Vacancy Description
UTILIZATION MANAGEMENT COORDINATOR
Location: Remote — client site in Baltimore, MD (21224)
Type: Contract (3 months to start; expected extension possible)
Schedule: 40 hours/week — must include a weekend day
Pay (W2): USD 24.70/H
JOB OVERVIEW
In this role, you’ll support Utilization Management (UM) clinical teams by handling non-clinical administrative work tied to pre-service authorization, utilization review support, care coordination workflows, and quality-of-care processes. You’ll help manage authorization intake, documentation, and provider/member support—while working in a fast-paced environment where schedule flexibility (including weekends) is required.
WHAT YOU’LL DO
+ Provide member/provider administrative support such as benefit verification, authorization creation/management, claims inquiries, and case documentation.
+ Review incoming authorization requests for initial determination and/or triage items for clinical review a...
Location: Remote — client site in Baltimore, MD (21224)
Type: Contract (3 months to start; expected extension possible)
Schedule: 40 hours/week — must include a weekend day
Pay (W2): USD 24.70/H
JOB OVERVIEW
In this role, you’ll support Utilization Management (UM) clinical teams by handling non-clinical administrative work tied to pre-service authorization, utilization review support, care coordination workflows, and quality-of-care processes. You’ll help manage authorization intake, documentation, and provider/member support—while working in a fast-paced environment where schedule flexibility (including weekends) is required.
WHAT YOU’LL DO
+ Provide member/provider administrative support such as benefit verification, authorization creation/management, claims inquiries, and case documentation.
+ Review incoming authorization requests for initial determination and/or triage items for clinical review a...
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