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Utilization Review Coordinator
Franciscan HealthUtilization Review Coordinator at Franciscan Health screening patient admissions for medical necessity. Communicating with healthcare teams and providing education on utilization issues.
Posted 7/29/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $56,971 - $84,749 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in admission screening and medical necessity evaluation, with strong communication skills to engage with stakeholders and provide education. Proficient in case management and utilization review processes, ensuring compliance with established criteria.
Highest-signal resume keywords
Registered Nurse (RN - Indiana Licensure)Admission ScreeningUtilization ReviewCase Management ExperiencePatient Education
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical Necessity EvaluationUtilization ManagementPatient CareNursingAdmission Necessity Screening
Soft Skills
CommunicationCollaborationResourcefulness
Certifications & Qualifications
Associate Degree in Nursing/Patient CareBachelor's Degree in Nursing/Patient Care
Industry Keywords
Stakeholder CommunicationDenials and AppealsCase Management DepartmentPatient Advocacy
About the role
Key responsibilities & impact- Perform admission screening for patients in a bed for medical necessity
- Review for appropriateness of setting and utilization
- Communicate with various stakeholders to justify admission or continued stay
- Notify staff of medical necessity criteria, denials, and appeals
- Provide education to physician, patients, families, and staff
- Act as a resource for case management department regarding utilization issues
- Perform admission necessity screening using established criteria
Requirements
What you’ll need- Associate degree in nursing/patient care required
- Bachelor's Degree in nursing/patient care preferred
- Registered Nurse (RN - Indiana licensure) required
- 3 years of nursing/patient care experience required
- 2 years of Utilization or Case Management experience preferred
Benefits
Comp & perks- Comprehensive benefit offerings