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Utilization Management Coordinator I

2 months ago

Bend, Oregon, United States PacificSource Full time

About PacificSource

PacificSource is a healthcare company dedicated to helping our members access quality, affordable care. We are committed to making a positive impact in the lives of our members and the communities we serve.

Job Summary

We are seeking a highly motivated and detail-oriented Utilization Management Coordinator I to join our team. As a Utilization Management Coordinator, you will play a critical role in ensuring that our members receive the necessary care and services to achieve optimal health outcomes.

Key Responsibilities

  • Conduct thorough reviews of medical records to determine the medical necessity of services
  • Communicate with providers and members to ensure that care is coordinated and effective
  • Identify opportunities for cost savings and implement strategies to reduce healthcare costs
  • Collaborate with internal stakeholders to develop and implement care management programs

Requirements

To be successful in this role, you will need:

  • A strong understanding of healthcare operations and utilization management principles
  • Excellent communication and interpersonal skills
  • Ability to work in a fast-paced environment and prioritize multiple tasks
  • Strong analytical and problem-solving skills

What We Offer

PacificSource offers a competitive salary and benefits package, as well as opportunities for professional growth and development. If you are passionate about making a difference in the lives of others and are looking for a challenging and rewarding career, we encourage you to apply.