Clinical Utilization & Resource Coordinator

Hartford HealthCare; Wethersfield (CT); On-site; USD 48,000 - 64,000; Full time

Job summary

Hartford HealthCare, located in Connecticut, is seeking a Clinical Resource Management Associate to support utilization management within the Care Management team. The role focuses on monitoring reports, EPIC work queues, and coordinating authorizations and denials.

The position requires two or more years in health care or managed care, a High School Diploma, and preferably Medical Administrative Assistant certification.

Qualifications

• High School Diploma required; Medical Administrative Assistant certification preferred.
• Two+ years professional work experience in health care, managed care, or insurance.
• Knowledge of confidentiality and HIPAA requirements is essential.
• Strong interpersonal and communication skills; able to manage priorities in a fast-paced environment.

Responsibilities

• Monitors and manages utilization management reports (Payer End of Day, UM list, Discharge Log).
• Monitors and manages EPIC work queues and updates authorization/denial information.
• Supports denials, appeals, and physician advisor communications.
• Triages department calls, voicemails, faxes, and Tiger Texts; communicates with payers and other departments.
• Scans/uploads documentation into the electronic health records; performs routine admin tasks.

Skills

Interpersonal skills

Communication

Time management

Organization

HIPAA confidentiality

Education

High School Diploma

Medical Administrative Assistant certification

Tools

EPIC

Job description

Hartford HealthCare, located in Connecticut, is seeking a Clinical Resource Management Associate to support utilization management within the Care Management team. The role focuses on monitoring reports, EPIC work queues, and coordinating authorizations and denials.

The position requires two or more years in health care or managed care, a High School Diploma, and preferably Medical Administrative Assistant certification.