California Licensed Utilization Coordinator
Company: VirtualVocations
Location: Vista
Posted on: May 21, 2025
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Job Description:
A company is looking for a Utilization Management Coordinator
(Work from home).
Key Responsibilities:
Receive, review, and process incoming requests for authorization of
medical services
Coordinate with providers, members, and internal clinical staff to
gather necessary documentation for utilization reviews
Enter authorization requests and updates into the utilization
management system accurately and promptly
Qualifications:
High School Diploma or equivalent required; Associate's degree or
healthcare certification preferred
2+ years of experience in health plan environment; experience in
utilization management or case management support strongly
preferred
Capacity to interpret health plan benefit decisions
Bilingual required (English/Spanish)
Certification as a Medical Assistant preferred
Keywords: VirtualVocations, Glendale , California Licensed Utilization Coordinator, Other , Vista, California
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