Lead Utilization Review Coordinator
Send a job offer directly to this candidate
Sole manager of 120 cases at Detox, Residential, Partial Hospitalization, Intensive Outpatient, and General Outpatient levels of care distributed throughout four facilities. Coordinates and conducts each initial and concurrent authorization. Audits clinical documentation ensuring criteria is met based on the specific requirements of each payor. Communicates clinical documentation critiques to the treatment team and coordinates case staffing.
Has experience in dermatology, behavioral health, and emergency medicine. Has 2 years of experience as a Utilization Review Coordinator. Currently holding a lead position within the company.
Graduate College: Simmons University, Boston, MA Graduation Date: May, 2026
Graduate Program: Master of Clinical Social Work with a Certificate in Trauma Practice
Undergraduate College: St. Olaf College, Northfield, MN Graduation Date: May, 2019
Undergraduate Degree: B.A. Biology
