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Utilization Review Coordinator
2 months ago
The Utilization Review Coordinator is a critical role within our organization, responsible for ensuring the efficient and effective management of healthcare services. This position requires a strong understanding of healthcare operations and a keen eye for detail.
Key Responsibilities- Admission Review: Conduct thorough reviews of patient admissions to ensure compliance with regulatory requirements and organizational policies.
- Treatment Stay Review: Evaluate the necessity and appropriateness of treatment stays, working closely with healthcare providers and payers to ensure timely and accurate payment.
- Documentation Review: Conduct regular reviews of medical records to ensure accuracy and completeness, identifying areas for improvement and implementing corrective actions as needed.
- Training and Development: Collaborate with clinical and operational teams to develop and deliver training programs on utilization review best practices and regulatory requirements.
- Education: Master's degree or higher in a related field, such as healthcare administration or a related field with a practicum in healthcare.
- Experience: Minimum of two years of experience in a healthcare setting, with a strong understanding of healthcare operations and regulatory requirements.
- Licensure: Current licensure as a nurse or other healthcare professional, with a strong understanding of clinical practices and procedures.
Universal Health Services (UHS) is a leading provider of healthcare services, with a commitment to delivering high-quality care and exceptional patient experiences. Our team is dedicated to creating a culture of excellence, respect, and compassion, and we are seeking talented individuals to join our team.
