Medical Records & Utilization Review Coordinator

Prime Healthcare; Mesquite (TX); On-site; USD 70,000 - 110,000; Full time

Job summary

Dallas Regional Medical Center, part of Prime Healthcare, seeks a Utilization Review/Case Management professional to coordinate clinical reviews of patient records and participate in UR meetings. You will educate departments, review admission criteria, and coordinate discharge referrals with clinical staff and payers.

Strong knowledge of inpatient guidelines and data handling is essential. Requirements include MPH or related health field and medical or dental graduate credentials, plus

Qualifications

• Requires MPH or related health care field.
• Medical or Dental graduate required.
• Knowledge of clinical pathophysiology and pharmacology.

Responsibilities

• Coordinate and complete clinical reviews of patient medical records.
• Participate in Case Management and Utilization Review meetings.
• Educate departments and review discharge referrals as requested by staff and families.
• Review charts to assess admission and continuation of treatment criteria.

Skills

Clinical knowledge

Communication skills

Independent work

Critical thinking

Interpersonal skills

Education

MPH or related field

Medical/ Dental graduate

Job description

Dallas Regional Medical Center, part of Prime Healthcare, seeks a Utilization Review/Case Management professional to coordinate clinical reviews of patient records and participate in UR meetings. You will educate departments, review admission criteria, and coordinate discharge referrals with clinical staff and payers.

Strong knowledge of inpatient guidelines and data handling is essential. Requirements include MPH or related health field and medical or dental graduate credentials, plus