Senior Utilization Management Assistant - Utilization Management: Remote: Part time Evening

Agence PROvidence; United States; Remote; USD 28,000 - 39,000; Part time

Job summary

Providence California Regional Services is hiring a Senior Utilization Management Assistant for a remote, part-time evening shift role. You will support the Care Management team, coordinating patient care and handling complex tasks during assessments and management.

The position emphasizes patient-focused care and collaboration in a healthcare setting. Requirements include extensive hospital/healthcare experience, strong customer service, clerical skills, and knowledge of insurance billing and

Qualifications

• 5 years hospital, clinical setting or healthcare 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 and coordinate patient care.
• Assist with initial and ongoing assessment and management of patients.
• Work with the healthcare team to perform complex administrative tasks.

Skills

Customer service

Clerical

Computer skills

Insurance billing

Managed care

Healthcare experience

Education

Some college coursework or High School Diploma or GED

Medical Terminology training

Tools

EPIC Case Management

ADT Patient Access

Job description

Description

Senior Utilization Management Assistant - REMOTE position. This position is Part tinme and will work 8- hour, Evening 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?

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.