Utilization Review Coordinator: Full Time

Cascade Medical Center; Leavenworth (WA); On-site; USD 65,000 - 85,000; Full time

Job summary

Cascade Medical Center in Leavenworth, WA is seeking a full‑time Utilization Review Coordinator to lead day‑to‑day utilization review activities across inpatient, observation, ED, and outpatient services, including Endoscopy and infusion treatments.

The role applies medical necessity criteria, supports accurate patient-status determination, coordinates payer authorization, and monitors length of stay and denials while promoting complete clinical documentation.

Responsibilities

• Lead day-to-day utilization review activities for inpatient, observation, Swing Bed, Emergency Department, and outpatient programs, including Endoscopy (ENDO) and infusion treatments.
• Apply approved medical-necessity criteria, support accurate patient-status determination, coordinate payer authorization, monitor length of stay and denials, and promote complete clinical documentation.
• Coordinate with providers, nursing, Case Management, Clinical Social Work, registration, coding, billing, compliance, and Quality to support regulatory compliance, appropriate resource use, and accurate reimbursement.

Job description

Cascade Medical, in beautiful downtown Leavenworth in the foothills of the Cascade Mountains, is looking for a full time Utilization Review Coordinator.

Job Summary: The Utilization Review Coordinator leads day-to-day utilization review activities for inpatient, observation, Swing Bed, Emergency Department, and outpatient programs, including Endoscopy (ENDO) and infusion treatments. This role applies approved medical-necessity criteria, supports accurate patient-status determination, coordinates payer authorization, monitors length of stay and denials, and promotes complete clinical documentation. The coordinator works closely with providers, nursing, Case Management, Clinical Social Work, registration, coding, billing, compliance, and Quality to support regulatory compliance, appropriate resource use, and accurate reimbursement.

Work Schedule: Schedule is anticipated to be 40 hours per week Monday-Friday along with occasional weekend shifts. Exact scheduled hours to be determined with the director upon hire. This position will work onsite.

Please review the job description for full position details.

As a public entity, our wage range is set on a 30-step scale (Base-30 years of experience). Offer letters and wage determination will be written based on years of experience.

This is a safety sensitive position that will require a pre-employment drug screen, including testing for THC.