Utilization Management Coordinator
Job Summary
Working remotely on a full-time basis, the Coordinator, Intake Utilization Management will manage prior authorization requests, collaborate with clinical teams, and ensure compliance with departmental policies and regulatory requirements.
Key responsibilities:
- Review internal workflows to determine the need for prior authorization reviews
- Enter data into a proprietary system and generate cases for medical and behavioral health reviewers
- Work with physician's offices to obtain missing information for prior authorization requests
Required qualifications:
- High school diploma or GED
- 1-3 years of experience in a Coordinator role related to prior authorization requests or relevant healthcare experience
- Previous background/experience with Oncology
- Fluency in English for communication with patients and providers
- Proficiency in computer and Windows PC applications
Complete Job Description
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