Utilization Review Administrative Specialist

Santa Barbara Cottage Hospital; United States; Remote; USD 42,000 - 62,000; Full time

Job summary

Teamswell is seeking a highly organized Utilization Review Administrative Coordinator to support our Utilization Review department. This role manages admissions and authorization communications, ensures accurate documentation, and maintains authorization records across systems.

You will submit CareOregon authorization requests, enter data into OpenPM, review for accuracy, flag missing information, and communicate clearly with facilities, payers, and clinical teams.

Qualifications

• Exceptional attention to detail and accuracy.

Responsibilities

• Manage the Authorization email, assign new intakes to the appropriate team member, and identify discharged, step-downs and changes in levels of care.
• Identify insurance or policy changes that could affect authorization or reimbursement and communicate them to the appropriate team member.
• Recognize urgent or time-sensitive authorization matters and ensure they are appropriately addressed.
• Submit assigned CareOregon authorization requests through the payer portal.
• Accurately enter authorization information into OpenPM.
• Review information for accuracy and identify discrepancies, missing documentation, or incomplete information.
• Follow assigned items through completion and ensure appropriate documentation is maintained.
• Communicate clearly and professionally with treatment facilities, clinical teams, payers, and internal team members.
• Learn payer requirements, authorization processes, and behavioral health levels of care.
• Provide additional administrative support to the Utilization Review team as needed.

Skills

Attention to detail

Organization

Communication

Problem solving

Learning agility

Accountability

Ownership

Professionalism

OpenPM

Tools

OpenPM

Job description

Teamswell is seeking a highly organized Utilization Review Administrative Coordinator to support our Utilization Review department. This role manages admissions and authorization communications, ensures accurate documentation, and maintains authorization records across systems.

You will submit CareOregon authorization requests, enter data into OpenPM, review for accuracy, flag missing information, and communicate clearly with facilities, payers, and clinical teams.