Contemporary Staffing Solutions is currently recruiting Utilization Management Associates for a Contract to Hire position in Harrisburg, PA.
Responsibilities of the Utilization Management Associate:
Interact with facilities, vendors, providers, and other staff to facilitate receipt of information, and /or records for prompt review and response. Screen information received from providers for needed information for authorization requests.
Act as a resource to staff for questions related to the prior authorization process.
Work with member service representatives who handle overflow calls.
Identify and report member and provider educational opportunities to the Supervisor.
Accurately answer questions regarding Utilization Management requirements for members and providers.
Support Utilization Management nurses by generating and assigning cases for review.
Perform other duties as assigned.
Requirements of the Utilization Management Associate:
Josline is a young professional looking to help people transition into a career that will make them succeed. She focuses on building relationships that create a comfortable and smooth process for Job Seekers nationwide.