Utilization Management Data Coordinator- 40/hrs, Day Shifts (Temple Hospital Jeanes Campus)

Temple Health; Philadelphia (Philadelphia County); On-site; USD 55,000 - 85,000; Full time

Job summary

Temple Health in Philadelphia, PA, is seeking an Utilization Management Data Coord to support its team of nurses and physician advisors in authorizations and denials for hospitalized patients. The role emphasizes daily collaboration with providers and internal departments to ensure timely, accurate service authorizations.

Full-time, day shift with 40 hours per week; requires data management experience and knowledge of utilization management processes.

Qualifications

• 1 year experience in Data Management.
• 1 year experience in Utilization Management, Pre-Certifications or Denials.
• General experience in hospital or managed care utilization review and insurance requirements.

Responsibilities

• Supports the Utilization Management team to ensure timely authorizations and denials for hospitalized patients.
• Daily communication with providers and internal departments to ensure accurate authorizations.

Skills

Data Management

Utilization Management

Pre-Certifications/Denials

Hospital/Managed Care Experience

Education

High School Diploma or Equivalent

Bachelor's Degree Preferred

Combination of education and experience considered

Job description

7600 Central Avenue, Philadelphia, Pennsylvania, United States

Tracking Code

270053

Weekly Hours

40.00

Schedule

Full-Time

Shift

Day Shift

The Utilization Management Data Coord is responsible for supporting the Utilization Management team of nurses and physician advisors to ensure timely handling of authorizations, and denials for hospitalized patients. This role involves daily communication with providers and internal departments to ensure accurate authorization of services.

Education

• High School Diploma or Equivalent Required
• Bachelor's Degree Preferred or
• Combination of relevant education and experience may be considered in lieu of degree Required

Experience

• 1 year experience in Data Management Required
• 1 year experience in some combination of Utilization Management, Pre-Certifications or Denials Required
• General Experience in hospital or managed care utilization review and insurance requirements. Required

Your Tomorrow is Here!

Temple Health is a dynamic network of outstanding hospitals, specialty centers, and physician practices that is advancing the fight against disease, pushing the boundaries of medical science, and educating future healthcare professionals. Temple Health consists of Temple University Hospital (TUH), Fox Chase Cancer Center, TUH-Jeanes Campus, TUH-Episcopal Campus, TUH-Northeastern Campus, Temple Physicians, Inc., and Temple Transport Team. Temple Health is proudly affiliated with the Lewis Katz School of Medicine at Temple University.

To support this mission, Temple Health is continuously recruiting top talent to join its diverse, 10,000 strong workforce that fosters a healthy, safe and productive environment for its patients, visitors, students and colleagues alike. At Temple Health, your tomorrow is here!

Equal Opportunity Employer/Veterans/Disabled

An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.