Medical Records & Utilization Review Coordinator

Centinela Hospital Medical Center; Chicago (IL); On-site; USD 45,000 - 66,000; Full time

Benefits offered by this job

401K

Tuition reimbursement

Medical/dental/vision

Job summary

Resurrection Medical Center in Chicago seeks a Utilization Management professional to coordinate and review medical records, participate in Case Management and Treatment Team meetings, and educate departments on utilization reviews. Responsibilities include confirming admission criteria, gathering data for payers, and communicating status of open and closed accounts.

Qualifications include medical, dental, PA, or nursing graduate status, with a preference for ECFMG or US health/societies

Qualifications

• Education requirement: Medical/Dental/PA/Nursing graduate.
• ECFMG certification or US-based health/ HHS degree preferred.
• Utilization Review experience preferred.
• Acute care clinical experience preferred.
• Strong written/verbal communication and critical thinking skills.
• Ability to work independently in a time‑oriented environment.

Responsibilities

• Review patient charts to assess admission and continuation of treatment.
• Coordinate discharge referrals with clinical staff and families.
• Gather data and respond to records requests from payers and intermediaries.
• Participate in Case Management and Treatment Team meetings.
• Educate departments on utilization management practices.

Skills

Communication

Critical thinking

Interpersonal skills

Independent work

Time management

Education

Medical, Dental, PA, or Nursing graduate

ECFMG cert or US health-sciences degree preferred

Job description

Resurrection Medical Center in Chicago seeks a Utilization Management professional to coordinate and review medical records, participate in Case Management and Treatment Team meetings, and educate departments on utilization reviews. Responsibilities include confirming admission criteria, gathering data for payers, and communicating status of open and closed accounts.

Qualifications include medical, dental, PA, or nursing graduate status, with a preference for ECFMG or US health/societies