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Utilization Management Coordinator

Judge Healthcare is actively seeking full time Utilization Management Coordinators for California's leading healthcare system!!
This position is located in Monterey Park, CA!
Utilization Management Coordinator Job Description:

  • Add support for the licensed UM personnel

  • Act as a resource to providers or members for benefit/provider/health plan information

  • Provide the first line of telephonic response for incoming calls in the UM Department

  • Collect data for UM reports pertaining to the pre-authorization and concurrent review processes

  • Other duties as requested by the Supervisor/Director of Utilization Management including supporting other members of the department as necessary

  • Administers all reports required by regulatory agencies


The following qualifications must be met to be considered for the Utilization Management Coordinator:

  • 1 year of related work experience

  • Computer Literate, using multi-programs (3-4 programs at a time)

  • Customer Service skills

  • SBG Code ICD9/10


Please send your MOST UP TO DATE resume to Joanne at jvillaruz@judge.com or call Joanne at 949-383-2535 .
Thank you so much!
Joanne
Judge Group Job Order ID: 562541
Salary: Open
Company Description:

Working at the crossroads of people and transformative technologies, The Judge Group delivers innovative business solutions €“ powered by top talent €“ to help organizations reach their strategic goals and realize opportunities now and in the future.


The Judge Group is a leading professional services firm specializing in technology, talent, and learning solutions. Our services are successfully delivered through a network of more than 35 offices in the United States, Canada, China, and India. The Judge Group serves more than 40 Fortune 100 companies and is responsible for the placement of more than 4,500 professionals annually across a wide range of industries. To learn more, visit www.judge.com.




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