2 Assist. Utilization Mgmt. Jobs in El Paso, TX
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Assist. Utilization Mgmt.
$51k-67k (estimate)
Full Time
3 Weeks Ago
University Medical Center of El Paso is Hiring an Assist. Utilization Mgmt. Near El Paso, TX
Job SummaryProvides technical support to the Utilization Management (UM) Department by ensuring that all referrals/authorizations, phones calls, reports are addressed and completed in a timely manner. Assists with gathering information for the health care team regarding barriers or other health information. Utilization Management Assistant will be cross-trained between all UR Technician teams. May serve as a key resource in supporting the clinical authorization processes, coordinating linkage between members, primary care providers, specialty providers and other insurance companies, which includes supporting the referral process from providers, as well as pre-authorization approvals and other services as ordered/requested by providers.
Skills
Two years of experience in a managed care organization or medical setting required. Prior medical office, hospital experience or MCO experience required preferred. Knowledge of Medicaid managed care and health plan processes preferred. Knowledge of medical terminology preferred. Basic Microsoft Office skills required.
License/Registration/Certification
Completion of the On-Demand Utilization Reviewer Technician certification required within 6 months of being in the position.
Education and Training
High School Diploma Or Equivalent Required. Associate Degree Preferred.PI241159253
Skills
- Ability to understand complex situations and interpersonal dynamics to effectively handle escalated customer and
- Well-organized individual with excellent and effective time management.
- Ability to work independently and as part of a team.
- Ability to establish and maintain effective working relationships with the provider office staff and peers.
- Ability to operate personal computer programs as well as complex medical management software.
- Excellent communication skills
- Bilingual (English/ Spanish) highly preferred.
- Ability to read and interpret Standard Operating Procedures and procedure manuals.
- Ability to write routine reports and correspondence.
- Ability to speak effectively before groups of customers and/or Associates of the organization.
- Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
- Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
- Ability to deal with problems involving several concrete variables in standardized situations.
Two years of experience in a managed care organization or medical setting required. Prior medical office, hospital experience or MCO experience required preferred. Knowledge of Medicaid managed care and health plan processes preferred. Knowledge of medical terminology preferred. Basic Microsoft Office skills required.
License/Registration/Certification
Completion of the On-Demand Utilization Reviewer Technician certification required within 6 months of being in the position.
Education and Training
High School Diploma Or Equivalent Required. Associate Degree Preferred.PI241159253
Job Summary
JOB TYPE
Full Time
SALARY
$51k-67k (estimate)
POST DATE
05/23/2024
EXPIRATION DATE
07/18/2024
WEBSITE
umcelpaso.org
HEADQUARTERS
El Paso, TX
SIZE
500 - 1,000
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