# Utilization Management (UM) Coordinator

**Company**: Humana Inc.
**Location**: Remote Oklahoma
**Work arrangement**: remote
**Job type**: full-time
**Salary**: $40,000 - $52,300 per year
**Category**: Healthcare
**Industry**: Healthcare

**Apply**: https://humana.wd5.myworkdayjobs.com/en-US/Humana_External_Career_Site/job/Remote-Oklahoma/UM-Administration-Coordinator_R-433845?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_0434f795-f8e

## Description

The Utilization Management (UM) Coordinator contributes to the administration of Utilization Management.

**Job Responsibilities:**

- Provide non-clinical support for policies and procedures to ensure best and most appropriate treatment, care, or services for enrollees.

- Assist providers with discharge planning for enrollees with inpatient stays or outpatient physical health.

- Work on special projects with the clinical team.

- Complete provider-facing responsibilities.

**Required Qualifications:**

- Reside in Oklahoma.

- 1 or more years of administrative or technical support experience.

- Working knowledge of MS Office, including Word, Excel, and Outlook in a Windows-based environment, and an ability to quickly learn new systems.

**Preferred Qualifications:**

- Proficient in using electronic medical records and documentation programs.

- Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization.

- Proficient in medical terminology and/or ICD-10 codes.

- Bachelor's degree in Business, Finance, or a related field.

- Prior member service or customer service telephone experience desired.

**Additional Information:**

- Occasional Saturday rotations may be required.

- Must have a dedicated workspace with minimal interruptions to protect member PHI/HIPAA information.

- Travel to Humana's offices for training or meetings may be required.

**Scheduled Weekly Hours:** 40

**Pay Range:** $40,000 - $52,300 per year

**Benefits:** Humana offers competitive benefits that support whole-person well-being, including medical, dental, and vision benefits, 401(k) retirement savings plan, time off, short-term and long-term disability, life insurance, and more.

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## Skills

### Required
- MS Office
- Windows
- administrative support

### Nice to have
- electronic medical records
- Utilization Review
- Prior Authorization
- medical terminology
- ICD-10 codes

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Source: [Apply at humana.wd5.myworkdayjobs.com](https://humana.wd5.myworkdayjobs.com/en-US/Humana_External_Career_Site/job/Remote-Oklahoma/UM-Administration-Coordinator_R-433845?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)
