Mark Powers

Utilization Review Care Coordinator LEAD  HealthCare Support is actively seeking a Utilization Review Care Coordinator LEAD to fill an opening in Houston, Texas. Daily Responsibilities for Utilization Review Care Coordinator LEAD:

• Assists in monitoring reports and refers to appropriate UM Nurse or Manager.
• Responding and forwarding calls efficiently and in a timely and professional manner to appropriate nursing staff, medical staff, or other departments when appropriate.
• Review and process fax and telephone requests to meet departmental key metrics and productivity standards, maintain established threshold for case data entry accuracy within compliance timeframes.
• Actively contributes to achievement of departmental goals, as identified in Department’s annual business plan, including specific departmental process improvement plans and other duties as assigned.
• 4 days per week 7:30-18:00

Required Qualifications for Utilization Review Care Coordinator LEAD:

• High School or equivalent; some years College, preferred
• 5 years’ experience in Referrals/Authorizations.  
• Insurance-related experience in a managed care environment or health plan experience.

Preferred Qualifications for Utilization Review Care Coordinator LEAD:

• Optum are the preferred systems.
• Epic, HealthEdge, Qnxt, and similar platforms may also be considered.
• Remote

 Benefits for Utilization Review Care Coordinator LEAD:

• Health Insurance
• Dental Insurance
• Life Insurance
• Employee Assistance Program (EAP)
• Access to Investment Accounts
• Career and educational tools within our Ingenovis ACT (advocacy) Program

Pay Details: $25 - $29/ Hour Interested in Being Considered? If you are interested in applying to this position, please click Apply Now for immediate consideration. For additional questions, you may contact us at [email protected]. Please include your phone number, Job Title, and location and our recruiters will reach out. Healthcare Support Staffing, LLC is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.