Utilization Management Coordinator (RN/OT/PT/MSW)

Socket.dev; Pittsburgh (Allegheny County); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Disability insurance

5 weeks Paid Vacation

Paid Holidays

403(b) retirement plan

Tuition Reimbursement

Mileage Reimbursement

Employee Appreciation events

Job summary

Community LIFE seeks an Utilization Management Coordinator to coordinate utilization management across levels of care, ensuring clinically sound decisions for post-acute care and transitions. The role works with RN Case Managers to align care with participant goals.

The ideal candidate has 3+ years in utilization review, strong data skills, and PA licensure. Located at Forest Hills with a Mon-Fri schedule; benefits include comprehensive coverage and retirement options.

Qualifications

• Experience in utilization review/management and insurance-based case management.

Responsibilities

• Coordinate utilization management across all levels of care.

Skills

Utilization management

Discharge planning

Interdisciplinary collaboration

Care transitions

Clinical information interpretation

Data reporting

Time management

Education

RN license (PA)

BSN or equivalent

PT/PTA license (PA)

OT license (PA)

OT/OTA license (PA)

MSW

Tools

Outlook

Word

PowerPoint

Excel

Job description

Community LIFE seeks an Utilization Management Coordinator to coordinate utilization management across levels of care, ensuring clinically sound decisions for post-acute care and transitions. The role works with RN Case Managers to align care with participant goals.

The ideal candidate has 3+ years in utilization review, strong data skills, and PA licensure. Located at Forest Hills with a Mon-Fri schedule; benefits include comprehensive coverage and retirement options.