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Utilization Management Coordinator (100% REMOTE)

  2024-11-21     Amerit Consulting     Butte,MT  
Description:

Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of largest health delivery systems in California, seeks an accomplished Utilization Management Coordinator.

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NOTE- THIS IS A 100% REMOTE ROLE & ONLY W2 CANDIDATES/NO C2C/1099



*** Candidate must be authorized to work in USA without requiring sponsorship ***



Position Title – Utilization Management (Job ID – 2687263)

Location: Los Angeles CA 90024 (100% Remote acceptable)

Duration: 6 months contract w/ possibility of extension

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Utilization Management Tech (3)

Location: Remote (CLIENT will provide necessary equipment)

Shift: M-F 8-5 PST

Duration: 26 weeks

Required Experience:

Coordinator experience, Health Plan Experience, EMR experience, EPIC preferred



Job Description:



  • You will receive urgent, routine, pre-service, and retro authorization requests, as well as process prior authorization requests with accuracy and timeliness.
  • This will involve the use of various business applications to perform analysis, obtain information, and enter prior authorization data necessary for claims adjudication.
  • You will use your critical thinking skills to identify missing information and make prior authorization processing determinations based on clinical protocols and other guidelines.
  • You will also interact with internal and external customers to provide and obtain information and ensure the delivery of outstanding service and quality.




Bhupesh Khurana

Lead Technical Recruiter

Email – ...@ameritconsulting.com



Company Overview:


Amerit Consulting is an extremely fast-growing staffing and consulting firm. Amerit Consulting was founded in 2002 to provide consulting, temporary staffing, direct hire, and payrolling services to Fortune 500 companies nationally, as well as small to mid-sized organizations on a local & regional level. Currently, Amerit has over 2,000 employees in 47 states. We develop and implement solutions that help our clients operate more efficiently, deliver greater customer satisfaction, and see a positive impact on their bottom line. We create value by bringing together the right people to achieve results. Our clients and employees say they choose to work with Amerit because of how we work with them - with service that exceeds their expectations and a personal commitment to their success. Our deep expertise in human capital management has fueled our expansion into direct hire placements, temporary staffing, contract placements, and additional staffing and consulting services that propel our clients businesses forward.


Amerit Consulting provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Applicants, with criminal histories, are considered in a manner that is consistent with local, state and federal laws


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