Utilization Review Coordinator

• Overview Opportunities for you!
• Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek Vacation time starts building on Day 1, and builds with your seniority Free money toward retirement with a 403(b) and matching contributions Great food options with on-demand ordering Free parking and electric charging Commitment to diversity and inclusion is a cornerstone of our culture at Community.
• All are welcome as valued members of our community.
• We know that our ability to provide the highest level of care is through taking care of our incredible teams.
• Learn more on our Benefits page.

Responsibilities

The Utilization Review Coordinator is responsible for various aspects of utilization management to ensure that care is rendered in accordance with intensity of service and severity of illness standards at all times during the acute stay, utilizing InterQual system as a guideline. Works collaboratively with the Case Management team, other departments, and physicians to facilitate efficient and appropriate management of all cases.

Qualifications

• Education
• Associate's Degree in Nursing required
• Bachelor's Degree in Nursing preferred Experience
• 2 years of clinical nursing experience required
• Experience in discharge planning, case management, or utilization review preferred Licenses and Certifications
• RN - Current and valid Registered Nurse license to work within the state of California required
• BLS - Current Basic Life Support (BLS) for Healthcare Providers by American Heart Association (AHA) required
• ACM - Accreditation in Case Management preferred
• CCM - Certified Case Management preferred Disclaimers
• Pay ranges listed are an estimate and subject to change.
• If any bonuses are noted, they are only applicable to external hires meeting criteria.