Clinical UR Coordinator: Chart Review & Discharge Planning

Prime Healthcare; Olympia Fields (IL); On-site; USD 44,000 - 64,000; Full time

Job summary

Prime Healthcare's Olympia Fields Hospital in Olympia Fields, IL is hiring for a Utilization Review role. This on-site, full-time position involves coordinating clinical reviews, supporting case management meetings, and educating departments to ensure appropriate admission and treatment criteria are met.

The role requires MPH or equivalent health-care training, with medical or dental degrees and knowledge of pathophysiology and pharmacology.

Qualifications

• Requires MPH or related health care field (or equivalent).
• Medical Graduate or Dental Graduate required.
• Knowledge of clinical pathophysiology and pharmacology required.

Responsibilities

• Coordinate and complete clinical reviews of patient records for utilization review.
• Participate in Case Management and UR meetings and act as educator to departments.
• Review charts to assess admission/continuation criteria and gather data for payer requests.

Skills

Critical thinking

Communication skills

Time management

Education

MPH or related health care field

Medical or Dental degree

Knowledge of pathophysiology & pharmacology

ECFMG certification or US health & human services degree

UR/Case Management experience

Acute care experience (1+ year)

Job description

Prime Healthcare's Olympia Fields Hospital in Olympia Fields, IL is hiring for a Utilization Review role. This on-site, full-time position involves coordinating clinical reviews, supporting case management meetings, and educating departments to ensure appropriate admission and treatment criteria are met.

The role requires MPH or equivalent health-care training, with medical or dental degrees and knowledge of pathophysiology and pharmacology.