Experienced Utilization Management Intake Coordinator – Medical Assistant – Remote Opportunity for a Dynamic Healthcare Professional

Introduction to Workwarp and the Role

Workwarp, a leading innovator in healthcare solutions, is seeking an experienced and highly motivated Utilization Management Intake Coordinator – Medical Assistant to join our team. As a key member of our Utilization Management (UM) program, you will play a vital role in supporting clinical, management, and client activities. This is an exceptional opportunity for a detail-oriented and customer-focused individual to contribute to the success of our organization while working remotely.

Job Summary

The Utilization Management Intake Coordinator – Medical Assistant will be responsible for facilitating the intake process for our UM program, ensuring seamless communication between patients, families, colleagues, and community-based organizations. You will gather clinical information, determine appropriate case referrals, and maintain accurate tracking databases. Your exceptional customer service skills, ability to work independently, and proficiency in MS Office Suite will make you an invaluable asset to our team.

Key Responsibilities

• Attend and actively participate in meetings as required, collaborating with social workers and care managers to develop action plans.
• Facilitate communication between all parties, including patients, families, colleagues, and community-based organizations, to ensure coordinated care.
• Gather clinical information regarding cases and determine the appropriate area for referral or case assignment, including utilization management, case management, QI, and Med Review.
• Maintain and update tracking databases to ensure accurate and timely information.
• Prepare reports and document clear, concise notes on all actions, promoting engagement and high enrollment with members for case management to help achieve health goals.
• Provide information regarding network providers or general program information when requested, working to identify social determinants of health impacting patients' health and general well-being.
• Collaborate with external community-based organizations to facilitate and coordinate care under the direction of an RN Case Manager.
• Perform other duties as assigned, demonstrating your flexibility and commitment to the team's success.

Essential Qualifications

To be considered for this exciting opportunity, you must possess the following essential qualifications:

• High School diploma or equivalent, with an Associate's degree in Human Services, Psychology, or a related field preferred.
• Certified Medical Manager (CMM) designation is preferred, demonstrating your expertise in medical management.
• Minimum two (2) years of customer service/call center experience, with a minimum of one (1) year of experience in a Behavioral Health Care field preferred.
• Experience with Medicare Advantage Utilization Management is highly desirable, as is experience working for a large healthcare insurance organization.
• Proficiency with MS Office Suite (Word, Excel, PowerPoint, including web-based computer applications) is required, with typing skills at 40 wpm and the ability to maintain proficient speed while obtaining verbal information over the phone.

Preferred Qualifications

While not required, the following preferred qualifications will make you a more competitive candidate:

• Experience with PCA programs or Human Services/Healthcare intake and referral is a plus.
• Strong analytical and problem-solving skills, with the ability to think logically and make informed decisions.
• Excellent oral and written communication skills, with the ability to communicate effectively with diverse stakeholders.
• Highly organized and detail-oriented, with the ability to prioritize tasks and manage multiple projects simultaneously.
• Strong interpersonal skills, with the ability to work collaboratively with colleagues and build strong relationships with patients, families, and community-based organizations.

Career Growth Opportunities and Learning Benefits

At Workwarp, we are committed to the growth and development of our employees. As a Utilization Management Intake Coordinator – Medical Assistant, you will have access to:

• Ongoing training and professional development opportunities to enhance your skills and knowledge.
• Mentorship and coaching from experienced professionals in the field.
• Opportunities for advancement and career growth within the organization.
• A collaborative and dynamic work environment that fosters innovation and creativity.

Work Environment and Company Culture

Workwarp is a remote-friendly organization that values flexibility and work-life balance. As a remote employee, you will enjoy:

• The freedom to work from the comfort of your own home or a remote location of your choice.
• A flexible schedule that allows you to balance your work and personal responsibilities.
• A collaborative and supportive team environment that encourages open communication and feedback.
• A culture that values diversity, equity, and inclusion, and is committed to creating a welcoming and inclusive work environment for all employees.

Compensation, Perks, and Benefits

Workwarp offers a competitive salary and a comprehensive benefits package, including:

• A competitive salary that reflects your experience and qualifications.
• A range of benefits, including medical, dental, and vision insurance, as well as a 401(k) retirement plan.
• Opportunities for professional development and growth, including training and education assistance.
• A dynamic and supportive work environment that values employee well-being and satisfaction.

Conclusion

If you are a motivated and detail-oriented individual with a passion for healthcare and customer service, we encourage you to apply for this exciting opportunity. As a Utilization Management Intake Coordinator – Medical Assistant at Workwarp, you will play a vital role in supporting our UM program and contributing to the success of our organization. Don't miss this chance to join a dynamic and innovative team and take your career to the next level. Apply now and become a part of our team!