Utilization Review Nurse Coordinator

Join our team at the State of Connecticut as a Utilization Review Nurse Coordinator! In this role, you will have the opportunity to use your expertise in nursing and healthcare to ensure that our state's residents are receiving the best possible care. As a Utilization Review Nurse Coordinator, you will play a vital role in reviewing and coordinating healthcare services for our members. We are looking for a highly organized and detail-oriented individual with excellent communication skills and a passion for improving healthcare outcomes. If you are ready to make a positive impact on the lives of others, then we want to hear from you!

1. Conduct thorough utilization reviews of healthcare services for state residents to ensure quality and appropriateness of care.
2. Coordinate healthcare services and resources for members, including referrals, authorizations, and care management.
3. Communicate effectively with healthcare providers, insurance companies, and other stakeholders to ensure timely and appropriate care for members.
4. Maintain accurate and up-to-date records of utilization review activities and outcomes.
5. Collaborate with other healthcare professionals to develop and implement care plans for members.
6. Stay current on industry standards and best practices in healthcare utilization review and make recommendations for improvements.
7. Advocate for members' rights and needs in the healthcare system.
8. Assist in identifying and addressing potential issues or concerns with healthcare services.
9. Monitor and track healthcare utilization trends and make recommendations for cost-saving measures.
10. Provide education and guidance to members and their families regarding healthcare options and resources.
11. Serve as a liaison between members, healthcare providers, and insurance companies to resolve any issues or concerns.
12. Participate in team meetings and provide input on ways to improve healthcare processes and outcomes.
13. Collaborate with other departments and agencies to ensure efficient and effective utilization of healthcare resources.
14. Uphold ethical and professional standards in all aspects of the job.
15. Continuously seek opportunities to improve and enhance the utilization review process.

According to JobzMall, the average salary range for a Utilization Review Nurse Coordinator in Hartford, CT, USA is between $64,000 and $90,000 per year. This may vary depending on the specific job requirements, experience, and qualifications of the individual. Additional factors such as the employer, location, and benefits package may also impact the salary range.

Connecticut is a U.S. state in southern New England that has a mix of coastal cities and rural areas dotted with small towns. Mystic is famed for its Seaport museum filled with centuries-old ships, and the beluga whale exhibits at Mystic Aquarium. On Long Island Sound, the city of New Haven is known as the home of Yale University and its acclaimed Peabody Museum of Natural History.