Exp with Utilization Review, Medical Audit/Review or QI preferred
Must be a graduate of an approved program for: Registered Nurse (RN), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Licensed Practical Nurse (LPN)
$ / yearly
40
1
1
The Utilization Review Coordinator is responsible for ensuring the appropriate and efficient utilization of healthcare services and resources in accordance with Medical Center policies, regulatory requirements, and payer guidelines. This position conducts Medicare, Medicaid, and third-party payer utilization reviews; supports quality improvement, risk management, and discharge planning activities; validates census statistics; and collaborates with physicians, nursing staff, and interdisciplinary teams to promote accurate documentation, regulatory compliance, and high-quality patient care. The coordinator also participates in committees, educational initiatives, and ongoing performance improvement efforts while serving as a resource on utilization review and documentation standards.
False
On-site
URC
Full Time
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