Utilization Review Coordinator at UnitedHealth Group, Charleston, West Virginia

Company Overview: UnitedHealth Group is a leading healthcare company dedicated to helping people live healthier lives and making the healthcare system work better for everyone. With a focus on innovation and collaboration, UnitedHealth Group offers a wide range of healthcare products and services to individuals and businesses across the globe. Key Responsibilities For Utilization Review Coordinator: - Conduct utilization reviews to ensure appropriate levels of care are being provided to patients - Evaluate medical records and treatment plans to determine the medical necessity and appropriateness of services - Collaborate with healthcare providers to gather additional information and ensure compliance with regulatory requirements - Communicate review decisions to healthcare providers and insurers in a timely and professional manner - Maintain accurate and detailed documentation of review activities and decisions - Participate in quality improvement initiatives to enhance the utilization review process Required Qualifications: - Bachelor's degree in healthcare administration, nursing, or a related field - 2+ years of experience in utilization review or a similar role within the healthcare industry - Knowledge of medical terminology, healthcare regulations, and insurance processes - Strong analytical skills with the ability to interpret complex medical information - Excellent communication and interpersonal skills - Detail-oriented with a focus on accuracy and efficiency Desired Skills: - Certification in utilization review or case management - Experience working with electronic health records systems - Knowledge of Medicare and Medicaid guidelines - Ability to work independently and as part of a team - Strong problem-solving skills and the ability to handle challenging situations with professionalism Compensation & Benefits: The annual salary range for the Utilization Review Coordinator position at UnitedHealth Group in Charleston, West Virginia is $50,000 - $65,000, commensurate with experience and qualifications. In addition to competitive pay, UnitedHealth Group offers a comprehensive benefits package that includes medical, dental, and vision insurance, 401(k) retirement savings plan, paid time off, and opportunities for career development and advancement. How to Apply: To apply for the Utilization Review Coordinator position at UnitedHealth Group, please visit our company website and submit your application online. Be sure to include your resume, cover letter, and any relevant certifications or licenses. We thank all applicants for their interest in joining our team and will contact those selected for further consideration.