Utilization Review Coordinator

Company : Avera Health
Location : Cresco, IA, 52136
Posted Date : 15 September 2025
Job Type : Other
Category : Administrative Assistance
Occupation : Coordinator
Job Details
Utilization Review Coordinator
Join Our Team!
At Regional Health Services, we strive to create a positive, team-oriented work environment for our staff. Our professional team of clinical, administrative, and support staff work each day to better serve and care for our community. If you would like to join us on our mission, apply today!
Position Highlights
Position Summary: The Utilization Review Coordinator is a member of the nursing team and responsible for coordinating medically appropriate, high-quality, cost-effective care in accordance with federal and/or state statutes, regulations and guidelines by reviewing for medical necessity and appropriateness utilizing medical knowledge, established clinical guidelines and provider support. The UR must match patient care needs to available resources, ensure they stay at appropriate levels and make adjustments if necessary. Serves as the lead for skilled care coordination on the medical/surgical unit, including admission intakes, conferences and discharge planning. Must be able to work independently and possess problem solving and decision-making skills with good organization. Must display strong interpersonal skills, including the ability to work effectively with multiple disciplines. Strong oral and written communication skills desired.
Position Qualifications:
Registered Nurse from an accredited school of nursing is required. BSN preferred.
Licensed for a minimum of one year as a Registered Nurse in the State of Iowa.
A minimum of two years of clinical experience in a hospital setting.
BLS (CPR) certified or obtained within 3 months of employment.
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