Job Overview:

We are looking for a Utilization Review Coordinator to join our healthcare team in Glen Burnie, Maryland. This role plays a vital part in ensuring patients receive appropriate care while adhering to healthcare regulations and standards.

Job Details:

The Utilization Review Coordinator will evaluate patient care plans, examine medical records, and collaborate with healthcare providers and nurses to enhance patient outcomes.

Responsibilities:

• Conduct thorough reviews of patient medical records to ensure compliance with guidelines.
• Collaborate with healthcare professionals to develop effective care plans.
• Utilize medical coding knowledge for accurate billing processes.
• Maintain updated knowledge of medical terminology and emergency medicine practices.
• Provide education and support to patients and families on care plans and resources.

Requirements:

• Proficiency in CPT, ICD-10, HMO, and PPO.
• Previous experience in utilization review or related healthcare roles.
• Strong communication and collaboration skills.
• Detail-oriented and ability to work effectively in a team.

Benefits:

• Competitive salary and benefits package.
• Opportunities for professional growth and development.
• Work in a supportive and dynamic healthcare environment.

Other Details:

The work hours for this position are from 8:00 AM to 5:00 PM. The ideal candidate should have a passion for improving patient care outcomes and compliance with healthcare standards.

We welcome applicants who are committed to making a positive impact in healthcare in Glen Burnie, Maryland. Join us in our mission to provide quality care to our patients and contribute to their well-being.