Utilization Review Coordinator

Davies • Home, AL

16h

About The Position

Our Story Imagine being part of a team that’s not just shaping the future but actively driving it. At Davies North America, we’re at the forefront of innovation and excellence, blending cutting-edge technology with top-tier professional services. As a vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the insurance and regulated sectors. We are looking for a Utilization Review Coordinator to provide Utilization Review administrative assistance to nurses, along with providing clerical support per guidelines for Initial Requests for referrals for specialists.

Requirements

• High school diploma.
• A minimum of one year of medical terminology/medical office experience.
• Have a working knowledge of appropriate state’s Workers’ Compensation system and the statutes.
• Medical terminology knowledge.
• Experience dealing with medical provider offices.
• Data entry proficiency and computer skills –Word, Excel.
• Excellent organizational skills.
• Detail orientated and motivated.
• Ability to work in fast-paced environment and utilize critical thinking skills to ensure proactive outcomes.
• Ability to effectively operate a personal computer and related claims and business software.
• Good communication skills, both oral and written.
• Team player.
• Good attendance.
• Good customer service skills.

Responsibilities

• Follow workflow expected of UR Coordinator according to company and client protocols and production standards.
• Coordinate scheduling of specialist referrals that have been approved by the UR Specialists.
• Follow Rapid Response protocol established by client to authorize initial PT, initial diagnostics and initial referrals to a specialist upon receipt of referral on all new claims.
• Document initial actions in Corrus using correct grammar, spelling, and sentence structure.
• May act as back-up assistance for Triage Department and CMA Department.
• Perform other duties as needed.

Benefits

• Medical, dental, and vision plans to support your health and that of your family
• A 401(k) plan with employer matching
• Time‑off policies, including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) for non‑exempt employees
• Paid holidays
• Life insurance and short‑term and long‑term disability coverage
• paid sick leave
• paid family and parental leave
• other mandated benefits in accordance with applicable state and local requirements.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED