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About the role
The UM Administration Coordinator 2 provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members. Decisions typically focus on interpretation of area/department policy and methods for completing assignments. You will work within defined parameters to identify work expectations and quality standards, but have some latitude over prioritization/timing, and works under minimal direction. Found on 1752vc Careers, the job board for startup and VC roles.
What they're looking for
- Must reside in Michigan
- One (1) or more years of administrative experience in a healthcare environment
- Strong verbal and written communication skills to support stakeholder communication and coordination
- Working knowledge of Microsoft Word, Excel, and Outlook in a Windows-based environment and the ability to learn new software and systems
- Experience with LTSS programs
- Experience with LTSS Utilization Review and/or Prior Authorization, preferably within a managed care organization
More about this role
The UM Administration Coordinator 2 provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members. Decisions typically focus on interpretation of area/department policy and methods for completing assignments. You will work within defined parameters to identify work expectations and quality standards, but have some latitude over prioritization/timing, and works under minimal direction. You will follow standard policies and practices that allow for some opportunity for interpretation/deviation and independent discretion.
Provide Long- Term Services and Supports (LTSS) UM support by managing shared mailboxes and entering data into work queues and/or clinical documentation systems.
Mail letters/educational material, prepare documents for LTSS UM (Utilization Management) reviewers and Medical Directors, and perform other administrative responsibilities as assigned.
Ensure the timely and correct submission of state-required deliverables.
Work with care coordinators and other internal and external stakeholders who guide members and their families toward and facilitate interaction with resources appropriate for...
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