Utilization Management Administration Coordinator - Snf

CarePlus Health Plans Inc

Remote
Base: $40,000 - $52,300 py; bonus/equity: not spec...
Hybrid
Administrative support capacity
Microsoft word, outlook, excel
Data entry and typing
Provide non-clinical support for policies ensuring the most appropriate treatment, care or services for members using services

Job Summary

  • Provide non-clinical support for policies ensuring the most appropriate treatment, care or services for members using services.
  • Perform inbound and outbound calls to engage providers and members to verify clinical information/discharge date and admission status throughout the day.
  • Humana offers competitive benefits that support whole-person well-being, including medical, dental, and vision benefits, and a 401(k) retirement savings plan.

Matching Summary

Provide non-clinical support for policies ensuring the most appropriate treatment, care or services for members using services.

Salary

Base: $40,000 - $52,300 per year; Bonus/Equity: Not specified; Benefits: Medical, dental, vision, 401(k), time off

Skills & Requirements

Must-have

  • Administrative support capacity
  • Microsoft Word, Outlook, Excel
  • Data entry and typing
  • Manage NLP for chart reviews
  • Build and pend authorizations
  • Request clinical information
  • Create written correspondence

Nice-to-have

  • Skilled Nursing Facility segment
  • Managed care organization experience
  • Electronic medical record proficiency
  • Medical terminology knowledge
  • Prior member service experience
  • Metric driven environment experience

Key Requirements

  • 1+ years administrative support
  • Proficient with Microsoft Office Suite
  • Ability to learn new systems
  • Experience with Utilization Review
  • Experience with SNF or Home Health
  • Prior experience in healthcare industry

Work Rights

Not specified

Tailored Resume

Cover Letter