Care Integration Utilization Review Specialist

PruittHealth; Norcross (GA); On-site; USD 55,000 - 75,000; Full time

Job summary

PruittHealth seeks a Care Integration Utilization Review Coordinator to gather, review, and track clinical documentation requests from SNFs. You will coordinate responses and ensure timely outcomes while maintaining privacy and data integrity.

The role requires strong MS Office and healthcare documentation skills, and the ability to multi-task under deadlines in a team setting. Excellent customer service is essential.

Qualifications

• High school diploma or equivalent required.
• Healthcare experience preferred, especially in long-term care or medical records.
• Strong communication and documentation skills required.
• Ability to handle confidential information and work under time pressure.

Responsibilities

• Request and review medical documentation from SNFs.
• Assist SNFs with questions about documentation requests.
• Maintain follow-ups on audits with insurance payers and SNFs.
• Use tracking systems to record all documentation processed.
• Protect patient and partner confidentiality and privacy.

Skills

Keyboard proficiency

Medical documentation

Customer service

Confidentiality

Professional communication

Education

High school diploma or equivalent

Tools

MS Office Suite

Job description

PruittHealth seeks a Care Integration Utilization Review Coordinator to gather, review, and track clinical documentation requests from SNFs. You will coordinate responses and ensure timely outcomes while maintaining privacy and data integrity.

The role requires strong MS Office and healthcare documentation skills, and the ability to multi-task under deadlines in a team setting. Excellent customer service is essential.