
Utilization Management Coordinator
Welcome to Universal Health Services, where we are dedicated to providing high-quality, compassionate healthcare to our patients. We are currently seeking a Utilization Management Coordinator to join our team and play a crucial role in ensuring the efficient use of healthcare resources. As the Utilization Management Coordinator, you will work closely with our healthcare providers and insurance companies to review and manage the utilization of medical services. We are looking for a highly organized and detail-oriented individual with a strong understanding of healthcare regulations and excellent communication skills. If you are passionate about making a positive impact in the healthcare industry, we encourage you to apply for this exciting opportunity.
- Collaborate with healthcare providers to review and assess medical services and treatments for patients.
- Communicate with insurance companies to obtain authorization for medical procedures and services.
- Monitor and track patient healthcare utilization to ensure efficient use of resources.
- Keep up-to-date with healthcare regulations and policies to ensure compliance.
- Analyze data and reports to identify areas for improvement in utilization management.
- Work with interdisciplinary teams to develop and implement utilization management strategies.
- Serve as a liaison between healthcare providers, insurance companies, and patients.
- Educate and train staff on utilization management processes and procedures.
- Maintain accurate and detailed records of utilization management activities.
- Proactively identify and address potential utilization issues.
- Provide excellent customer service to patients and stakeholders.
- Participate in quality improvement initiatives to enhance utilization management processes.
- Adhere to confidentiality and privacy regulations in handling sensitive patient information.
- Stay updated on industry trends and best practices in utilization management.
- Handle any other duties and responsibilities as assigned by the management.
Excellent Communication And Interpersonal Skills
Bachelor's Degree In Healthcare Administration, Nursing, Or Related Field
Minimum Of 2-3 Years Of Experience In Utilization Management Or Case Management
Strong Knowledge Of Healthcare Regulations And Reimbursement Processes
Ability To Analyze Data And Make Data-Driven Decisions To Improve Utilization And Efficiency
Documentation
Data Analysis
Time Management
Conflict Resolution
Medical Terminology
Case management
Interpersonal Communication
Medical coding
Insurance Verification
prior authorization
Problem
Utilization Review
Communication
Conflict Resolution
Emotional Intelligence
Leadership
Time management
creativity
Critical thinking
Teamwork
Adaptability
Problem-Solving
According to JobzMall, the average salary range for a Utilization Management Coordinator in Houston, TX, USA is between $51,000 and $66,000 per year. This can vary depending on factors such as experience, education, and specific job duties. Some employers may also offer additional benefits and bonuses as part of the total compensation package.
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Universal Health Services, Inc. (UHS) is one of the largest and most respected providers of hospital and healthcare services in the nation with more than 90,000 employees dedicated to improving people’s lives and transforming the delivery of healthcare. Through its subsidiaries, the company operates 26 Acute Care hospitals, 328 Behavioral Health inpatient facilities, and 42 outpatient facilities and ambulatory care centers in 37 states in the U.S., Washington, D.C., Puerto Rico and the United Kingdom. UHS also offers health insurance plans through Prominence Health Plan, and manages a network of physicians through Independence Physician Management.

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