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Utilization Management Coordinator

πŸ•’ 11 days ago
Utilization ManagementHealthcare OperationsCare CoordinationPrior Authorization

πŸ“œ Description

  • Monitor intake queues and validate daily census checks.
  • Manage inbound and outbound correspondence related to referrals and cases.
  • Perform authorization set-up and case creation in systems.
  • Conduct outbound calls to obtain clinical information and communicate decisions.
  • Support care transition workflows and case follow-up.

πŸ› οΈ Requirements

  • High school diploma or equivalent.
  • Experience in healthcare operations, utilization management, or care coordination.
  • Proficiency with healthcare systems and EHRs.
  • Strong organizational and multitasking skills in a high-volume environment.
  • Effective communication skills with providers and members.

✨ Benefits

  • Employer sponsored health, dental and vision plan with low or no premium.
  • Generous paid time off.
  • $100 monthly mobile or internet stipend.
  • Stock options for all employees.
  • Bonus eligibility for all roles excluding Director and above.
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