Medical Records & Case Management Coordinator I

Prime Healthcare; Ontario (CA); On-site; USD 45,000 - 62,000; Full time

Job summary

Prime Healthcare in Ontario, California seeks a healthcare professional for Case Management/ Utilization Review to coordinate medical records, reviews, and discharge planning. You will participate in Treatment Team meetings and provide ongoing education to departments.

Ideal candidates hold a medical, dental, PA, or nursing degree with strong communication and analytical skills; acute care experience is preferred. Full-time, days shift, with comprehensive benefits.

Qualifications

• Must have healthcare graduate degree: medical, dental, PA, or nursing.
• Preferred: ECFMG certification and/orBachelor’s or higher from a US‑based HH field.
• Utilization Review experience and acute care setting experience preferred.
• Excellent written and verbal communication, critical thinking, and interpersonal skills.

Responsibilities

• Coordinates and reviews medical records, caseload assigned.
• Participates in Case Management and Treatment Team meetings.
• Educates departments on processes and criteria for admission/continuation of treatment.
• Reviews charts to assess admission criteria and communicates with payers and fiscal intermediaries.

Education

Medical Graduate

Dental Graduate

PA

Nursing Graduate

Job description

Prime Healthcare in Ontario, California seeks a healthcare professional for Case Management/ Utilization Review to coordinate medical records, reviews, and discharge planning. You will participate in Treatment Team meetings and provide ongoing education to departments.

Ideal candidates hold a medical, dental, PA, or nursing degree with strong communication and analytical skills; acute care experience is preferred. Full-time, days shift, with comprehensive benefits.