Remote Care Coordinator — Utilization Management

CVS Health Corporation; United States; Remote; USD 48,712,000 - 89,687,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

Oak Street Health is hiring a Care Coordinator for Utilization Management to oversee UM operations, optimize workflows, and ensure efficient patient care delivery. The role involves collaborating with UM physicians, payers, and vendors in a remote setting.

Requires 2+ years in UM/healthcare ops, strong analytical and communication skills, and proficiency in UM software and MS Office. US work authorization is required, and the team emphasizes an Oaky culture and patient-centered care.

Qualifications

• High School diploma or equivalent required.
• Minimum of 2 years of experience in utilization management or healthcare operations.
• Excellent analytical, problem-solving, and decision-making skills.
• Strong communication and interpersonal skills for cross-disciplinary collaboration.
• Proficiency in utilization management software systems and Microsoft Office.

Responsibilities

• Oversee day-to-day operations of the Utilization Management department.
• Identify opportunities to streamline UM workflows and reduce administrative burden.
• Collaborate with internal departments, external partners, and vendors.
• Navigate multiple electronic platforms efficiently.
• Meet standard performance and quality metrics.
• Perform other duties as required.

Skills

Analytical skills

Problem-solving

Decision-making

Communication

Interpersonal skills

Organizational skills

Team collaboration

US work authorization

Education

High School diploma or equivalent

Tools

Utilization management software

Microsoft Office

Job description

Oak Street Health is hiring a Care Coordinator for Utilization Management to oversee UM operations, optimize workflows, and ensure efficient patient care delivery. The role involves collaborating with UM physicians, payers, and vendors in a remote setting.

Requires 2+ years in UM/healthcare ops, strong analytical and communication skills, and proficiency in UM software and MS Office. US work authorization is required, and the team emphasizes an Oaky culture and patient-centered care.