Utilization Review/Patient Care Coordinator (FT)

Ashe Memorial Hospital • Jefferson, NC

46d • Onsite

About The Position

The RN – Utilization Review / Patient Care Coordinator plays a critical role in care coordination, overseeing both Utilization Review and the Swing Bed (Transitional Care) Program. This position ensures appropriate resource utilization, regulatory compliance, and safe, efficient transitions of care for patients. Ashe Memorial Hospital is recognized as Ashe’s Best Place to Work from 2022 through 2025 and for excellence across its providers, nurses, and patient care teams. This role offers an opportunity to join an organization where expertise shapes patient outcomes from admission through discharge.

Requirements

• Current Registered Nurse (RN) license in North Carolina
• Basic Life Support (BLS) – required
• Utilization Review experience – required

Nice To Haves

• Experience with Swing Bed or Transitional Care programs
• Case management or discharge planning experience
• Hospital-based clinical experience

Responsibilities

• Coordinate and manage the Swing Bed (Transitional Care) Program
• Review admissions for medical necessity and regulatory compliance
• Conduct utilization reviews to optimize length of stay and resource use
• Manage internal and external referrals and build provider relationships
• Collaborate with physicians, case management, and interdisciplinary teams
• Support discharge planning for safe and timely transitions of care
• Handle pre-authorizations and follow up on denials
• Ensure compliance with regulatory, accreditation, and hospital standards
• Maintain accurate documentation and reporting

Benefits

• Comprehensive benefits begin the first of the month following employment, in accordance with hospital policy.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level