Utilization Review Coordinator Prior Experience Required

Utilization Review Coordinator Premier Healthcare LLC Woodcliff Lake, NJ Job Summary Premier Healthcare LLC is seeking a highly skilled and motivated Utilization Review Coordinator to join our team! As a key member of our healthcare organization, you will be responsible for reviewing and optimizing patient care services to ensure high-quality, cost-effective outcomes.

Utilization Review Coordinator Responsibilities:

Review patient records and medical charts to identify opportunities for improvement in reimbursement Conduct utilization review activities to ensure compliance with regulatory requirements and company guidelines Collaborate with healthcare providers, case managers, and other stakeholders to optimize patient care and revenue Develop and maintain working relationships with Medicaid, Medicare, and other insurances Analyze data and metrics to identify trends and areas for improvement in patient care, reimbursement and utilization review processes Implement process improvements and recommend changes to optimize utilization review activities

Utilization Review Coordinator Requirements:

2 years of experience in utilization review, case management, or a related field Must be available to work in-person in our Woodcliff Lake, NJ office How to Apply If you are a motivated and detail-oriented professional looking to make a difference, we encourage you to apply for this exciting opportunity!