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Santa Barbara Cottage Hospital is seeking a Utilization Management (UM) Coordinator to support the administrative functions of the utilization review process. This role involves processing authorizations, coordinating with healthcare professionals, and ensuring compliance with regulatory guidelines. Ideal candidates will possess knowledge of medical terminology, strong organizational skills, and 2+ years of experience in a health plan environment, along with the ability to communicate effectively in both English and Spanish.
We are transforming healthcare to be value-driven, creating a seamless, consumer-centric care experience that maximizes value for all.
We believe that all health consumers are entitled to high quality, coordinated healthcare. We uniquely align the interests of health consumers, providers, and payors to make high-quality healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid.
The Utilization Management (UM) Coordinator supports the coordination, processing, and administrative functions of the utilization review process. This role ensures timely and appropriate review of healthcare services in accordance with established guidelines and regulatory requirements, working closely with UM nurses, physicians, and other healthcare professionals.
Key Responsibilities:
Qualifications:
Skills:
For individuals assigned to a location(s) in California, NeueHealth is required by law to include a reasonable estimate of the compensation range for this position. Actual compensation will vary based on the applicant’s education, experience, skills, and abilities, as well as internal equity. A reasonable estimate of the range is $19.27-$28.91 Hourly.
Additionally, employees are eligible for health benefits; life and disability benefits, a 401(k) savings plan with match; Paid Time Off, and paid holidays.