Remote Utilization Management Coordinator

Location: California

Compensation: To Be Discussed

Staff Reviewed: Wed, Feb 10, 2021

This job expires in: 10 days

Job Category: Healthcare

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

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)

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