Utilization Review Coordinator — Care & Cost Management

Talentify; Ontario (CA); On-site; USD 34,000 - 39,000; Full time

Job summary

Prime Healthcare in Ontario, California seeks a Utilization Review Coordinator to support implementation and ongoing management of the utilization review program for the employee medical benefit plan. You will help ensure cost-effective care and quality outcomes by leveraging available resources and services.

You will collaborate with the Provider Network and hospital Medical Directors, working with cross-functional teams to optimize utilization decisions and program performance.

Qualifications

• High School graduate.
• Computer skills and proficiency with Microsoft Office.
• Typing speed of 40 words per minute.
• Medical terminology preferred.
• Proficient in word processing, spreadsheets and databases.
• Excellent interpersonal relationship skills with strong work ethics.

Responsibilities

• Assist with implementation and ongoing management of the utilization review program for the employee medical benefit program.
• Collaborate with the Prime Healthcare Provider Network and hospital Medical Directors.

Skills

Typing 40 wpm

Interpersonal skills

MS Office

Medical terminology (preferred)

Databases & spreadsheets

Education

High School graduate

Job description

Prime Healthcare in Ontario, California seeks a Utilization Review Coordinator to support implementation and ongoing management of the utilization review program for the employee medical benefit plan. You will help ensure cost-effective care and quality outcomes by leveraging available resources and services.

You will collaborate with the Provider Network and hospital Medical Directors, working with cross-functional teams to optimize utilization decisions and program performance.