UTILIZATION COORDINATOR - Per Diem (REMOTE)

Responsibilities Join the Riverside Medical Clinic Team! About Us: Riverside Medical Clinic has been serving the community since 1935, with multiple locations in the greater Riverside region. We provide comprehensive multi-specialty medical services and strive to position ourselves as the leading provider of care in the local medical community. Riverside Medical Clinic is owned and operated by a subsidiary of Universal Health Services, Inc. (UHS). UHS has 89,000 employees and operates 26 acute care hospitals, 334 behavioral health facilities, 39 outpatient facilities and ambulatory care access points, a physician network and various related services located in 38 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. Job Summary: Riverside Medical Clinic is seeking a Per Diem Utilization Coordinator to collect accurate data from utilization of services within the UM Department. This position is remote and will be responsible for: Verifying eligibility and benefits for patient services. Provide data entry and hard copy authorization for referrals. Prepare monthly reports and analyze miscellaneous utilization data (i.e. percentage of C-sections, mental health utilization, home health/ DME utilization, and number of cardiac/ CABG cases, etc). Develop and implement monthly utilization statistics, as necessary, for use in Utilization Management Department and Utilization Management Committee. Prepare and update authorizations and fax, as necessary, to applicable providers, offices, or health plans. Qualifications To perform this job successfully, an individual must be able to perform the essential functions satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. EDUCATION and/or EXPERIENCE: High school diploma or general education degree (GED); or One to three months related experience and/or training; or Equivalent combination of education and experience. CERTIFICATES, LICENSES, AND REGISTRATIONS: None Benefit Highlights: Challenging and rewarding work environment Competitive Compensation & Generous Paid Time Off Excellent Medical, Dental, Vision and Prescription Drug Plans 401(K) with company match and discounted stock plan Career development opportunities within UHS and its 300+ Subsidiaries! For more information about our company and to apply, please visit your website at: Riverside Medical Clinic Careers **UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or e-mails. All resumes submitted by search firms to any employee at UHS; via e-mail, the Internet or in any other form and/or method without a valid written search agreement in place for the above-listed position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means. EEO Statement: All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Notice: At UHS and all subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates with matching skillset and experience with the best possible career at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail etc. If you feel suspicious of a job posting or job-related email, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.