Utilization Review & Medical Records Coordinator

St. Mary’s Hospital - Kankakee; Kankakee (IL); On-site; USD 64,000 - 93,000; Full time

Job summary

St Mary's Hospital in Kankakee, IL is seeking a Utilization Review professional to coordinate and review medical records, actively participate in Case Management and Treatment Team meetings, and educate departments across the facility.

The role requires knowledge of federal, state, and intermediary guidelines for inpatient and other care levels, plus discharge coordination with clinical staff, payers, and families; strong communication and independent judgment are essential.

Qualifications

• Must have a related health-care degree (medical, dental, PA, or nursing).
• ECFMG certification or US health/HH field bachelor’s+ highly preferred. Utilization Review experience desirable.

Responsibilities

• Coordinate and review medical records for admission/continuation criteria.
• Participate in Case Management and Treatment Team meetings.
• Educate departments on processes and guidelines across the facility.
• Coordinate discharge referrals and data collection for payers and UR reporting.

Skills

Communication

Critical thinking

Independent work

Education

Medical Graduate

Dental Graduate

PA

Nursing Graduate

ECFMG Certification

Job description

St Mary's Hospital in Kankakee, IL is seeking a Utilization Review professional to coordinate and review medical records, actively participate in Case Management and Treatment Team meetings, and educate departments across the facility.

The role requires knowledge of federal, state, and intermediary guidelines for inpatient and other care levels, plus discharge coordination with clinical staff, payers, and families; strong communication and independent judgment are essential.