Open role
Urgently Hiring: Intake Coordinator-Utilization Management FULLY
We're looking for a high-impact individual to join our team as a Intake Coordinator-utilization Management FULLY REMOTE! Enjoy the freedom and flexibility of this Remote role. This position requires a strong and diverse skillset in relevant areas to drive success. We are prepared to offer a competitive salary to attract a top-tier candidate for this role.   Job description Job Duties  Manage intake of provider requests through various modes of submission include but not limited to, secure fax, e-form or telephonic requests.  Create UM requests in accordance with Customer s policies and procedures and documentation guideline.  Provide current review status updates to requesting provider offices or receipt confirmations.  Provide information regarding clinical information requirements, additional clinical information requests and education on Customer s UM processes and requirements to providers.  Provide support to the UM nurses as needed to complete their clinical review requirements.  Perform other duties as assigned by the UM nurses.  Participate in department meetings, training and audit activities equal to Customer s employees. Role/Education Requirements  Minimum of 2 years of recent health plan experience  High level of expertise in UM services  Experience with MCG Criteria (preferred but not required) Role Details  ... Job Type: Contract  Pacific business hours, Monday through Friday  Work Location: Remote Job Types: Full-time, Contract Pay: $23 per hour 1099 Expected hours: 40 per week Schedule:  8 hour shift  Monday to Friday Experience  Health insurance plan: 2 years (Required) Work Location: Remote Job Types: Full-time, Contract Pay: $23.00 per hour Expected hours: 40 per week Schedule:  Monday to Friday Experience:  Customer service: 1 year (Preferred)  Intake Coordinator-Health Plan: 2 years (Required) Work Location: Remote Apply Job!  Are You the One We're Looking For? If you believe you have what it takes, submit your application without delay. We are keen to hear from talented candidates like you. Apply To This Job