Risevoic
Medical Review Coordinator
Company : Prime Healthcare Services
Location : Inglewood, CA, 90301
Job Type : Full Time
Date Posted : 7 January 2026
Overview
At Centinela Hospital Medical Center, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, a Top-15 hospital system in the United States, Centinela Hospital Medical Center is actively seeking new members to join its award-winning team!
Centinela Hospital Medical Center has been serving the communities of Inglewood and the wider Los Angeles area for 100 years. An award-winning facility, ranking in the top 5% nationally for quality and patient safety, Centinela Hospital is a 362-bed acute-care hospital with a 24-hour STEMI certified emergency department and primary stroke center, orthopedic care, advanced cardiac services, critical care services, inpatient and outpatient rehab programs, and more. Centinela has earned hundreds of national awards and recognitions, including "100 Top Hospital" recognition from Fortune/Merative and straight 'A's (2018-2024) for hospital safety from The Leapfrog Group. For more information, visit www.centinelamed.com.
Responsibilities
Coordinates and completes the clinical reviews for all patient medical records while working closely with CMO (Chief Medical Officer). Actively participates in the Case management and UR meetings. Serves as on-going educator to all departments. Responsible for reviewing patient charts in order to assess whether the clinical criteria for admission and continuation of treatment is being met; gathering data and responding to request for records from payers/fiscal intermediary etc.; gathering clinical and fiscal information and communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work independently and use sound judgment. Knowledge of Federal, State, and intermediary guidelines related to inpatient, acute care hospitalization, as well as lower levels of care for the continuity of treatment. Coordinates discharge referrals as requested by clinical staff, fiscal intermediary, patients, and families. Performs other duties as assigned.
Qualifications
EDUCATION, EXPERIENCE, TRAINING
Required qualifications:
1. Master of Public Health (MPH) or post-graduation in a related health care field is required.
2. Medical Graduate, Dental Graduate required.
3. Knowledge of Clinical Pathophysiology and Pharmacology required.
Preferred qualifications:
1. ECFMG Certification And/or Bachelor’s or higher from a US-based accredited institution in a Health and Human Services field is highly preferred.
2. Utilization Review/Case Management experience is highly preferred.
3. 1+ year of clinical experience in acute care setting preferred.
4. Excellent written and verbal communication skills. Excellent critical thinking skills.
5. Excellent interpersonal skills to build effective partnering relationships with physicians, nurse staff, coding staff and hospital management staff.
6. Ability to work independently in a time-oriented environment.
7. Computer data entry with 10-key preferred, with accurate typing speed of 35 wpm preferred.
Pay Transparency
Centinela Hospital Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $30.00 to $45.80. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.
Employment Status
Full TimeShift
DaysEqual Employment Opportunity
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
Privacy Notice
Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf
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Frequently asked questions
At Prime Healthcare Services in Inglewood, a Medical Review Coordinator ensures clinical criteria compliance during patient admissions and treatments, directly impacting patient safety and care quality. Their coordination with various departments helps maintain high standards in this top-ranked acute care hospital.
Medical Review Coordinators in LA hospitals need strong knowledge of clinical pathophysiology, pharmacology, and utilization review protocols. Familiarity with federal and state inpatient care guidelines and acute care experience is critical for managing complex patient records and facilitating effective case management.
Candidates holding an MPH, medical or dental degree, or ECFMG certification have a competitive edge. A US-accredited health services degree combined with utilization review experience enhances qualification, reflecting deeper clinical knowledge and regulatory compliance expertise.
Inglewood's robust healthcare market, anchored by facilities like Centinela Hospital, shows steady demand for Medical Review Coordinators due to aging populations and complex care needs. Local hiring trends favor candidates with acute care and utilization review experience, reflecting a competitive but accessible job landscape.
Centinela Hospital emphasizes community-focused care and continuous education, fostering collaboration between clinical and administrative teams. This supportive environment contrasts with larger urban hospitals by blending a close-knit atmosphere with national-level quality standards.
Salary estimates for Medical Review Coordinators at Prime Healthcare range between $30.00 and $45.80 per hour. Compensation depends on experience level, clinical expertise, educational qualifications, and certifications, reflecting the complexity and responsibility inherent in this role.
Prime Healthcare Services offers a flexible benefits package including paid time off, 401k retirement plans, medical, dental, vision coverage, and tuition reimbursement. These perks support work-life balance and professional growth, catering to diverse employee needs in the healthcare sector.
At Prime Healthcare, Medical Review Coordinators uniquely integrate clinical record reviews with active participation in case management and utilization review meetings. They also serve as ongoing educators across departments, blending analytical duties with cross-functional communication.
This role develops critical thinking and interdisciplinary collaboration skills essential for leadership. Exposure to case management, payer interactions, and regulatory compliance at Prime Healthcare provides a solid foundation for moving into higher healthcare administration or clinical coordination positions.
Centinela Hospital integrates award-winning quality and patient safety standards into its medical review processes. Coordinators work closely with the Chief Medical Officer and multiple teams, facilitating a seamless flow of clinical and fiscal data that supports top-tier hospital rankings nationally.