Utilization Review Coordinator
Community Health System•Fresno, CA
•$50 - $65
About The Position
The Utilization Review Coordinator is responsible for various aspects of utilization management to ensure that care is rendered in accordance with intensity of service and severity of illness standards at all times during the acute stay, utilizing InterQual system as a guideline. Works collaboratively with the Case Management team, other departments, and physicians to facilitate efficient and appropriate management of all cases.
Requirements
- Associate's Degree in Nursing required
- 2 years of clinical nursing experience required
- RN - Current and valid Registered Nurse license to work within the state of California required
- BLS - Current Basic Life Support (BLS) for Healthcare Providers by American Heart Association (AHA) required
Nice To Haves
- Bachelor's Degree in Nursing preferred
- Experience in discharge planning, case management, or utilization review preferred
- ACM - Accreditation in Case Management preferred
- CCM - Certified Case Management preferred
Responsibilities
- Ensure care is rendered in accordance with intensity of service and severity of illness standards at all times during the acute stay, utilizing InterQual system as a guideline.
- Works collaboratively with the Case Management team, other departments, and physicians to facilitate efficient and appropriate management of all cases.
Benefits
- Vacation time starts building on Day 1, and builds with your seniority
- Free money toward retirement with a 403(b) and matching contributions
- Great food options with on-demand ordering
- Free parking and electric charging
- Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community.
- We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
