Care Coordinator, Utilization Management
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