Utilization Review Coordinator

Utilization Review Coordinator

The Utilization Review Coordinator provides a broad range of clerical and technical support for Utilization Management and Home Safety Modifications.

Performance Responsibilities and Standards

• Provides a wide range of administrative support-related tasks.
• Review and tracking of Notice of Action letters.
• Printing and mailing of member letters.
• Send prior service authorization acknowledgment letters
• Manage calendar for grievance, concurrent, and prior service authorization decision letters.
• Track Home Safety Modification Requests.
• Follow-up with vendors, landlords, etc. as needed.
• Responsible for assisting with reporting requirements for Utilization Review.
• Demonstrate effective interpersonal skills, exercising good judgment in a variety of situations.
• Demonstrate critical thinking and common-sense resolution.
• Meet routine deadlines and work schedules with accurate completion of work.
• Other duties as assigned.

Requirements

1. High School Diploma or equivalent required. Associate's degree preferred.
2. Minimum of one year customer service experience required, preferably in a health care setting.
3. Proficiency with computer systems, working knowledge of Microsoft Office, the internet, and various software applications.
4. Demonstrate the ability to work independently and collaboratively with the ability to adapt to shifting priorities, demands, and timelines.
5. Demonstrates discretion in handling confidential and sensitive information.
6. Accuracy, attention to detail, and follow through.
7. Exceptional customer service skills.
8. Excellent communication skills, verbal and written.

Physical Requirements

• Speaking/visual/hearing ability sufficient to comprehend and express written/verbal communication
• Frequent sitting, standing, walking.
• Pushing, pulling, reaching and kneeling frequently.
• Ability to lift and move objects up to 40lbs.
• Extended periods of computer use

Compensation & Benefits

Competitive Salary [This position is an H06 non-exempt position with a min-max rate of: $19.96-$24.96/hour] with:

• Retention Bonuses
• Internal Mentoring Program
• 401K with generous Employer match
• On-Site Gym (free for all employees)
• Medical, Dental, Vision plans
• Tuition Reimbursement
• Partially funded HSA
• Employee Recognition Platform
• Paid Time Off, Holidays, Sick and Extended Sick Leave
• Short/Long term Disability
• Employee Assistance Program (EAP)
• Much More!

About Nascentia Health:

Nascentia Health is leading the way in home care, post acute care and long-term community health. A healthcare system without walls, Nascentia is an innovator in the concept of healthcare, truly focused on the patient as a whole. By serving people in their homes, Nascentia Health is able to provide true holistic care. We can address immediate needs, help support positive long term medical and lifestyle choices that provide for better outcomes, leverage cutting edge in-home care technologies, and help avoid unnecessary visits to busy healthcare facilities.

Our employees are our greatest asset. They work hard every day to make our system amazing and are dedicated to our mission of being the premier home and community-based care system for the regions we serve. We want everyone to love what they do, be excited about coming to work, and take pride in being part of our team.

Nascentia Health is an Equal Opportunity Employer (EOE)

Employment is contingent upon negative results of a pre-hire drug screen and background check