Utilization Management & Data Insight Specialist

Providence; Portland (OR); On-site; USD 44,000 - 68,000; Full time

Job summary

Providence is seeking an Utilization Management Coordinator to collaborate with multiple disciplines and monitor ED admissions, hospitalizations, and utilization trends. You will help generate standardized reports to inform clinical leadership and Providence Health Plan on interventions to reduce unnecessary resource use.

Expected to contribute to KPI reporting, work with InterQual criteria, and support inpatient care management to improve discharge efficiency within a PACE team.

Qualifications

• Bachelor's Degree is required.
• Experience with data collection and interpretation in a healthcare or business setting.

Responsibilities

• Review and track ED admissions, inpatient hospitalizations, and utilization trends.
• Generate standardized reports to inform clinical leadership and health plan.
• Assist in updating KPI reports and support efficient hospital discharges.

Skills

Data collection

Data interpretation

Healthcare data

Education

Bachelor's degree

Master's degree

Tools

InterQual criteria

Job description

Providence is seeking an Utilization Management Coordinator to collaborate with multiple disciplines and monitor ED admissions, hospitalizations, and utilization trends. You will help generate standardized reports to inform clinical leadership and Providence Health Plan on interventions to reduce unnecessary resource use.

Expected to contribute to KPI reporting, work with InterQual criteria, and support inpatient care management to improve discharge efficiency within a PACE team.