Intake Coordinator-Utilization Management FULLY REMOTE (Health Plan experience required)

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!