Utilization Review Coordinator
Prime Healthcare•Ontario, CA
•Onsite
About The Position
Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually. It is one of the nation’s leading health systems with over 60,000 employees and physicians. Twenty-one of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!
Requirements
- High School graduate
- Computer skills, Microsoft Office, proficiency in a variety of software programs
- Typing 40wpm
- Proficient in word processing, spread sheets and database
- Excellent interpersonal relationship skills with exceptional professional work ethics.
Nice To Haves
- Medical Terminology preferred
Responsibilities
- Assisting with the implementation and ongoing management of the utilization review program for the employee medical benefit program for Prime Healthcare.
- Provide assistance in the direction and utilization of available resources to provide quality, cost effective care using selected benefits and alternative services best suited for the members while ensuring optimal outcomes.
- Work closely with the Prime Healthcare Provider Network and with each of the hospital’s Medical Directors.
Benefits
- paid time off
- a 401K retirement plan
- medical, dental, and vision coverage
- tuition reimbursement
- many more voluntary benefit options
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
