Remote Utilization Management Coordinator

Devoted Health Services, Inc; Waltham (MA); Remote; USD 30,000 - 37,000; Full time

Job summary

Devoted Health Services, Inc. is seeking a remote Utilization Management Coordinator to support Clinical Operations by managing intake, prior authorization, and clinical coordination workflows.

You will ensure timely case intake, accurate authorization setup, and proactive communication with members, providers, and internal teams in a fast-paced, highly regulated environment. The role emphasizes organization, attention to detail, and customer service as you navigate CMS guidance and audits while

Qualifications

• High school diploma or equivalent.
• Experience in healthcare operations, UM, care coordination, or prior authorization.
• Proficiency with healthcare systems, EHRs, and reporting tools.
• Effective communication with providers and members.
• Strong organizational and multitasking skills in a high‑volume environment.
• Attention to detail, follow‑through, and time management in a frequently changing environment.

Responsibilities

• Intake Management: Monitor intake queues, validate daily census, manage correspondence, and route referrals.
• Prior Authorization Support: set up authorizations and case creation, handle inquiries, review inpatient status and documentation.
• Clinical Coordination & Communication: obtain clinical information, communicate UM decisions, and coordinate P2P reviews.
• Post‑Discharge & Transitional Care Coordination: confirm admission/discharge, assist with discharge planning, and support care transitions.
• Operational & Reporting Support: review Looker/Snowflake reports, support RFIs, and maintain case status in systems.

Skills

Healthcare ops

Utilization mgmt

Care coordination

Prior authorization

EHR proficiency

Communication

Organization

Multitasking

Attention to detail

Time management

Education

High school diploma or equivalent

Job description

Devoted Health Services, Inc. is seeking a remote Utilization Management Coordinator to support Clinical Operations by managing intake, prior authorization, and clinical coordination workflows.

You will ensure timely case intake, accurate authorization setup, and proactive communication with members, providers, and internal teams in a fast-paced, highly regulated environment. The role emphasizes organization, attention to detail, and customer service as you navigate CMS guidance and audits while