs