Senior Remote Utilization Management Specialist (Per Diem)

Providence; Irvine (CA); Remote; USD 55,000 - 75,000; Full time

Job summary

Providence California Regional Services is seeking a Senior Utilization Management Assistant for a remote Per Diem role, with 8-hour day shifts. You will support the Care Management team in assessment and coordination of patient care, contributing to a patient-focused culture and mission of care.

The role requires healthcare experience, strong customer service, clerical skills, and knowledge of insurance billing.

Qualifications

• 5 years hospital, clinical setting or healthcare related field.
• 3 years demonstrated outstanding customer service experience.
• 3 years Clerical and computer experience.
• 3 years knowledge of insurance billing and managed care.
• Preferred CHAA certification or related coursework.

Responsibilities

• Provide support to the Care Management team during patient assessment and management.
• Coordinate care activities as a healthcare team member under supervision.
• Handle complex administrative tasks related to utilization management.

Skills

Healthcare

Customer Service

Clerical Work

Insurance Billing

Care Management

Education

CHAA certification

High School Diploma or GED

Some college coursework

Tools

EPIC Case Management

ADT Patient Access

Job description

Providence California Regional Services is seeking a Senior Utilization Management Assistant for a remote Per Diem role, with 8-hour day shifts. You will support the Care Management team in assessment and coordination of patient care, contributing to a patient-focused culture and mission of care.

The role requires healthcare experience, strong customer service, clerical skills, and knowledge of insurance billing.