Utilization Review Coordinator

Prime Healthcare Management Inc•Ontario, CA
•$25 - $28

About The Position

The Utilization Review Coordinator assists with implementation and ongoing management of the utilization review program for Prime Healthcare’s employee medical benefit program. The role helps direct and use available resources to provide quality, cost-effective care through selected benefits and alternative services best suited to members while supporting optimal outcomes. The coordinator works closely with the Prime Healthcare Provider Network and each hospital’s Medical Directors.

Requirements

  • High school graduate.
  • Computer skills, including Microsoft Office and proficiency with a variety of software programs.
  • Typing speed of 40 words per minute.
  • Proficiency in word processing, spreadsheets, and databases.
  • Excellent interpersonal relationship skills and exceptional professional work ethics.

Nice To Haves

  • Medical terminology.

Responsibilities

  • Assist with implementation and ongoing management of the utilization review program for the employee medical benefit program.
  • Assist in directing and using available resources to provide quality, cost-effective care using benefits and alternative services suited to members.
  • Work closely with the Prime Healthcare Provider Network and each hospital’s Medical Directors.

Benefits

  • Paid time off.
  • 401(k) retirement plan.
  • Medical coverage.
  • Dental coverage.
  • Vision coverage.
  • Tuition reimbursement.
  • Voluntary benefit options.
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