Utilization Management Coordinator
Owings Mills, Maryland
Experience: 3
Category: Healthcare
Brand: ALTA IT Services
Job ID: 321033
Date Posted: 06/04/2024
Shortcut: http://jobs.systemone.com/xYZEja
ALTA IT Services is staffing a contract to hire opportunity for a Utilization Management Coordinator to support a leading health insurance customer. The individual will supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to pre-service, utilization review, care coordination and quality of care.
Pay: $24/HR
100% Remote
Must reside in DMV
Duties:
- Reviews authorization requests for initial determination and/or triages for clinical review and resolution.
- Provides general support and coordination services for the department including but not limited to answering and responding to telephone calls, taking messages, letters and correspondence, researching information and assisting in solving problems.
- Assists with reporting, data tracking, gathering, organization and dissemination of information such as Continuity of Care process and tracking of Peer to Peer reviews.
- Performs member or provider related administrative support.
System One, and its subsidiaries including Joulé, ALTA IT Services, CM Access, and MOUNTAIN, LTD., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.
System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.
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