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. Â Â 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 CustomerÂs 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 CustomerÂs 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 CustomerÂs 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
Â... 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 Now
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 CustomerÂs 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 CustomerÂs 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 CustomerÂs 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
Â... 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 Now