Utilization Management Coordinator – SNF

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🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $40k - $52.3k / year

⏰ Full Time

🟢 Junior

🖥️ Administration

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

⚕️ Healthcare Insurance

Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

📋 Description

• provide non-clinical support for policies ensuring appropriate treatment and 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 • 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