Care Coordination Specialist

2 weeks ago


Owings Mills, Maryland, United States System One Holdings, LLC Full time

System One Holdings, LLC is seeking a dedicated Utilization Management Coordinator to assist a prominent health insurance provider. This role is essential in supporting the Utilization Management clinical teams through various non-clinical administrative functions related to pre-service, utilization review, care coordination, and quality assurance.

Compensation: $24/HR
Work Environment: 100% Remote
Location Requirement: Must reside in DMV

Key Responsibilities:

  • Evaluate authorization requests for initial assessments and/or direct them for clinical evaluation and resolution.
  • Provide comprehensive support and coordination for the department, which includes managing incoming calls, taking messages, handling correspondence, researching information, and assisting in problem resolution.
  • Assist in reporting, data management, and the organization and dissemination of information, including the Continuity of Care process and tracking of Peer to Peer reviews.
  • Deliver administrative support related to members or providers.


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