Utilization Review Coordinator: Full Time

Cascade Medical; Leavenworth (WA); On-site; USD 65,000 - 90,000; Full time

Job summary

Cascade Medical in Leavenworth, WA seeks a full-time Utilization Review Coordinator to lead day-to-day review for inpatient, observation, Swing Bed, ED and outpatient programs such as Endoscopy and infusion.

The 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; onsite, 40 hours weekly, with weekend shifts as needed.

Responsibilities

• Leads day-to-day utilization review activities for inpatient, observation, Swing Bed, Emergency Department and outpatient programs, including Endoscopy and infusion treatments.
• Applies approved medical-necessity criteria and supports accurate patient-status determination.
• Coordinates payer authorization, monitors length of stay and denials, and promotes complete clinical documentation.
• Collaborates with providers, nursing, Case Management, Clinical Social Work, registration, coding, billing, compliance, and Quality to support regulatory compliance 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.

Wage Information

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.

Safety Sensitive Position

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