Utilization Management Assistant

The Utilization Management Assistant provides administrative and operational support to the Utilization Management function within the Department of Care Coordination. The role works collaboratively with various departments and external partners to ensure timely and accurate exchange of clinical and authorization information.

Requirements

• Manage incoming communication from internal and external customers related to clinical requests, authorizations, approvals, and denials
• Determine appropriate action for incoming requests and accurately document all activities in designated databases and areas of the Electronic Health Record (EHR)
• Communicate clinical needs, authorizations, and denials to Utilization Review (UR) nurses and UM leadership for follow-up

Benefits

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program