Utilization Management Coordinator I - Care Coordination

Ampcus, Inc; Reston (VA); On-site; USD 45,000 - 65,000; Full time

Job summary

A global consulting firm located in Reston, VA, is seeking a highly motivated Utilization Management Coordinator - I to support the clinical teams with administrative tasks related to pre-service utilization review and care coordination. The ideal candidate should have strong analytical and communication skills, knowledge of medical terminology, and experience in a healthcare setting with at least 3 years in related roles. This position offers an opportunity to work in a collaborative environment with a focus on quality of care.

Qualifications

• Ability to effectively participate in a multidisciplinary team.
• Knowledge of basic medical terminology and concepts used in managed care.
• Ability to pay attention to minute details.

Responsibilities

• Performs member or provider related administrative support.
• Reviews authorization requests for initial determination.
• Provides general support and coordination services for the department.

Skills

Strong analytical skills

Electronic efficiency

Excellent communication skills

Organizational skills

Customer service skills

Education

High School Diploma

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Job description

A global consulting firm located in Reston, VA, is seeking a highly motivated Utilization Management Coordinator - I to support the clinical teams with administrative tasks related to pre-service utilization review and care coordination. The ideal candidate should have strong analytical and communication skills, knowledge of medical terminology, and experience in a healthcare setting with at least 3 years in related roles. This position offers an opportunity to work in a collaborative environment with a focus on quality of care.