Utilization Review Coordinator at DaVita, Portland, Oregon

Company Overview: DaVita is a leading healthcare company specializing in kidney care services, committed to improving the quality of life for patients around the globe. With a focus on delivering exceptional patient outcomes and innovative healthcare solutions, DaVita is dedicated to creating a positive impact within the communities it serves. Key Responsibilities For Utilization Review Coordinator: - Conduct utilization reviews to ensure appropriate and cost-effective use of healthcare services - Evaluate medical records to determine the necessity and efficiency of medical services provided - Collaborate with healthcare providers to gather necessary information for review processes - Monitor compliance with insurance and regulatory requirements - Communicate review decisions to relevant stakeholders in a clear and concise manner - Maintain accurate documentation of review processes and outcomes - Participate in quality improvement initiatives to enhance review processes Required Qualifications: - Bachelor's degree in healthcare administration, nursing, or related field - Minimum of 2 years of experience in utilization review or healthcare quality management - Strong understanding of medical terminology and healthcare regulations - Excellent analytical and critical thinking skills - Ability to work independently and prioritize tasks effectively - Proficiency in Microsoft Office Suite and electronic health record systems - Strong communication and interpersonal skills Desired Skills: - Certification in utilization review or case management - Experience working in a managed care setting - Knowledge of Medicare and Medicaid guidelines - Familiarity with healthcare accreditation standards - Ability to adapt to changing healthcare policies and procedures Compensation & Benefits: The annual salary range for the Utilization Review Coordinator position at DaVita in Portland, Oregon is $60,000 to $75,000, commensurate with experience and qualifications. In addition to competitive pay, DaVita offers a comprehensive benefits package that includes health, dental, and vision insurance, retirement savings plans, paid time off, professional development opportunities, and employee wellness programs. How to Apply: To apply for the Utilization Review Coordinator position at DaVita in Portland, Oregon, please visit our careers website and submit your resume and cover letter outlining your qualifications and interest in the role. We look forward to reviewing your application and potentially welcoming you to our dedicated team of healthcare professionals.