Utilization Review Coordinator

Citizens Health; Colby (KS); On-site; USD 48,000 - 72,000; Full time

Benefits offered by this job

Medical, dental and vision insurance

Pre-Tax and Roth Contributions

Life and AD&D Insurance

Paid time off

On-site child care services

Job summary

Citizens Health in Colby, Kansas is seeking a full-time Utilization Review Coordinator to oversee the hospital's utilization review activities and ensure compliance across departments.

You will obtain patient certifications, coordinate Quality Assessment and Risk Management, provide educational training to staff, and support ongoing professional growth.

Qualifications

• Associate degree in Medical Record Science or nursing degree.
• Minimum of two years in Health Information or as a registered nurse.
• Utilization Review experience preferred.
• Proficient in medical record review and CMS Prospective Payment System knowledge.
• Knowledge of computer terminals and/or personal computers.

Responsibilities

• Conduct Utilization Review activities.
• Ensure overall Utilization Review function of the hospital is carried out as required.
• Obtain certification of patients, as required.
• Coordinate Quality Assessment and Risk Management program within the department.
• Provide educational training to staff.
• Continue professional growth and development.

Skills

Utilization Review

Health Information

CMS Prospective Payment System

Computer literacy

Education

Medical Record Science degree (associates)

Nursing degree / RN

Tools

Office productivity software

Job description

Citizens Health is recruiting a Utilization Review Coordinator to work full-time in our hospital.

Our Mission:

Enhancing the lives of those we serve.

About Us:

Citizens Health is a community based, private, not-for-profit organization. It is comprised of:

• Citizens Medical Center - a 25 bed critical access hospital
• Family Center for Health Care - an outpatient ruralhealth clinic
• PrairieSenior - a skilled nursing facility
• Citizens Clubhouse - an onsite childcare center that cares for children 6 weeks to school age for our workforce
• Citizens Medical Equipment - our durable medical equipmentbusiness
• Palace Drug Store - our outpatient pharmacy

Location:

1525 S Franklin Ave, Colby, Kansas

Position Information:

The Utilization Review Coordinator ensures the utilization review function of the hospital is carried out as required.

Pay Range:

dependent upon experience.

What you’ll do:

• Conduct Utilization Review activities.
• Ensure overall Utilization Review function of the hospital is carried out as required.
• Obtain certification of patients, as required.
• Coordinate Quality Assessment and Risk Management program within the department.
• Provide educational training to staff.
• Continue professional growth and development.

What you bring to the table:

• Education requirements: Associate degree in Medical Record Science or graduate of an accredited school of nursing.
• Experience requirements: Minimum of two years in the Health Information Department or as a registered nurse. Utilization Review experience preferred. Proficient in medical record review. Knowledge of CMS Prospective Payment System. Must be knowledgeable in use of computer terminals and/or personal computers.
• Licensing, certification, requirements: Current licensure with the Kansas Board of Nursing Examiners or ART.
• Experience in office productivity software (email, calendar, word processing, spreadsheets, presentation software, etc.).

To be successful within our organization you will need to:

• Knowledge of common safety hazards and precautions to establish a safe work environment.
• Self-starter who takes initiative, is open minded and a team player.
• Maintain a positive attitude with good energy.
• Create a positive, supportive working atmosphere.
• Display integrity and accountability.
• Accept and respond to constructive criticism and suggestions and strives for self-improvement.
• Adhere to organization policies and procedures.
• Arrive at work on time and when scheduled.
• Demonstrate flexibility, initiative and ingenuity in performing job tasks.
• Demonstrate professional conduct and maintains professional appearance.
• Demonstrate behavior that reflects the image of the institution.

Typical Working Conditions:

Works in well-lighted and well-ventilated office. Requires constant concentration, tolerance of low level noise and numerous interruptions. Must have good communication skills for interaction with all other hospital departments, patients and their families. This list is not exhaustive and may be supplemented.

Typical Physical Demands:

Extended periods of sitting to complete tasks. W walking to meet with and assist patients and families..

Available Benefits

• Medical, dental and vision insurance available
• Pre-Tax and Roth Contributions
  • Automatic 6% salary deferral upon employment
  • Regular and matching contributions after one-year and 1,000 hours worked
• Provides Life, Accidental Death and Dismemberment Insurance
  • Full-time coverage - equal to two times employees annual income
  • Part-time coverage - one-time annual income
• Differential and Certification Pay
  • Eligible employees receive shift, weekend and holiday differential pay
• Other Benefits
  • Paid time off
  • Student Loan reimbursement
  • On-site child care services
  • Funeral leave
  • Health Savings Account
  • Dependent, Medical and Limited Purpose Flexible Spending Accounts
  • The Standard Group Insurance
  • Discounted membership rate for MASA
  • Many More!

Citizens Medical Center, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or discharge history, or any other characteristic protected by law.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for CMCI to hire me. If I am hired, I understand that either CMCI or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of CMCI has the authority to make any assurance to the contrary.

Citizens Medical Center, Inc. implements a Drug Free Workplace Program. Drug testing is required of applicants in accordance with relevant laws.

If you needassistancetocompleteth is application or during any phase of the application, interview, or employment process, please notify the Human Resources Department [phone], or visittheiroffice located at 100 E. College Drive in the Annex building. Every reasonable effort will be made to accommodate your needs in a timely manner.