UM Clinical Services Coordinator - Southeast / Central Region in Miami, FL at Beacon Health Options

Date Posted: 6/11/2018

Job Snapshot

Job Description

About the Position:

We are currently seeking a dynamic UM Clinical Services Coordinator join our Utilization Management team in Miami, FL! The UM Clinical Service s Coordinator assists clinical staff in enhancing their day-to-day functions by performing necessary tasks in order to allow for clinical efficiency throughout the UM Department. The UM Department Coordinator provides operational support and coordination of care efforts in the UM Department.   

This is a non-clinical staff position aimed to assist clinical staff in their day to day job responsibility, along with providing assistance to the UM Coordinator Supervisor in supportive tasks.

Position Responsibilities:

  • Provide support to the Utilization Management Clinical Teams.
  • Support the Utilization Management department in all administrative duties.
  • Answer provider and member calls and respond to inquiries as needed by UM clinical teams
  • Trouble shoot for UM teams when an appropriate provider, type of service, or appropriate level of care cannot be readily found
  • Provides information to members and providers regarding mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and policies and procedures as needed to support clinical teams
  • Assists in generating approval authorizations as supervised by licensed clinical staff
  • Performs various data entry to include:
    • Data entry of provider Outpatient Review Forms into e-services
    • Support e-services provider inquiries
    • Extending and fixing authorizations
    • Data entry of inpatient on-call/afterhours cases 
  • Assists in the adhoc processes.

Position Requirements:

  • Education: High School diploma or GED equivalent education required, Associates degree or higher preferred
  • Relevant Work Experience: 2-3 years of experience in administrative support position required
  • Knowledge, Skills, & Abilities
    • Must have great customer service and communication skill and able to manage and coordinate with internal and external departments as needed
    • Must be self-motivated, able to prioritize multiple issues, have excellent organizational skills, and the ability to track multiple projects/tasks and follow through as needed
    • Must be highly proficient in Word, Excel

To Apply:

Click below on “Apply for this Position” to create a profile and apply for the position

Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment.  EOE/AA/M/F/Veterans/Disabled

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