Clinical Review Coordinator

At Luminare Health , our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development.

This position is responsible for the day-to-day operations of the Healthcare Management Program and the analysis of as it relates to the Utilization Management Process.

Active unrestricted Registered Nurse or Practical Nurse License issued by a state or territory of the United States of America Nurse with a minimum of two years clinical nursing and/or managed care experience Communicate in a positive and effective manner in both oral and written communication; Read and interpret documents, criteria, instructions, and policy & procedure manuals; Write/create routine correspondence and reports; Speak effectively with clients, physicians, providers, families in crisis and community agencies as well as co-workers and senior management; Add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions and decimals; Compute rate, ratio and percent; Apply common sense understanding to carry out instruction furnished in written, oral or diagram form; Deal with problems involving several concrete variables in standardized situations; Evaluate problems, develop alternative solutions and identify trends and patterns; Capable of working in an environment that requires organization and prioritization in order to address time sensitive assignments; Excellent interpersonal skills; Perform multiple tasks simultaneously