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

Remote, USA Full-time Posted 2025-05-05

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

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

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