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Utilization Review and Regulatory Compliance Coordinator

3 months ago

Harrisburg, United States Albright LIFE Full time

Utilization Review and Regulatory Compliance Coordinator


LIFE (Living Independence for the Elderly) is a program that helps people meet their health care needs in the community instead of going to a nursing home or other care facility. At an Albright LIFE location, you’ll work with a team of health care professionals providing exceptional, coordinated services each day that help participants stay healthy and safely live independently at home.

Albright LIFE has a mindset to help others and is a certified Great Place to Work where you can build a purposeful career. Let’s do all the good we can in this world – together

Albright LIFE offers outstanding benefits and competitive salaries. Hybrid work environment. Travel to LIFE Centers required (local travel). Must reside in Central Pennsylvania.


The Utilization Review and Regulatory Compliance Coordinator for Albright LIFE is responsible for coordinating utilization review activities and managing the reporting processes to ensure compliance with regulatory standards and enhance participant outcomes. This position plays a key role in analyzing performance data, facilitating interdisciplinary collaboration, and promoting high-quality care within the PACE program.


Qualifications


  • Bachelor’s degree in Nursing, Healthcare Administration, or a related field (Master’s degree preferred).
  • Minimum of 3 years of experience in utilization review and quality/reporting, preferably within a PACE program or similar healthcare setting.
  • Strong analytical skills with the ability to interpret and present data effectively.
  • Proficiency in EHR systems, particularly MatrixCare.
  • Excellent communication, organizational, and problem-solving skills.
  • Commitment to providing high-quality, person-centered care.


Additional information


We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.