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Clinical Coordinator Utilization Management
Job Summary
A company is looking for a Clinical Coordinator for Utilization Management.
Key Responsibilities:
- Reach out to hospitals and provider offices to obtain clinical documentation
- Review member charts for claim adjudication and update associated episodes
- Assist with discharge planning and provide operational support as needed
Required Qualifications:
- High school diploma
- 1-3 years of administrative or Medical Office experience preferred
- Proficient in technology, specifically Google Sheets and suite of Google products
- Proficient in navigating EHR and Clinical Documentation Systems
- Bilingual skills are a plus
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COMPLETE JOB DESCRIPTION
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Company Overview
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