Utilization Review Specialist | Improve Hospital Care

Mountain View Hospital; Idaho Falls (ID); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Paid Time Off

401K with match

Quarterly Bonus

Education Reimbursement

Discount on procedures

Job summary

Mountain View Hospital in Idaho Falls seeks an Utilization Management (UR) Coordinator to support the Utilization Management Team in ensuring medical necessity and appropriate admissions and extended stays. The role focuses on monitoring admissions and stays to improve the efficient use of hospital services.

The UR Coordinator will help maintain adherence to the utilization review plan and contribute to achieving Mountain View Hospital’s mission and strategic goals.

Qualifications

• High School Diploma or equivalent.
• Coding certificate completion within 1 year of employment.

Responsibilities

• Support utilization review to ensure medical necessity of admissions and continued stays.
• Monitor length of stay and discharge planning to optimize hospital resource use.
• Collaborate with clinical staff to improve efficiency and patient flow.

Skills

Medical terminology

Medical coding experience

Insurance experience

Education

Coding certificate

Job description

Mountain View Hospital in Idaho Falls seeks an Utilization Management (UR) Coordinator to support the Utilization Management Team in ensuring medical necessity and appropriate admissions and extended stays. The role focuses on monitoring admissions and stays to improve the efficient use of hospital services.

The UR Coordinator will help maintain adherence to the utilization review plan and contribute to achieving Mountain View Hospital’s mission and strategic goals.