Utilization Review Coordinator

Pioneer Human Services is seeking a Utilization Review Coordinator to manage medical record reviews, ensure compliance with funding authorizations, and collaborate with clinical and administrative teams to optimize revenue collection and client care. This role involves monitoring utilization patterns, conducting peer-to-peer reviews, and coordinating with payers to resolve funding issues and support client transitions. The position aims to improve data integrity and operational efficiency while maintaining high standards of customer service and regulatory compliance.