Senior Utilization Management Assistant - Utilization Management Remote Per Diem,Variable

Providence; Torrance (CA); Remote; USD 34,000 - 55,000; Full time

Job summary

This role focuses on complex tasks related to patient assessment and management, coordinating with the healthcare team to ensure efficient utilization and high-quality care. The position requires hospital or clinical experience, strong customer service, and the ability to work autonomously in a remote setting.

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

• Support the Care Management team in coordinating care
• Perform complex tasks related to assessment and management of patients
• Collaborate with the healthcare team to support utilization management
• Under supervision of Regional Director of Care Management, assist with care coordination

Skills

Customer service

Clerical experience

Computer skills

Insurance billing

Managed care

Education

High School Diploma or GED

Medical Terminology coursework

CHAA certification

Job description

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

• Some college level course work High School Diploma or GED equivalent or some college level course work preferred particularly Medical Terminology or Medical Assistance coursework.
• Medical Terminology or Medical Assistant, or equivalent education/experience.
• CHAA, or equivalent education/experience.
• CHAA (If in California) within 6 months (180 days) of hire.
• 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.