Utilization Review Coordinator
About The Position
The Utilization Review Coordinator ensures the utilization review function of the hospital is carried out as required. Citizens Health is recruiting a Utilization Review Coordinator to work full-time in our hospital. Citizens Health is a community based, private, not-for-profit organization. It is comprised of: Citizens Medical Center - a 25 bed critical access hospital, Family Center for Health Care - an outpatient rural health clinic, Prairie Senior - a skilled nursing facility, Citizens Clubhouse - an onsite childcare center that cares for children 6 weeks to school age for our workforce, Citizens Medical Equipment - our durable medical equipment business, and Palace Drug Store - our outpatient pharmacy. We strive to be progressive, dependable and knowledgeable, while providing compassionate, evidence-based care to the residents of northwest Kansas.
Requirements
- Associate degree in Medical Record Science or graduate of an accredited school of nursing.
- Minimum of two years in the Health Information Department or as a registered nurse.
- Proficient in medical record review.
- Knowledge of CMS Prospective Payment System.
- Must be knowledgeable in use of computer terminals and/or personal computers.
- Current licensure with the Kansas Board of Nursing Examiners or ART.
- Experience in office productivity software (email, calendar, word processing, spreadsheets, presentation software, etc.).
- Knowledge of common safety hazards and precautions to establish a safe work environment.
- Self-starter who takes initiative, is open minded and a team player.
- Maintain a positive attitude with good energy.
- Create a positive, supportive working atmosphere.
- Display integrity and accountability.
- Accept and respond to constructive criticism and suggestions and strives for self-improvement.
- Adhere to organization policies and procedures.
- Arrive at work on time and when scheduled.
- Demonstrate flexibility, initiative and ingenuity in performing job tasks.
- Demonstrate professional conduct and maintains professional appearance.
- Demonstrate behavior that reflects the image of the institution.
Nice To Haves
- Utilization Review experience preferred.
Responsibilities
- Conduct Utilization Review activities.
- Ensure overall Utilization Review function of the hospital is carried out as required.
- Obtain certification of patients, as required.
- Coordinate Quality Assessment and Risk Management program within the department.
- Provide educational training to staff.
- Continue professional growth and development.
Benefits
- Medical, dental and vision insurance available
- Pre-Tax and Roth Contributions
- Automatic 6% salary deferral upon employment
- Regular and matching contributions after one-year and 1,000 hours worked
- Provides Life, Accidental Death and Dismemberment Insurance
- Full-time coverage - equal to two times employees annual income
- Part-time coverage - one-time annual income
- Differential and Certification Pay
- Eligible employees receive shift, weekend and holiday differential pay
- Paid time off
- Student Loan reimbursement
- On-site child care services
- Funeral leave
- Health Savings Account
- Dependent, Medical and Limited Purpose Flexible Spending Accounts
- The Standard Group Insurance
- Discounted membership rate for MASA
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
