Prime Healthcare

Utilization Review Coordinator (Benefits)

Facility Prime Healthcare Management Inc
Location
US-CA-Ontario
ID
2022-106270
Category
Business Professional
Position Type
Full Time
Shift
Days
Job Type
Non-Exempt

Overview

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providing more than 2.6 million patient visits annually. It is one of the nation’s leading health systems with nearly 50,000 employees and physicians. Fourteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!

Responsibilities

The Utilization Review Coordinator is responsible for the assisting with the implementation and ongoing management of the utilization review program for the employee medical benefit program for Prime Healthcare. This position will provide assistance in the direction and utilization of available resources to provide quality, cost effective care using selected benefits and alternative services best suited for the members while ensuring optimal outcomes. This position will work closely with the Prime Healthcare Provider Network and with each of the hospital's Medical Directors.

 

#LI-CG5

Qualifications

  1. High School Graduate.
  2. Computer skills, Microsoft Office , proficiency in a variety of software programs.
  3. Typing 60wpm.
  4. Medical Terminology preferred.
  5. Two (2) to three (3) years experience in acute hospital medical review.
  6. Proficient in word processing, spread sheets and database.
  7. Excellent interpersonal relationship skills with exceptional professional work ethics.


We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law: https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf

Options

Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
Share on your newsfeed

Connect With Us!

Not ready to apply? Connect with us for general consideration.