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Inpatient Utilization Review Coordinator

1 month ago

Atlanta, Georgia, United States Kaiser Permanente Full time
Job Summary:

Kaiser Permanente is seeking a highly skilled Inpatient Utilization Review Coordinator to join our team. As a key member of our Utilization Management department, you will be responsible for conducting thorough reviews of inpatient admissions to ensure that care is being delivered in the most appropriate setting. This role requires strong analytical and communication skills, as well as the ability to work effectively with healthcare providers, patients, and families.

Key Responsibilities:
  • Conduct thorough reviews of inpatient admissions to ensure medical necessity and appropriateness of care.
  • Collaborate with healthcare providers to develop and implement discharge plans that meet the needs of patients and families.
  • Utilize established criteria and guidelines to make informed decisions about inpatient care.
  • Communicate effectively with patients, families, and healthcare providers to ensure seamless care transitions.
  • Participate in quality improvement initiatives to enhance the effectiveness of our Utilization Management program.
  • Stay up-to-date with relevant state and federal regulations, as well as Kaiser Permanente policies and procedures.
Requirements:
  • Strong analytical and communication skills.
  • Ability to work effectively in a fast-paced environment.
  • Excellent problem-solving and critical thinking skills.
  • Strong attention to detail and organizational skills.
  • Ability to work collaboratively with healthcare providers and other stakeholders.
What We Offer:
  • A dynamic and supportive work environment.
  • Opportunities for professional growth and development.
  • A comprehensive benefits package, including medical, dental, and vision coverage.
  • A 401(k) retirement savings plan with employer match.