Clinical Utilization & Medical Review Coordinator

kozmetickesluzby.vecnakraska.sk - Jobboard; Garden Grove (CA); On-site; USD 41,328 - 62,791; Full time

Benefits offered by this job

401K retirement plan

Medical coverage

Dental coverage

Vision coverage

Tuition reimbursement

Paid time off

Job summary

Garden Grove Hospital Medical Center is seeking a Medical Review Coordinator to oversee clinical reviews of patient medical records in Garden Grove, CA. This role involves coordinating discharge referrals, ensuring compliance with admission criteria, and working with various healthcare professionals.

The ideal candidate holds a Master of Public Health or medical/dental graduate degree and has knowledge of clinical pathophysiology. Additional qualifications include excellent communication and critical thinking skills.

Qualifications

• Master of Public Health (MPH) or relevant post-graduate degree is required.
• Medical Graduate, Dental Graduate required.
• Knowledge of Clinical Pathophysiology and Pharmacology required.

Responsibilities

• Coordinates and completes clinical reviews for patient medical records.
• Participates in Case management and UR meetings.
• Serves as an educator to all departments.

Skills

Clinical Pathophysiology

Pharmacology

Excellent communication skills

Critical thinking

Interpersonal skills

Education

Master of Public Health (MPH)

Medical Graduate

Dental Graduate

Job description

Garden Grove Hospital Medical Center is seeking a Medical Review Coordinator to oversee clinical reviews of patient medical records in Garden Grove, CA. This role involves coordinating discharge referrals, ensuring compliance with admission criteria, and working with various healthcare professionals.

The ideal candidate holds a Master of Public Health or medical/dental graduate degree and has knowledge of clinical pathophysiology. Additional qualifications include excellent communication and critical thinking skills.