Remote Utilization Management Coordinator

Astrana Health, Inc.

Los Angeles (CA)

Remote

USD 30,000 - 33,000

Full time

5 days ago
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Job summary

Astrana Health, Inc. is seeking a remote Utilization Management Coordinator to support the UM program from California. You will process referrals, authorizations, and reviews, ensuring timely, compliant handling of health plan requirements.

This full-time role offers an hourly rate of $22–$24, with typical daytime hours and possible OT. You will collaborate with providers, health plans, and internal teams to deliver efficient case management while maintaining strict confidentiality.

Qualifications

  • Experience with authorizations or referrals in healthcare.
  • Minimum of two years in a managed care environment (IPA or MSO preferred).
  • Knowledge of medical terminology, CPT, and ICD-9 codes.
  • Proficient with Microsoft Office applications.
  • Strong organizational and written/verbal communication skills.

Responsibilities

  • Process routine and urgent treatment authorization requests according to policy.
  • Verify provider status, eligibility, and contracted facilities.
  • Attach notes to authorizations and route referrals to correct queues.
  • Maintain confidentiality and communicate with providers and internal teams.
  • Meet daily target turnaround times for UM referrals.

Skills

Healthcare coordination
Communication skills
Multitasking
Detail-oriented
Team player

Education

High School Diploma
Bachelor's in Healthcare Administration

Tools

Microsoft Office

Job description

Astrana Health, Inc. is seeking a remote Utilization Management Coordinator to support the UM program from California. You will process referrals, authorizations, and reviews, ensuring timely, compliant handling of health plan requirements.

This full-time role offers an hourly rate of $22–$24, with typical daytime hours and possible OT. You will collaborate with providers, health plans, and internal teams to deliver efficient case management while maintaining strict confidentiality.

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