US Tech Solutions · 19 hours ago
Utilization Management Specialist
United States
Contract
Remote
Entry Level
$28/hr - $29/hr
2+ years expUS Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. They are seeking a Utilization Management Specialist who will triage inpatient admission requests, perform data entry, and communicate with healthcare facilities regarding admissions. The role involves monitoring reports, coordinating with Care Management, and participating in departmental projects.
Information Technology
Responsibilities
Receive information by telephone or fax from physicians and hospitals regarding inpatient admissions
Obtain required information from caller and perform data entry into the system according to department documentation standards following department’s guidelines
Generate and process daily designated reports, letters, delegated discharge logs and workload
Process Out of Network Forms and update events as necessary
Monitor generated reports to ensure timely turn around and decisions
Coordinate with Care Management to ensure that the inpatient admission is immediately conveyed in order to update the admission record in a timely manner
Works closely with the Clinician staff to coordinate the month end reconciliation process and day to day resolution of pended cases
Participates in department projects and special assignments for cross-coverage purposes to meet strict daily processing deadlines
Assists with the documentation of workflows and procedures and cross-trains co-workers as needed
Attends scheduled meetings, training sessions in both classroom and computer-based required training sessions
Maintains a current procedure manual as changes occur
Performs additional related duties as assigned by UM Ops Management
Qualification
Required
2-3 years of Utilization Management or Care Management experience in a managed care setting
Associate's degree or equivalent experience
Company
US Tech Solutions
US Tech Solutions counted among the largest yet the fastest growing staffing firm; all achieved organically.
1001-5000 employees
H1B Sponsorship
US Tech Solutions has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (4)
2024 (9)
2023 (13)
2022 (24)
2021 (18)
2020 (14)
Funding
Current Stage
Late StageLeadership Team
Manoj Agarwal
Chief Executive Officer
Recent News
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