Utilization Review Administrative Specialist

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

📋 Description

• Provide support services to staff, which include typing reports and correspondence, managing files, and completing forms.

• Respond to incoming phone calls and manage calls related to precertification requests.

• Assist in achieving the objectives of the Utilization Review / Case Management department and CorVel.

• Ensure that patient, provider, and facility information recorded in the system is accurate and current.

• Input notes and service requests into the CareMC system.

• Engage with stakeholders in a prompt and professional manner.

• Undertake additional responsibilities as assigned.

⛳️ Requirements

• High School diploma or equivalent is required.

• An A.A. degree or equivalent is preferred.

• Capability to manage multiple priorities in a high-volume, fast-paced, team-oriented setting.

• Exceptional written and verbal communication abilities.

• Competence in meeting specified deadlines.

• Proficiency in computers and technical skills.

• Ability to utilize Microsoft Office, including Excel spreadsheets.

• Strong interpersonal, time management, and organizational skills.

• Capability to maintain composure in stressful situations and communicate diplomatically through all communication methods.

• Ability to work independently as well as collaboratively within a team environment.

🏝️ Benefits

• Medical (HDHP) with Pharmacy coverage.

• Dental insurance.

• Vision coverage.

• Long-Term Disability insurance.

• Health Savings Account.

• Flexible Spending Account options.

• Life Insurance.

• Accident Insurance.

• Critical Illness Insurance.

• Pre-paid Legal Insurance.

• Parking and Transit FSA accounts.

• 401K and ROTH 401K options.

• Paid time off.

• Opportunities for career advancement.

• A supportive culture.