Senior Utilization Management Assistant

Providence; Remote; USD 60,000 - 80,000; Full time

Job summary

A healthcare organization in Irvine seeks a Utilization Management Coordinator to support the Care Management team. This role involves crucial tasks related to patient assessment and management in a collaborative healthcare environment. The candidate should have experience in customer service, clerical skills, and knowledge of insurance billing. With a focus on patient-centered care, this position offers a full-time schedule with multiple shifts available and competitive pay ranging from $24.00 to $35.77 per hour.

Qualifications

• 5 years in hospital, clinical setting or healthcare related field.
• 3 years in outstanding customer service experience.
• 3 years of clerical and computer experience.

Responsibilities

• Support the Care Management team who coordinates care.
• Perform complex tasks related to patient management.
• Collaborate closely with healthcare team members.

Skills

Customer service

Clerical skills

Insurance billing knowledge

Education

High School Diploma or GED

Medical Terminology or Medical Assistant coursework

Tools

EPIC Case Management

Job description

Description

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 at Providence California Regional Services and 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 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 Qualifications

• Coursework/Training Some college level course work Or equivalent educ/experience
• 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 Assistant Or equivalent educ/experience
• Coursework/Training CHAA Or equivalent educ/experience
• Within 6 months (180 days) of hire: CHAA (If in California)
• 3 years EPIC Case Management and ADT Patient Access.

Why Join Providence?

Our best-in-class benefits are 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 our Mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate’s placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

About the Team

The Sisters of Providence and Sisters of St. Joseph of Orange have deep roots in California, bringing health care and education to communities from the redwood forests to the beach shores of Orange county – and everywhere in between. In Southern California, Providence provides care throughout Los Angeles County, Orange County, High Desert and beyond.

Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women’s services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Requsition ID: 410115

Company: Providence Jobs

Job Category: Health Information Management

Job Function: Revenue Cycle

Job Schedule: Full time

Job Shift: Multiple shifts available

Career Track: Admin Support

Department: 7000 UTILIZATION MGMT OCHD

Address: CA Irvine 15480 Laguna Canyon Rd

Work Location: Providence System Offices Discovery Park-Irvine

Workplace Type: Remote

Pay Range: $24.00 – $35.77

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.