Continuing Care Utilization Review Coordinator

Are you passionate about helping patients receive the care they need while promoting efficient and effective healthcare? Look no further than the role of Continuing Care Utilization Review Coordinator at Kaiser Permanente. As a member of our team, you will play a crucial role in ensuring that patients receive the appropriate level of care while minimizing unnecessary utilization and costs. We are seeking a detail-oriented and compassionate individual with a strong understanding of healthcare utilization management and experience in coordinating care for patients. If you are dedicated to improving patient outcomes and streamlining healthcare processes, we would love to have you join our team.

1. Conduct utilization reviews for patients to ensure appropriate level of care is being provided.
2. Collaborate with healthcare providers and insurance companies to determine the most effective treatment plan for patients.
3. Monitor and track patient progress and make recommendations for adjustments to care as needed.
4. Review medical records and treatment plans to identify potential areas for improvement or cost savings.
5. Communicate with patients and their families regarding treatment plans and any necessary changes.
6. Maintain accurate and detailed documentation of utilization review processes and decisions.
7. Stay up-to-date on healthcare regulations and policies related to utilization management.
8. Participate in quality improvement initiatives to enhance the efficiency and effectiveness of healthcare delivery.
9. Identify and address any barriers to care or gaps in services for patients.
10. Collaborate with interdisciplinary teams to ensure continuity of care for patients.
11. Assist in developing and implementing utilization management protocols and procedures.
12. Serve as a resource for healthcare providers and staff regarding utilization management processes and procedures.
13. Monitor and report on key performance indicators related to utilization management.
14. Participate in training and education programs to stay current on industry developments and best practices.
15. Uphold the mission, values, and standards of Kaiser Permanente in all aspects of the job.

According to JobzMall, the average salary range for a Continuing Care Utilization Review Coordinator in Oakland, CA, USA is $52,000 - $82,000 per year. This may vary depending on the specific company, experience level, and other factors.

Kaiser Permanente is an American integrated managed care consortium, based in Oakland, California, United States, founded in 1945 by industrialist Henry J. Kaiser and physician Sidney Garfield.