Utilization Management Coordinator: Drive Quality Care

Liberty Health; Wilmington (NC); On-site; USD 42,000 - 65,000; Full time

Job summary

Liberty Health in Wilmington, NC, is seeking an experienced Utilization Management Administrative Coordinator to support the UM department on a day-to-day basis. Responsibilities include handling authorizations, maintaining timely processing, and supporting policy and workflow development.

The role requires strong medical terminology knowledge, excellent organizational and communication skills, and the ability to work independently in a fast-paced healthcare environment.

Qualifications

• 3–5 years of experience in a medical office or health insurance company.
• Expert in medical terminology.
• Excellent organizational and prioritization skills.
• Strong computer skills and ability to learn new systems.
• Detail oriented with strong interpersonal skills.

Responsibilities

• Day-to-day assistance with managing the Utilization Management department and activities including authorization and timeliness.
• Quality monitoring focusing on fax and authorization queues and other documents.
• Assist UM RNs and Director with projects as needed.
• Attend and contribute to internal UM meetings.
• Participate in on-call rotation when needed.
• Develop written policies, procedures and workflows.

Skills

Medical terminology

Organizational skills

Attention to detail

Problem solving

Communication skills

Independent work

Education

High School Diploma

Tools

Computer skills

Job description

Liberty Health in Wilmington, NC, is seeking an experienced Utilization Management Administrative Coordinator to support the UM department on a day-to-day basis. Responsibilities include handling authorizations, maintaining timely processing, and supporting policy and workflow development.

The role requires strong medical terminology knowledge, excellent organizational and communication skills, and the ability to work independently in a fast-paced healthcare environment.