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Healthcare Utilization Review Coordinator

3 weeks ago

Chicago, Illinois, United States beBee Careers Full time

Job Description:

We are seeking a skilled Healthcare Utilization Review Coordinator to join our team. In this role, you will be responsible for coordinating and facilitating patient services across various levels of the continuum.

The ideal candidate will have strong communication skills, with the ability to effectively collaborate with patients, families, physicians, and multidisciplinary teams.

Duties and Responsibilities:

  • Advocate for patients and their families
  • Facilitate coordination of patient services
  • Communicate and coordinate with staff to develop and implement discharge planning processes
  • Identify variations in utilization of benefits and fund alternative care plans
  • Maintain expertise through continuing education programs

Requirements:

  • Graduation from an accredited professional nursing program
  • Current licensure as a Registered Professional Nurse
  • Five years of Medical Surgical experience
  • BSN or higher degree required
  • Nationally certified through ANCC approved certifier