UTILIZATION REVIEW COORDINATOR

Paycom - ATS; Idaho Falls (ID); On-site; USD 48,000 - 72,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Paid time off

Job summary

Mountain View Hospital is seeking a Utilization Review Coordinator to join our Utilization Management Team. The role helps ensure medical necessity and appropriateness of hospital admissions and extended stays, guiding the program in line with Mountain View Hospital’s mission and goals.

The UR Coordinator will monitor adherence to the utilization review plan, aiming to continuously improve the effective use of hospital services by tracking patient admissions and stays.

Qualifications

• Experience with medical terminology is helpful.
• Background in medical coding and/or insurance is preferred.
• Coding certification within one year of employment is required.

Responsibilities

• Ensure medical necessity and appropriateness of hospital admissions and extended stays.
• Help maintain efficient methods within the utilization management program.
• Monitor adherence to the hospital's utilization review plan and related processes.

Skills

Medical terminology

Medical coding

Insurance experience

Education

High School Diploma or equivalent

Job description

Mountain View Hospital is looking for a Utilization Review Coordinator to join our team!JOB SUMMARY: As a member of the Utilization Management Team, the URCoordinator helps establish and maintain efficient methods of ensuring the medical necessity and appropriateness of hospital admissions and extended stays. The Utilization Management Team directs the program in accordance with Mountain View Hospital’s mission and strategic goals. The Utilization Management Team directs those activities within the facility which monitor adherence to the hospital’s utilization review plan. The goal of Utilization Management is to continuously improve effective use of hospital services through monitoring patient admissions and stays.About Mountain View:Mountain View Hospital and our 29 affiliate clinics are committed to providing compassionate, cutting edge care to our patients. We serve the entire Snake River Valley – all the way from Pocatello to Rexburg. Our medical capabilities span everything from wound care to urgent care, oncology to neurology, physical therapy to speech therapy, a Level III NICU, robust robotic surgery department and a continuously expanding rural health practice.Our work environment is mission driven, people-centric and supportive. It is what sets apart and makes people excited to come to work each day. If you are looking for a career where you can make a difference in your community, we invite you to apply.BENEFITS:Taking care for our community starts with taking care of our own team. Mountain View Hospital is proud to offer its employees competitive and comprehensive benefit packages. Benefits include:Medical, Dental and Vision InsurancePaid Time Off (vacation, holidays and sick days) and Medical Paid Time OffRetirement Plans (401K with up to 6% match)Earned Quarterly Bonus ProgramEducation Reimbursement ProgramDiscount for medically necessary procedures performed at Mountain View Hospital and Idaho Falls Community HospitalPlease note benefits are based on eligibility according to full-time, part-time or PRN status classification.Education/Certification: High School Diploma or equivalent. Coding certificate completion is required within 1 year of employmentExperience: Background in medical terminology is helpful. Medical coding and/or insurance experience preferred, however coding certification will be required with in one calendar year of employment