Utilization Review Coordinator at Trinity Health, Wilmington, Delaware

Company Overview: Trinity Health is a leading national healthcare system committed to providing compassionate care across communities. With a focus on innovation and excellence, Trinity Health is dedicated to improving the health and well-being of individuals and families. As an organization rooted in mission-driven values, Trinity Health values diversity, integrity, and collaboration in all aspects of its operations. Key Responsibilities for Utilization Review Coordinator: - Conduct utilization reviews to assess the appropriateness and necessity of healthcare services provided to patients. - Collaborate with healthcare providers to ensure adherence to regulatory guidelines and best practices. - Analyze patient records and treatment plans to determine the most effective and efficient care pathways. - Communicate with insurance companies to provide necessary information for claims processing. - Develop and maintain detailed documentation of utilization review processes and outcomes. - Participate in quality improvement initiatives to enhance patient care outcomes and cost-efficiency. Required Qualifications: - Bachelor's degree in healthcare administration, nursing, or a related field. - Proven experience in utilization review or a similar role within the healthcare industry. - Strong understanding of healthcare regulations and compliance standards. - Excellent analytical and critical thinking skills. - Exceptional communication and interpersonal abilities. - Proficiency in using healthcare information systems and software. Desired Skills: - Certification in Utilization Review (URAC) or similar credentials. - Experience working with electronic health records (EHR) systems. - Knowledge of medical coding and billing processes. - Ability to work effectively in a fast-paced and dynamic healthcare environment. - Strong attention to detail and organizational skills. Compensation & Benefits: The annual salary range for the Utilization Review Coordinator position at Trinity Health in Wilmington, Delaware is $55,000 to $75,000, commensurate with experience and qualifications. In addition to competitive compensation, Trinity Health offers a comprehensive benefits package including healthcare coverage, retirement plans, paid time off, professional development opportunities, and employee wellness programs. How to Apply: To apply for the Utilization Review Coordinator position at Trinity Health in Wilmington, Delaware, please visit our careers page on the Trinity Health website. 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 at Trinity Health.