Senior Utilization Management Assistant

Agence PROvidence

United States

On-site

USD 34,000 - 48,000

Full time

7 days ago
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Job summary

Providence California Regional Services is seeking a Senior Utilization Management Assistant for a remote per diem role with day shifts. You will support the Care Management team and coordinate patient care, contributing to assessments and ongoing management of patients.

Role emphasizes strong customer service, clerical skills, and knowledge of insurance billing and managed care, with a focus on Epic systems and ADT access to support patient care workflows.

Qualifications

  • Experience in hospital, clinical or healthcare-related field is required.
  • Strong customer service and clerical skills are essential.
  • Knowledge of insurance billing and managed care desired.
  • Experience with EPIC systems and patient access is preferred.

Responsibilities

  • Provide support to the Care Management team and coordinate patient care.
  • Assist in initial and ongoing assessment and management of patients.

Skills

Customer service
Clerical skills
Insurance billing
EPIC
ADT access

Education

High School Diploma or GED
Some college coursework
Medical terminology coursework

Tools

EPIC
ADT Patient Access

Job description

Description

Senior Utilization Management Assistant - REMOTE position. This position is Per Diem and will work 8- hour, Day shifts.

Under the supervision of Regional Director of Care Management, the Utilization Management Coordinator is responsible for providing support to the Care Management team who coordinates care. This position works closely as a healthcare team member and performs complex tasks related to the overall team functions and activities identified during the initial and ongoing assessment and management of patients.

Providence caregivers are not simply valued – they’re invaluable. Join our team atProvidence California Regional Servicesand thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Required Qualifications:
  • 5 yearsHospital, clinical setting or healthcare related field.
  • 3 yearsdemonstrated outstanding customer service experience.
  • 3 yearsClerical and computer experience.
  • 3 yearsknowledge of insurance billing and managed care.
Preferred Qualifications:
  • Coursework/Training:Some college level course workor High School Diploma or GED equivalent or some college level course work preferred particularly Medical Terminology or Medical Assistance coursework.
  • Coursework/Training:Medical Terminology or Medical Assistantor High School Diploma or GED equivalent or some college level course work preferred particularly Medical Terminology or Medical Assistance coursework.
  • Coursework/Training:CHAAor High School Diploma or GED equivalent or some college level course work preferred particularly Medical Terminology or Medical Assistance coursework.
  • Within 6 months (180 days) of hire: CHAA (If in California).
  • 3 yearsEPIC Case Management and ADT Patient Access.
Why Join Providence?

Ourbest-in-class benefitsare uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering ourMissionof caring for everyone, especially the most vulnerable in our communities.

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