Job Summary
A medical company is in need of a Remote Utilization Management Coordinator.
Individual must be able to fulfill the following responsibilities:
- Be responsible for data entry of incoming requests
- Be responsible for general, precertification, concurrent and/or retrospective review of inpatient and/or outpatient services
- Meet the health care needs of members with the appropriate resources
Applicants must meet the following qualifications:
- Knowledge of Medical Terminology
- Experience with Medi-Cal processes
- High school diploma or general education degree (GED)
- 1- 3 years UM Coordinator experience
- Ability to be a team player and exercise initiative in responding to provider requests and concerns in a helpful and courteous manner
- Ability to create and maintain documents using Microsoft Office (Word, Excel, Outlook, PowerPoint)
