Risevoic
Medical Review Coordinator
Company : Centinela Hospital Medical Center
Location : Inglewood, CA, 90301
Job Type : Full Time
Date Posted : 11 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
In the Inglewood, CA area, certifications like ECFMG and a Master of Public Health (MPH) significantly boost a Medical Review Coordinator's profile. Employers value clinical experience in acute care and familiarity with federal and state inpatient guidelines, reflecting strong readiness for thorough patient chart assessments.
Unlike general healthcare coordinators, Medical Review Coordinators focus deeply on clinical reviews of patient records, ensuring compliance with admission criteria and treatment continuity. This role demands specialized knowledge in clinical pathophysiology and pharmacology to support utilization review and case management tasks effectively.
Key skills include sharp critical thinking, excellent written and verbal communication, and proficiency in data entry with accuracy. Understanding clinical and fiscal data, along with the ability to coordinate with physicians and nursing staff independently, is essential for success in this role.
Centinela Hospital offers a unique blend of a century-long community presence and national recognition for quality and safety. Medical Review Coordinators here benefit from a supportive culture emphasizing continuous education, competitive pay, and comprehensive benefits tailored to healthcare professionals’ diverse needs.
At Centinela, the Medical Review Coordinator works directly alongside the Chief Medical Officer, engaging actively in utilization review and interdisciplinary meetings. The position combines clinical expertise with case management, emphasizing patient safety and adherence to federal and state healthcare regulations.
Salaries typically range from $30.00 to $45.80 per hour, reflecting skill level and experience. This competitive compensation, paired with extensive benefits like 401k and medical coverage, makes Centinela Hospital an attractive employer within the local healthcare job market.
Coordinating thorough reviews demands juggling multiple requests from payers, ensuring compliance with complex clinical guidelines, and maintaining clear communication across departments. The fast-paced environment requires independent judgment and the ability to handle high volumes of clinical and fiscal data accurately.
Los Angeles, including Inglewood, shows strong demand for coordinators with acute care experience and advanced healthcare degrees. The high competition encourages candidates to possess both clinical knowledge and familiarity with local healthcare policies to secure positions in well-regarded facilities.
Inglewood's traffic patterns can affect daily commutes, so candidates often seek flexible schedules or carpool options. Proximity to major freeways helps, but understanding local transit routes is advantageous for timely arrival in this critical hospital role.
A frequent misconception is that the role is purely administrative; however, it requires clinical expertise to evaluate patient care criteria rigorously. Additionally, coordinators must independently resolve complex cases, not just follow routine paperwork, emphasizing critical judgment skills.