Utilization Management Coordinator – SNF
Humana
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $40,000 - $52,300 per year
Job Level
About the role
- provides non-clinical support for policies ensuring the most appropriate treatment, care or services for members
- manage NLP's for chart reviews for the nursing team
- build and pend authorizations for review
- perform inbound and outbound calls to engage providers and members to verify clinical information/discharge date and admission status
- document completed calls and attach clinical information received
- request clinical information from providers/facilities
- create written correspondence
- create and distribute determination letters
- collaborate with multiple roles/departments/providers/team members
Requirements
- 1+ years' experience working in an administrative support capacity
- Prior professional experience of Microsoft Word, Outlook and Excel with the ability to type and enter data
- Ability to learn new systems (proficient to advanced)
Benefits
- medical, dental and vision benefits
- 401(k) retirement savings plan
- time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
- short-term and long-term disability
- life insurance
- many other opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
NLPchart reviewsdata entry
Soft Skills
communicationcollaborationorganizational skills