Community Health System

Utilization Review Coordinator

Community Health System  •  Fresno, CA (Onsite)  •  17 hours ago
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Job Description

Opportunities for you!

  • Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek
  • Vacation time starts building on Day 1, and builds with your seniority
  • Free money toward retirement with a 403(b) and matching contributions
  • Great food options with on-demand ordering
  • Free parking and electric charging

Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community.

We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page.

Responsibilities

The Utilization Review Coordinator is responsible for various aspects of utilization management to ensure that care is rendered in accordance with intensity of service and severity of illness standards at all times during the acute stay, utilizing InterQual system as a guideline. Works collaboratively with the Case Management team, other departments, and physicians to facilitate efficient and appropriate management of all cases.

Qualifications

Education• Associate's Degree in Nursing required• Bachelor's Degree in Nursing preferred Experience• 2 years of clinical nursing experience required• Experience in discharge planning, case management, or utilization review preferred Licenses and Certifications• RN - Current and valid Registered Nurse license to work within the state of California required• BLS - Current Basic Life Support (BLS) for Healthcare Providers by American Heart Association (AHA) required• ACM - Accreditation in Case Management preferred• CCM - Certified Case Management preferred

Disclaimers

• Pay ranges listed are an estimate and subject to change.• If any bonuses are noted, they are only applicable to external hires meeting criteria.

Community Health System

About Community Health System

Community Health System is a private, not-for-profit, health system that employs more than 11,000 people. We've grown a lot since 1897 and we're not done yet.

We have affiliations of nearly 2,500 physicians, a partnership with UCSF Fresno, and one of central California's largest HMO health plans. Being a part of the Community family means being a part of the innovation that cares for more residents in the Central Valley than any other healthcare system in the area. And we do it for everybody, regardless of their ability to pay.

​​​​​​​If you want to be a part of a team that operates like a family and challenges each other to constantly improve and grow together, you belong here.

Industry
Healthcare & Social Services
Company Size
1,001-5,000 employees
Headquarters
Fresno, CA
Year Founded
Unknown
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