Utilization Management (UM) Coordinator

The Utilization Management Coordinator at Kids Thrive manages precertification, recertification, and peer-to-peer reviews to ensure appropriate discharge plans for patients. This role involves reporting authorization statuses, coordinating with third-party payors, and maintaining compliance with program goals and external review organization standards. The coordinator also ensures accurate documentation, minimizes denials, and maintains continuity of care across various levels of patient treatment.