Remote Utilization Management Support Specialist

New Paradigm Staffing; Tallahassee (FL); Remote; USD 21,000 - 34,000; Full time

Job summary

New Paradigm Staffing is seeking a detail-oriented Remote Utilization Management Support Clerk to help with clinical decision-making support. The role emphasizes organization, documentation, and supporting care review processes from a fully remote setting.

The position offers training in Utilization Management workflows, opportunities to grow within a healthcare-focused team, and a structure that emphasizes accuracy and patient safety in a compliant environment.

Qualifications

• Strong organizational and data management skills.
• Ability to follow detailed processes.
• Comfortable learning healthcare software.

Responsibilities

• Gather clinical documents needed for medical review.
• Upload and organize records in UM systems.
• Assist nurses and medical directors with administrative tasks.
• Track review requests and update case statuses.
• Maintain accuracy and HIPAA compliance in all workflows.

Skills

Organizational skills

Data management

Attention to detail

Follow detailed processes

Healthcare software learning

Job description

New Paradigm Staffing is seeking a detail-oriented Remote Utilization Management Support Clerk to help with clinical decision-making support. The role emphasizes organization, documentation, and supporting care review processes from a fully remote setting.

The position offers training in Utilization Management workflows, opportunities to grow within a healthcare-focused team, and a structure that emphasizes accuracy and patient safety in a compliant environment.