PRN Utilization Review Coordinator

ResponsibilitiesHorizon Health has an opening for a PRN Utilization Review Coordinator at Good Hope Hospital in Erwin, NC. The Utilization Review Coordinator initiates pre-certification calls for private insurance and managed Medicare and Medicaid plans and provides concurrent reviews throughout the patient stays. EEO StatementAll 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.NoticeAt UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path 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 are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: or 1-800-852-3449.QualificationsEducation, Certification/Licensure, and/or ExperienceAn Assoicate''s Degree or Bachelor''s Degree from an accredited college with a major in medical field is preferred; and/orMinimum three years'' of experience in a similar position and/or industryKnowledge of medical insurance and LMEs is preferredKnowledge, skills, and abilities requiredProficient in software applicationsStrong analystical skillsLanguage SkillsExcellent written and verbal communication and presentation skillsAbility to read and comprehend moderate to complex instructions and correspondenceAbility to write detailed correspondenceAbility to effectively present information in one-on-one and small group situations to patients and their families, Program leadership, employees, clients, providers, vendors, etc.

Created: 2025-11-01