UTILIZATION REVIEW COORDINATOR

Mountain-View-Hospital-LLC

Idaho Falls (ID)

On-site

USD 60,000 - 75,000

Full time

14 days+

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Benefits offered by this job

Medical, Dental and Vision Insurance
Paid Time Off (vacation, holidays and
Medical Paid Time Off
401K with up to 6% match
Earned Quarterly Bonus Program
Education Reimbursement Program
Discount for medically necessaryProced

Job summary

Mountain View Hospital is seeking a Utilization Review Coordinator to support the Utilization Management Team. The role ensures medical necessity and appropriateness of admissions and extended stays while monitoring the utilization review plan.

Experience in medical terminology is helpful; coding/insurance experience is preferred, and coding certification must be obtained within one calendar year of employment. Benefits include comprehensive plans and retirement options.

Qualifications

  • High School Diploma or equivalent required.
  • Coding certificate must be completed within 1 year of employment.
  • Background in medical terminology is helpful; coding/insurance experience preferred.

Responsibilities

  • Assist in ensuring medical necessity and appropriateness of hospital admissions and extended stays.
  • Monitor utilization review findings and report as required to the team.
  • Collaborate with the Utilization Management Team to optimize hospital service use and patient care decisions.

Skills

Medical terminology

Education

High School Diploma or equivalent
Coding certificate

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
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