Senior Utilization Management Assistant - Utilization Management FT DAY - REMOTE

Agence PROvidence; Irvine (CA); Remote; USD 65,000 - 85,000; Full time

Job summary

Providence California Regional Services is seeking a Senior Utilization Management Assistant for a remote, full-time role. You will support the Care Management team in coordinating patient care and handling administrative tasks, ensuring efficient workflows in a hospital/healthcare setting.

The position requires several years of healthcare experience, strong customer service, and familiarity with insurance billing and managed care.

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.

Responsibilities

• Provide support to the Care Management team who coordinates care.
• Assist in complex tasks related to patient assessment and management as directed.

Skills

Customer service

Clerical work

Healthcare experience

Insurance billing knowledge

Team coordination

Education

High School Diploma or GED

CHAA certification or equivalent

Medical Terminology training

Tools

EPIC

ADT Patient Access

Job description

Senior Utilization Management Assistant- REMOTE position. This position is Full time 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 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?

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.