Utilization Review Coord

Grade 19

New York State has approximately 46 positions* in this title statewide. You may view a breakdown of positions by county. This position exists in various agencies statewide. View links to all New York State agencies including agencies that have this title. For more information, New York State employees can contact the Career Mobility Office at (518) 485-6199 or (800) 553-1322. If you are not a current New York State employee, you can use the Department of Civil Service Web site to explore possible employment opportunities.

*The number of positions is approximate and represents the number of positions established (both filled and vacant); it is not an indication or reference to position type or duration, or intent to be filled. If you are viewing a trainee title, please note this number reflects the number of positions established at the journey level. Agencies may fill at the trainee level(s) or at the journey level based on employee qualifications. GOT-IT does not provide information on any job postings or job availability. For information on current job postings, please visit State Jobs NY. You may also visit specific New York State Agency websites for information about an agency and its job opportunities.

Career Ladder

There is currently no Career Ladder information available for this title.

Summary of Job Description

As a Utilization Review Coordinator, you would ensure that health care services are medically necessary and appropriate,and are provided in the most cost-efficient manner. You would analyze individual medical records to determine appropriateness of admission, treatment, and length-of-stay in an OMH or OPWDD facility in accordance with agency, State, federal, and accrediting body standards; review treatment plans against established criteria and standards to ensure treatment is consistent with standard medical practice; develop quality improvement monitoring criteria; combine and address medical record review data; and prepare reports for administrative and oversight committee review. You would also be involved in discharge planning, concurrent planning, precertification,and clinical case appeals.

View the classification standard for this title, on the Classification and Compensation webpage.

The NYS Title and Salary Plan provides additional information regarding other titles. If there is a classification standard available there will be a link under the column labeled STD. NO. If no link is available there is no classification standard available at this time for that title.

Summary of Minimum Qualifications

Please note: qualifications for this position may be subject to change. If substitutions for education and/or experience are allowed, this information would be available on the announcement.

You must take and pass a Civil Service examination in order to be considered for this position.

For qualified employees of New York State on or before the date of the examination, you must have had three months of permanent competitive or 55-b/55-c service:

Either A. as a Community Mental Health Nurse, Community Mental Health Nurse (Spanish Language), Health Care Surveyor 1 (Nursing),Health Care Surveyor 2 (Nursing), Health Services Nurse, Infection Control Nurse, Medical Care Representative, Mental Hygiene Staff Development Specialist 3 (Nursing), Nurse 2, Nurse 2 (Manual Communications), Nurse 2 (Psychiatric), Nurse 2 (Psychiatric)(Chinese Language), Nurse 2 (Psychiatric) (Manual Communications), Nurse 2 (Psychiatric) (Spanish Language), Nurse 2(Rehabilitation), Nurse 3 (Correctional Services), Nurse 3 (Geriatric), Nurse 3 (Psychiatric), Nurse 3 (Psychiatric) (Manual Communications), Nurse 3 (Psychiatric) (Spanish Language), Nurse 3 (Rehabilitation), Nurse Administrator 1, Nurse Administrator 1(Psychiatric), Nurse Administrator 1 (Rehabilitation), Nurse Administrator 2, Nurse Administrator 2 (Psychiatric), Nurse Administrator 2 (Rehabilitation), Senior Utilization Review Nurse, Supervising Health Services Nurse, Teaching & Research Center Nurse 2,Teaching & Research Center Nurse 3, Teaching & Research Center Specialty Nurse, Training Specialist 1 (Nursing);

Or B. with a bachelorís degree or higher in a human services field* AND as a Licensed Master Social Worker 1, Licensed Master Social Worker 1 (Chinese Language), Licensed Master Social Worker 1 (Korean Language), Licensed Master Social Worker 1 (Spanish Language), Licensed Master Social Worker 2, Licensed Master Social Worker 2 (Chinese Language), Licensed Master Social Worker 2 (Korean Language), Licensed Master Social Worker 2 (Manual Communications), Licensed Master Social Worker 2 (Spanish Language), Social Worker 1, Social Worker 1 (Manual Communications), Social Worker 1 (Spanish Language), Social Worker 1(Chinese Language), Social Work Assistant 3, Social Work Assistant 3 (Chinese Language), Social Work Assistant 3 (Spanish Language).

*For the purpose of this examination, a degree in a human services field must include one of the professional disciplines (clearly indicated in the application) of: audiology, community mental health, nursing, nutrition, occupational therapy, physical therapy, psychology,rehabilitation counseling, social work, speech/language pathology, and therapeutic recreation (including concentrations in art, dance, drama,music, or physical education). Also included are related academic disciplines associated with the study of human behavior (e.g., geronotology, human services, sociology, and speech communication) or human skills development (e.g., counseling, education, and human development).

Examples of non-qualifying degrees include but are not limited to: anthropology, criminal justice, political science, liberal arts, and business.

For informational purposes only, click on the examination number(s) listed below to see the current or previous examination(s) that are used to fill this title.


How to Apply

When this examination is scheduled to be held, the announcement can be found on the Department of Civil Service, Examination Announcements web page. If you do not see an examination currently scheduled please check back on a monthly basis or sign up for announcement notification by email so that you will automatically be notified when new examinations are being offered.

Career Mobility

Career mobility is not just limited to the titles in the Career Ladder, above. Additional movement may be achieved through other examinations, additional education and/or work experience or transfer opportunities. For additional information or clarification of transfer determinations, current State employees should contact the Career Mobility Office. Visit ELMS Online to view established open-competitive, promotion, and transition eligible lists. If you are not a current New York State employee, see Employment Opportunities with New York State and find out how to become a New York State employee.

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