California Licensed Utilization Coordinator

A company is looking for a Utilization Management Coordinator (Work from home). Key Responsibilities: Receive, review, and process incoming requests for authorization of medical services Coordinate with providers, members, and internal clinical staff to gather necessary documentation for utilization reviews Enter authorization requests and updates into the utilization management system accurately and promptly Qualifications: High School Diploma or equivalent required; Associate's degree or healthcare certification preferred 2+ years of experience in health plan environment; experience in utilization management or case management support strongly preferred Capacity to interpret health plan benefit decisions Bilingual required (English/Spanish) Certification as a Medical Assistant preferred

May 20, 2025 - 17:00
 0
California Licensed Utilization Coordinator
A company is looking for a Utilization Management Coordinator (Work from home). Key Responsibilities: Receive, review, and process incoming requests for authorization of medical services Coordinate with providers, members, and internal clinical staff to gather necessary documentation for utilization reviews Enter authorization requests and updates into the utilization management system accurately and promptly Qualifications: High School Diploma or equivalent required; Associate's degree or healthcare certification preferred 2+ years of experience in health plan environment; experience in utilization management or case management support strongly preferred Capacity to interpret health plan benefit decisions Bilingual required (English/Spanish) Certification as a Medical Assistant preferred