Behavioral Health Utilization Management Administration Coordinator

Become a part of our caring community   The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator 2 performs basic administrative, clerical, operational, customer support, and computational tasks working on semi-routine and patterned assignments. The UM Administration Coordinator provides non-clinical support, following established policies and procedures ensuring best and most appropriate treatment, care, or services for members.  Prepare and forward authorization request to clinical review Works within defined parameters to identify work expectations and quality standards, but has some autonomy over prioritization/timing. Must be passionate about contributing to an organization focused on continuously improving consumer experiences.

Complete inbound and outbound provider calls to answer UM related questions and prepare authorization request for clinical review Document calls and attach clinical information to the member’s medical record Create and send out written correspondence Ability to multitask and prioritize Collaborate with multiple roles/departments/providers/team members Use your skills to make an impact   Required Qualifications Minimum 1 year administrative experience in healthcare field. Excellent verbal and written communication skills Working knowledge of MS Office including Word, Excel, and Outlook in a Windows based environment and an ability to quickly learn new systems and ability to troubleshoot and resolve basic technical difficulties in a remote environment.

Proficient utilizing electronic medical record and documentation programs Prior member service or customer service telephone experience desired Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization Clerical support background in a healthcare environment Familiarity with medical terminology and/or ICD-10 codes Workstyle: Remote work at home Preferred Location: Louisiana or Oklahoma Training Schedule: Must be able to attend training schedule. Monday through Friday; 8:00 AM - 5:00 PM Central Time Work Schedule:   Monday through Friday 8:00 AM - 5:00 PM Central with rotating holidays and weekends   Travel: Minimal travel for office meetings 1-2 times annually as business needs require Additional Information Section 1121 of the Louisiana Code of Governmental Ethics states that current or former agency heads or elected officials, board or commission members or public employees of the Louisiana Health Department (LDH) who work directly with LDH’s Medicaid Division cannot be considered for this opportunity. A separation of two (2) or more years from LDH is required for consideration. Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.   Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.   Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.   $40,000 - $52,300 per year   Description of