Utilization Review Coordinator
Plum Creek Recovery Ranch
Lockhart, texas
The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with patients’ treatment. Reviews treatment plans and status of approvals from insurers. Responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and efficient use of hospital services. Monitors the appropriateness of hospital admissions and extended hospitals stays. Completing data collection of demographics, claim and medical information; non-medical analysis; and outcomes reporting. May consult with staff as needed.
Requirements
Job Requirements
Education and/or Licensure – High School degree or equivalent required, Bachelor’s degree preferred.
Experience –...