[Hiring] Utilization Management Coordinator @Alignment Health

Role Description

Alignment Health is seeking an organized, detail-oriented and customer service oriented inpatient utilization management (UM) coordinator to join the UM team. As an inpatient UM coordinator, you will assist with managing census and admissions, retrieve medical records, and discharge planning while working with the case management (CM) supervisor, manager, and director of healthcare services.

If you are hungry to learn and grow, want to be part of a growing organization, and make a positive impact in the lives of seniors – we’re looking for you!

Qualifications

• Inpatient concurrent review experience
• Experience with census and admission management
• Experience in discharge planning
• Experience entering referrals and prior authorizations
• Experience with Medicare Advantage
• Experience with hospital and/or facilities backend admissions
• Knowledge of medical terminology
• Knowledge of ICD10 and CPT codes
• Knowledge of Medicare, HMO, MMO, managed care plans
• Computer proficient
• Medical assistant experience preferred
• Knowledge working in Access Express/Portal, Epic preferred

Requirements

• High school diploma or general education degree (GED) or (4) years' additional experience in lieu of education
• Medical Terminology Certificate preferred

Benefits

• Proficient in Microsoft Office (Outlook, Excel, Word)
• Able to type minimum 50 words-per-minute (WPM)
• Organized and detail oriented
• File systematically
• Good interpersonal skills
• Strong written, verbal, and telephonic communication skills
• Able to read, write, and speak English fluently

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Physical Functions

• While performing the duties of this job, the employee is regularly required to talk or hear.
• The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
• The employee frequently lifts and/or moves up to 10 pounds.
• Specific vision abilities required by this job include close vision and the ability to adjust focus.

Pay Range

$41,472.00 - $62,208.00. Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.

Equal Opportunity Statement

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.

Disclaimer

Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/ . If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email [email protected] .