Utilization Review Coordinator

Find a Career With Meaning

At Nascentia Health, we deliver care and support at home and in the community, creating a different experience than a traditional hospital setting. You’ll find more one‑on‑one focus, stronger connections, and work you can feel proud of.

The Utilization Review Coordinator provides a broad range of clerical and technical support for Utilization Management and Home Safety Modifications.

• Provides a wide range of administrative support-related tasks.
• Review and tracking of Notice of Action letters.
• Printing and mailing of member letters.
• Send prior service authorization acknowledgment letters.
• Manage calendar for grievance, concurrent, and prior service authorization decision letters.
• Track Home Safety Modification Requests.
• Follow‑up with vendors, landlords, etc. as needed.
• Responsible for assisting with reporting requirements for Utilization Review.
• Demonstrate effective interpersonal skills, exercising good judgment in a variety of situations.
• Demonstrate critical thinking and common‑sense resolution.
• Meet routine deadlines and work schedules with accurate completion of work.
• Other duties as assigned.

• High School Diploma or equivalent required. Associate's degree preferred.
• Minimum of one year customer service experience required, preferably in a health care setting.
• Proficiency with computer systems, working knowledge of Microsoft Office, the internet, and various software applications.
• Demonstrate the ability to work independently and collaboratively with the ability to adapt to shifting priorities, demands, and timelines.
• Demonstrates discretion in handling confidential and sensitive information.
• Accuracy, attention to detail, and follow through.
• Excellent communication skills, verbal and written.

• Speaking/visual/hearing ability sufficient to comprehend and express written/verbal communication.
• Frequent sitting, standing, walking.
• Pushing, pulling, reaching and kneeling frequently.
• Ability to lift and move objects up to 40lbs.
• Extended periods of computer use.

This position is an H06 non‑exempt position with a min‑max rate of: $19.96-$24.96/hour.

• 401K with generous Employer match
• On‑Site Gym (free for all employees)
• Tuition Reimbursement
• Partially funded HSA
• Employee Recognition Platform
• Paid Time Off, Holidays, Sick and Extended Sick Leave
• Short/Long term Disability
• Employee Assistance Program (EAP)
• Much More!

Nascentia Health is an Equal Opportunity Employer (EOE)

Employment is contingent upon negative results of a pre‑hire drug screen and background check