Utilization Review Coordinator

3 weeks ago


Worcester, Massachusetts, United States Hospital for Behavioral Medicine Full time
About the Role

We are seeking a highly skilled and compassionate Utilization Review Coordinator to join our team at Hospital for Behavioral Medicine. As a key member of our healthcare team, you will play a vital role in ensuring that our patients receive the necessary care and services to achieve optimal health outcomes.

Key Responsibilities
  • Conduct thorough reviews of patient records to determine medical necessity and appropriateness of care
  • Communicate with patients, families, and healthcare providers to gather information and clarify treatment plans
  • Collaborate with interdisciplinary teams to develop and implement individualized care plans
  • Ensure compliance with regulatory requirements and hospital policies
  • Provide education and support to patients and families on healthcare options and resources
Requirements
  • Bachelor's degree in nursing, social work, or related field
  • Minimum 2 years of experience in healthcare, preferably in utilization review or case management
  • Strong communication and interpersonal skills
  • Ability to work in a fast-paced environment and prioritize multiple tasks
  • Knowledge of healthcare regulations and policies
What We Offer
  • Competitive salary and benefits package
  • Opportunities for professional growth and development
  • Collaborative and supportive work environment
  • Recognition and rewards for outstanding performance


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