Additional Posting Information Hybrid Overview Position Overview The Utilization Coordinator is responsible for ensuring that clients and their families are fully supported in accessing and utilizing their approved services through the Regional Center. The role focuses on activating inactive cases, identifying and addressing barriers to service utilization, and collaborating closely with families, care providers, and Regional Center staff to facilitate successful service delivery. The Utilization Coordinator also contributes to special projects such as identifying and resolving unbilled services and supporting the development and implementation of new services. The Utilization Coordinator is an important contributor to the Aveanna team, helping to increase service utilization and drive census growth. Essential Functions Act as a liaison between all departments to address concerns, provide updates, and facilitate smooth interactions with familiesGenerate and analyze SQL reports to identify trends, discrepancies and issues related to service utilizationUtilize AveannaCare system to generate and analyze reports, identifying any discrepancies or inefficiencies in service utilizationDevelop a comprehensive understanding of the services offered by the regional center to effectively identify and address utilization issuesFollow up with families and provide subsequent follow-ups for up to 12 monthsCollaborate with relevant teams to identify and assist in the resolution of unbilled issues, ensuring accurate and timely billing for services providedAssist in the coordination and setting up of new services, ensuring all processes are executed smoothlyMaintain effective communication with all organizational levels, ensuring clarity of information, fostering collaboration, and facilitating prompt decision-makingPerforms other duties as assigned or needed Requirements Bachelor’s degree is preferred, but not requiredBilingual required, Spanish preferredMinimum of one year of customer service experience within the last four yearsAbility to work effectively with othersExcellent interpersonal skills; self-driven, motivated and results orientedMust be able to problem solve and apply creative solutionsStrong analytical and judgment skillsIntermediate computer skills using Microsoft Windows, Word, Excel and ability to be trained on Aveanna’s proprietary software programsAbility to successfully handle multiple tasks simultaneously; strong organizational skillsThrive in a fast-paced environment Other Skills/Abilities Ability to adhere to confidentiality standards and professional boundaries at all times.Quick-thinking and astute decision-making skillsAttention to detailAbility to effectively manage time and meet deadlinesEffective problem-solving and conflict resolution skillsExcellent organizational and communication skillsAbility to remain calm and professional in stressful situationsStrong commitment to excellence Physical Requirements Must be able to speak, write, read, and understand EnglishOccasional lifting, caring, pushing and pulling of up to 25 poundsProlonged walking, standing, bending, kneeling, reaching, twistingMust be able to sit and climb stairsMust have visual and hearing acuity Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Vaccination Requirements As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. This is a Hybrid position; therefore, candidates must have a reliable high-speed internet connection (Ethernet cable) to support video conferencing, system access, and daily communication. Join a Company That Puts People First! At Aveanna, we’re proud to foster a workplace culture that celebrates diversity, encourages connection, and supports our team members every step of the way. Here’s what sets us apart: Award-Winning Culture - Ranked the #1 company to work for in Georgia in 2024 by U.S. News & World Report. Employee Connection & Support - Aveanna Connection Groups: Employee-led groups where shared identities and experiences create spaces for connection, collaboration, and support. - Aveanna Social Circles: Join groups based on your interests, like books, music, or movies, to build camaraderie and lasting friendships. - Aveanna Employee Relief Fund: A resource to help our team members through unexpected hardships, because we’re stronger together. Inclusive Learning Environment - We believe in growing together. Our inclusive learning sessions are open to all employees, fostering collaboration and shared success. Commitment to Community - Every year, we dedicate a day to giving back through our Annual Service Day, making a meaningful impact in the communities we serve. Headhunters and recruitment agencies may not submit resumes/CVs through this website or directly to managers. Aveanna does not accept unsolicited headhunter and agency resumes, and will not pay fees to any third-party agency or company that does not have a signed agreement with Aveanna.
RN Utilization Review Coordinator
Franciscanhealth
Senior Review Coordinator - Utilization Management (RN)
Telligen
Utilization Management Administration Coordinator - SNF
Humana
Utilization Review Coordinator
Franciscanalliance
Coordinator II, Utilization Management
Altamed
Utilization Management Coordinator - Casual
Altais