Utilization Management Coordinator

Job Summary

A company is looking for a Utilization Management Coordinator.

Key Responsibilities

• Process and manage treatment authorization requests in compliance with policies and procedures
• Review and screen assigned UM referrals, ensuring timely processing according to health plan guidelines
• Maintain relationships with health plans and assist in interdepartmental communications

Required Qualifications

• High School Graduate; Bachelor's in Healthcare Administration preferred
• Minimum of two years of experience in a managed care environment
• Knowledge of medical terminology and coding (RVS, CPT, HPCS, ICD-9)
• Proficient in Microsoft applications
• Ability to work independently and as part of a team