Care Coordinator, Utilization Management

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Job Description:

  • Oversee operational aspects of the Utilization Management team’s activities
  • Identify opportunities to streamline and optimize utilization management workflows
  • Improve efficiency and reduce administrative burden
  • Collaborate and communicate with internal departments, external partners, and vendors
  • Navigate efficiently between multiple electronic platforms
  • Meet standard performance and quality metrics
  • Perform other duties as required and assigned
  • Interact with UM physician reviewers, external payer partners, and vendors
  • Report to and work alongside the Manager of Operations, Utilization Management

Requirements:

  • High School diploma or equivalent required
  • Minimum of 2 years of experience in utilization management, healthcare operations, or a similar role
  • Excellent analytical, problem-solving, and decision-making skills
  • Strong communication and interpersonal skills, with the ability to collaborate effectively across multidisciplinary teams
  • Proficiency in utilization management software systems and Microsoft Office applications
  • Proven organizational and detail-orientation skills
  • US work authorization
  • Someone who embodies being Oaky
  • Radiating positive energy
  • Assuming good intentions
  • Creating an unmatched patient experience
  • Driving clinical excellence
  • Taking ownership and delivering results
  • Being relentlessly determined

Benefits:

  • Medical coverage
  • Dental coverage
  • Vision coverage
  • Paid time off
  • Retirement savings options
  • Wellness programs
  • Other resources supporting physical, emotional, and financial well-being
  • Comprehensive benefits package for eligible full-time colleagues
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