Experienced Intake Coordinator for Utilization Management - Fully Remote Opportunity

Join Our Team as a Remote Intake Coordinator and Drive Success in Utilization Management

We're excited to announce a unique opportunity for a highly skilled and experienced Intake Coordinator to join our team in a fully remote capacity, focusing on Utilization Management. As a key member of our team, you will play a crucial role in managing the intake of provider requests, ensuring seamless communication with healthcare providers, and supporting our Utilization Management (UM) nurses. If you're looking for a challenging and rewarding role that offers flexibility and work-life balance, we encourage you to explore this opportunity further.

About Our Company and the Role

Our company is dedicated to delivering high-quality healthcare services and support to our clients. We're committed to fostering a culture of excellence, innovation, and teamwork. As a remote Intake Coordinator, you will be an integral part of our Utilization Management team, working closely with healthcare providers, UM nurses, and other stakeholders to ensure that our clients receive the best possible care.

Key Responsibilities

• Manage the intake of provider requests through various modes of submission, including secure fax, e-form, and telephonic requests, ensuring timely and accurate processing.
• Create UM requests in accordance with our clients' policies and procedures, as well as documentation guidelines, to facilitate efficient review and decision-making.
• Provide current review status updates to requesting provider offices, receipt confirmations, and other relevant information to ensure transparency and satisfaction.
• Educate providers on our clients' UM processes and requirements, as well as clinical information requirements, to promote understanding and compliance.
• Support our UM nurses as needed to complete their clinical review requirements, ensuring that they have the necessary information and resources to make informed decisions.
• Perform other duties as assigned by the UM nurses, demonstrating flexibility and a willingness to adapt to changing priorities.
• Participate in department meetings, training, and audit activities, equivalent to our clients' employees, to stay informed and aligned with industry best practices.

Essential and Preferred Qualifications

To succeed in this role, you will need to possess a strong background in healthcare, particularly in Utilization Management. The ideal candidate will have:

• A minimum of 2 years of recent health plan experience, with a focus on Utilization Management or a related field.
• A high level of expertise in UM services, including knowledge of relevant regulations, guidelines, and industry standards.
• Experience with MCG Criteria is preferred, although not required, as it demonstrates familiarity with evidence-based clinical guidelines.
• Excellent communication and interpersonal skills, with the ability to effectively interact with healthcare providers, UM nurses, and other stakeholders.
• Strong analytical and problem-solving skills, with the ability to interpret complex information and make informed decisions.

Skills and Competencies Required for Success

In addition to the essential and preferred qualifications, the ideal candidate will possess the following skills and competencies:

• Proficiency in managing multiple priorities and tasks in a fast-paced environment.
• Ability to work independently in a remote setting, with minimal supervision.
• Strong organizational and time management skills, with the ability to meet productivity and quality standards.
• Excellent customer service skills, with a focus on provider satisfaction and experience.
• Ability to adapt to changing priorities and workflows, demonstrating flexibility and a willingness to learn.

Career Growth Opportunities and Learning Benefits

As a member of our team, you will have access to ongoing training and development opportunities, designed to enhance your skills and knowledge in Utilization Management. You will also have the opportunity to work with a talented and experienced team, gaining insights and expertise from industry professionals. Our company is committed to supporting the career growth and advancement of our employees, providing a pathway for professional development and success.

Work Environment and Company Culture

As a fully remote Intake Coordinator, you will enjoy the flexibility and work-life balance that comes with working from home. Our company culture is built on a foundation of teamwork, collaboration, and innovation, with a focus on delivering high-quality services and support to our clients. We prioritize the well-being and satisfaction of our employees, providing a positive and inclusive work environment that fosters growth and success.

Compensation, Perks, and Benefits

We offer a competitive hourly rate of $23 per hour (1099), with a expected 40 hours of work per week, Monday through Friday. Our company provides a comprehensive benefits package, including opportunities for professional growth and development, a flexible work environment, and access to cutting-edge technology and tools.

Why Join Our Team?

If you're a motivated and experienced Intake Coordinator looking for a challenging and rewarding role, we encourage you to apply for this exciting opportunity. As a member of our team, you will play a critical role in driving success in Utilization Management, working with a talented and experienced team, and enjoying the flexibility and work-life balance of a fully remote role.

Don't miss this opportunity to join our team and take your career to the next level. Apply now and let's discuss how you can contribute to our mission and vision!