Medical Review & Care Coordination Specialist

Prime Healthcare; Chicago (IL); On-site; USD 45,000 - 66,000; Full time

Benefits offered by this job

401K retirement plan

Medical, dental, and vision coverage

Tuition reimbursement

Paid time off

Job summary

Resurrection Medical Center in Chicago, IL is seeking a Utilization Management professional for a full-time day shift. You will coordinate and review medical records, participate in Case Management meetings, and educate departments on utilization criteria.

This role emphasizes independent work, sound judgment, and knowledge of inpatient guidelines. The department is Utilization Management, with a focus on admissions, treatment continuation, and multi-level reporting.

Qualifications

• Excellent written and verbal communication skills.
• Excellent critical thinking skills.
• Ability to work independently with sound judgment.

Responsibilities

• Review and coordinate patient charts to assess admission criteria.
• Participate in Case Management and Treatment Team meetings.
• Coordinate discharge referrals as requested by staff and families.

Skills

Excellent communication

Critical thinking

Interpersonal skills

Education

Medical Graduate, Dental Graduate, PA, or Nursing Graduate

Job description

Resurrection Medical Center in Chicago, IL is seeking a Utilization Management professional for a full-time day shift. You will coordinate and review medical records, participate in Case Management meetings, and educate departments on utilization criteria.

This role emphasizes independent work, sound judgment, and knowledge of inpatient guidelines. The department is Utilization Management, with a focus on admissions, treatment continuation, and multi-level reporting.