Utilization Review Coordinator (Benefits) in Ontario, CA at Prime Healthcare

Date Posted: 2/16/2021

Job Snapshot

Job Description

Responsibilities The Utilization Review Coordinator is responsible for the assisting with the implementation and ongoing management of the utilization review program for the employee medical benefit program for Prime Healthcare. This position will provide assistance in the direction and utilization of available resources to provide quality, cost effective care using selected benefits and alternative services best suited for the members while ensuring optimal outcomes. This position will work closely with the Prime Healthcare Provider Network and with each of the hospital's Medical Directors.



Education and Work Experience

  1. High School Graduate.
  2. Computer skills, Microsoft Office , proficiency in a variety of software programs.
  3. Typing 60wpm.
  4. Medical Terminology preferred.
  5. Two (2) to three (3) years experience in acute hospital medical review.
  6. Proficient in word processing, spread sheets and database.
  7. Excellent interpersonal relationship skills with exceptional professional work ethics.

We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law: https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf