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Troy Thomas
Utilization Coordinator
Summary
Utilization Coordinator with 5+ years of experience. Developed and implemented a utilization management program that resulted in a 10% increase in bed occupancy. Created and managed a utilization review department that reduced unnecessary utilization by 20%. Trained and supervised a team of utilization review nurses to ensure accurate and timely review of medical records. Developed and implemented a utilization review policy and procedure manual. Participated in the development and implementation of a new electronic health record system, including the utilization management module. Worked closely with physicians and other healthcare providers to ensure appropriate utilization of services. Conducted utilization review audits to ensure compliance with established criteria. Presented utilization review findings to the medical staff and administration.
Education
Bachelor’s degree in Health Administration
May 2016
Skills
- Proficient in Utilization Review processes
- Advanced knowledge of medical terminology
- Excellent written and verbal communication skills
- Ability to interpret and synthesize complex medical data
- Proficient in the use of utilization management software
- Experience with managed care plans and regulations
Work Experience
Utilization Coordinator
- Participated in the development and implementation of a new electronic health record system, including the utilization management module.
- Worked closely with physicians and other healthcare providers to ensure appropriate utilization of services.
- Conducted utilization review audits to ensure compliance with established criteria.
- Presented utilization review findings to the medical staff and administration.
Utilization Coordinator
- Developed and implemented a utilization management program that resulted in a 10% increase in bed occupancy.
- Created and managed a utilization review department that reduced unnecessary utilization by 20%.
- Trained and supervised a team of utilization review nurses to ensure accurate and timely review of medical records.
- Developed and implemented a utilization review policy and procedure manual.
Accomplishments
- Challenge Reduced utilization rates due to inefficient scheduling. Action Implemented a centralized scheduling system to optimize resource allocation. Result Increased utilization by 10%.
- Challenge Inaccurate utilization reporting leading to poor decisionmaking. Action Developed a realtime utilization tracking system for improved data accuracy. Result Enhanced visibility and decisionmaking precision.
- Challenge Limited coordination between stakeholders affecting utilization optimization. Action Established a Utilization Committee to foster collaboration and alignment. Result Improved communication and coordination, leading to better utilization outcomes.
- Challenge High overtime costs due to inefficient workforce management. Action Implemented a predictive analytics model to optimize staffing levels. Result Reduced overtime costs by 15%.
- Challenge Suboptimal utilization of equipment. Action Conducted a comprehensive equipment utilization assessment to identify opportunities for improvement. Result Increased equipment utilization by 12%.
Awards
- Recognition for outstanding performance in optimizing utilization and reducing costs by 15%
- Award for exceptional project management of utilization improvement initiatives, resulting in increased asset utilization by 20%
- Accolade for innovative use of data analytics to forecast and optimize utilization, leading to improved resource allocation
Certificates
- Certified Utilization Review Nurse (CRN)
- Certified Professional Medical Auditor (CPMA)
- Certified Case Manager (CCM)
- Certified Utilization Management Specialist (CUMS)
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How To Write Resume For Utilization Coordinator
- Highlight your experience in developing and implementing utilization management programs.
- Showcase your skills in managing utilization review departments and teams.
- Demonstrate your knowledge of healthcare regulations and compliance.
- Emphasize your ability to work effectively with physicians and other healthcare providers.
Essential Experience Highlights for a Strong Utilization Coordinator Resume
- Develop and implement utilization management programs to improve healthcare quality and reduce costs.
- Create and manage utilization review departments to ensure accurate and timely review of medical records.
- Train and supervise utilization review teams to ensure compliance with established criteria.
- Participate in the development and implementation of new healthcare technologies, such as electronic health records.
- Work closely with physicians and other healthcare providers to ensure appropriate utilization of services.
- Conduct utilization review audits to ensure compliance with established criteria.
- Present utilization review findings to medical staff and administration.
Frequently Asked Questions (FAQ’s) For Utilization Coordinator
What is the role of a Utilization Coordinator?
A Utilization Coordinator is responsible for developing and implementing utilization management programs to improve healthcare quality and reduce costs.
What are the key responsibilities of a Utilization Coordinator?
Key responsibilities include developing and implementing utilization management programs, creating and managing utilization review departments, training and supervising utilization review teams, participating in the development and implementation of new healthcare technologies, working closely with physicians and other healthcare providers, conducting utilization review audits, and presenting utilization review findings to medical staff and administration.
What are the educational requirements for a Utilization Coordinator?
A Bachelor’s degree in Health Administration or a related field is required.
What are the career prospects for a Utilization Coordinator?
With experience, Utilization Coordinators can advance to leadership roles, such as Director of Utilization Management or Vice President of Utilization Management.
What are the key skills for a Utilization Coordinator?
Key skills include strong analytical and problem-solving skills, excellent communication and interpersonal skills, and proficiency in healthcare regulations and compliance.