Utilization Management Coordinator - Growth & Impact

Harbor Health; United States; Remote; USD 28,000 - 39,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

401(k) Plan

Generous PTO

Job summary

Harbor Health in Texas is seeking an UM Coordinator to provide administrative and operational support to the Utilization Management team. You will assist with intake and setup of authorization requests and coordinate clinical information.

The role ensures accurate documentation and tracking of authorization cases, supports timely determinations by the UR vendor, and communicates with providers, members, and facilities while upholding HIPAA standards.

Qualifications

• MA certification or equivalent clinical support experience
• 3-5 years of experience in care coordination or utilization management
• Knowledge of medical terminology
• Experience with utilization management platforms
• Strong organizational and documentation skills
• Excellent verbal and written communication skills

Responsibilities

• Monitor incoming notifications for prior authorization, inpatient admissions, and transition of care requests.
• Assist with creating and initiating authorization cases in the UM platform, ensuring accurate entry of required information.
• Track authorization requests and maintain detailed case documentation throughout the utilization review workflow.
• Ensure all required clinical documentation and supporting records are uploaded into the UM system.
• Maintain internal tracking tools and spreadsheets to support authorization tracking and workflow management.
• Prepare cases for review by organizing documentation and updating case status for UR vendor.

Skills

Medical Assistant certification

Care coordination experience

Medical terminology

Utilization management platforms

Organizational skills

Verbal and written communication

Job description

Harbor Health in Texas is seeking an UM Coordinator to provide administrative and operational support to the Utilization Management team. You will assist with intake and setup of authorization requests and coordinate clinical information.

The role ensures accurate documentation and tracking of authorization cases, supports timely determinations by the UR vendor, and communicates with providers, members, and facilities while upholding HIPAA standards.