Utilization Management Coordinator jobs in United States
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MedStar Health · 10 hours ago

Utilization Management Coordinator

MedStar Health is seeking a detail-oriented and customer-focused Clinical Operations Administrative Coordinator to provide essential administrative and operational support to their Utilization Management and Clinical Operations team. The role involves managing authorization intake, serving as a communication liaison, supporting clinical operations, and ensuring compliance with operational standards.

HealthcareHealth CareMedical
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H1B Sponsor Likelynote

Responsibilities

Manage Authorization Intake & Documentation Review and screen incoming clinical documents; build shells for preauthorization and maternity requests; enter accurate data into clinical systems; update case notes; request missing medical documentation; and ensure timely follow-up and “closed-loop” communication
Serve as Primary Communication Liaison Professionally manage incoming calls (ACD line coverage), faxes, and correspondence; communicate authorization status to providers and members; disseminate messages appropriately; and represent MedStar Health with professionalism and service excellence
Support Clinical Operations & Quality Initiatives Collaborate with UM nurses and interdisciplinary teams; organize data for targeted initiatives; maintain outreach tracking; prepare meeting minutes; participate in service improvement efforts; and support special projects as assigned
Ensure Compliance & Operational Excellence Adhere to departmental goals, quality standards, safety protocols, and regulatory requirements while maintaining accurate, timely documentation within clinical systems

Qualification

Medical office experienceMicrosoft OfficeTyping proficiencyMedical terminologyMultitasking skillsOrganizational skillsCommunication skillsTeam collaboration

Required

High School Diploma or GED required
1-2 years of clerical or office experience required
Typing proficiency of 50+ WPM
Strong Microsoft Office skills (Word & Excel)
Comfortable navigating multiple computer systems
Strong multitasking, prioritization, and organizational skills
Excellent verbal and written communication skills
Ability to work independently while collaborating effectively in a team environment

Preferred

Associate's degree preferred
Medical office and/or healthcare customer service experience preferred
Knowledge of medical terminology preferred

Company

MedStar Health

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MedStar Health is a not-for-profit healthcare organization

H1B Sponsorship

MedStar Health 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 (18)
2024 (13)
2023 (14)
2022 (14)
2021 (12)
2020 (14)

Funding

Current Stage
Late Stage
Total Funding
$29M
Key Investors
American Medical AssociationAgency for Healthcare Research and QualityA. James and Alice B. Clark Foundation
2023-06-21Grant
2022-09-27Grant· $2M
2020-07-03Grant· $27M

Leadership Team

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David Mayer
Executive Director MedStar Institute for Quality and Safety Quality and Safety CEO Patient Safety Mo
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Company data provided by crunchbase