UM Administration Coordinator

Become a part of our caring community

The UM Administration Coordinator 2 provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members. Decisions typically focus on interpretation of area/department policy and methods for completing assignments. You will work within defined parameters to identify work expectations and quality standards, but have some latitude over prioritization/timing, and works under minimal direction. You will follow standard policies and practices that allow for some opportunity for interpretation/deviation and independent discretion.

• Provide Long- Term Services and Supports (LTSS) UM support by managing shared mailboxes and entering data into work queues and/or clinical documentation systems.

• Mail letters/educational material, prepare documents for LTSS UM (Utilization Management) reviewers and Medical Directors, and perform other administrative responsibilities as assigned.

• Ensure the timely and correct submission of state-required deliverables.

• Work with care coordinators and other internal and external stakeholders who guide members and their families toward and facilitate interaction with resources appropriate for care and well-being.

• Perform varied activities of clerical activities including perform computations, reporting data, tracking data, pulling reports and monitoring/managing email.

• Typically work on semi-routine assignments that are subject to change.

• May make, receive, and soft transfer calls to and from members, member's families and providers.

• Ensure timely communication and follow up occurs with care management.

Use your skills to make an impact

• Must reside in Michigan.

• One (1) or more years of administrative experience in a healthcare environment.

• Strong verbal and written communication skills to support stakeholder communication and coordination.

• Working knowledge of Microsoft Word, Excel, and Outlook in a Windows-based environment and the ability to learn new software and systems.

• Experience with LTSS programs.

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

• Proficient using electronic medical record and documentation programs.

• Proficient or experienced with medical terminology and/or ICD-10 codes.

• Prior member service or customer service telephone experience.