Senior Utilization Management Assistant – Utilization Management

This is a fully remote position, open to applicants in California.

📋 Description

• Assist the Care Management team in coordinating patient care.

• Collaborate closely as a member of the healthcare team.

• Execute complex tasks associated with the overall functions and activities of the team, as identified during both initial and ongoing patient assessments and management.

• Foster patient-centered, holistic care under the guidance of the Regional Director of Care Management.

⛳️ Requirements

• 5 years of experience in a hospital, clinical setting, or healthcare-related field.

• 3 years of proven exceptional customer service experience.

• 3 years of clerical and computer proficiency.

• 3 years of familiarity with insurance billing and managed care practices.

• High School Diploma or GED equivalent is required, with some college coursework preferred, especially in Medical Terminology or Medical Assistance.

• Coursework/Training in Medical Terminology or Medical Assistant or equivalent education/experience.

• Coursework/Training in CHAA or equivalent education/experience.

• Must obtain CHAA within 6 months (180 days) of hire if located in California.

• 3 years of experience with EPIC Case Management and ADT Patient Access.

🏝️ Benefits

• Retirement 401(k) Savings Plan with employer matching.

• Health care benefits including medical, dental, and vision coverage.

• Life insurance options.

• Disability insurance coverage.

• Paid parental leave.

• Vacation time.

• Paid holidays.

• Time off for health-related issues.

• Voluntary benefits available.

• Resources for well-being.

• Shift differentials offered.

• Compensation for standby/on-call duties.

• Overtime opportunities.

• Premium pay available.

• Incentives for extra shifts.

• Opportunities for bonuses.

• Support for professional growth and career advancement.

• An inclusive workplace that provides equal opportunities for advancement.