Utilization Management Coordinator Full Time Days at AdventHealth

Date Posted: 10/14/2021

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Job Snapshot

  • Job Schedule
    Full-Time
  • Location:
    Tampa, FL
  • Date Posted:
    10/14/2021
  • Job ID:
    21022728
  • Job Family
    Case Management
  • Shift
    1 - Day

Job Description


Description

Utilization Management Coordinator AdventHealth Tampa

Location Address: 3100 East Fletcher Avenue Tampa, Florida 33613

Top Reasons to Work at AdventHealth Tampa

  • Florida Hospital Pepin Heart Institute, known across the country for its advances in cardiovascular disease prevention, diagnosis, treatment and research.
  • Surgical Pioneers – the first in Tampa with the latest robotics in spine surgery
  • Building a brand new, six story surgical and patient care tower which will ensure state of the art medical and surgical car for generations to come
  • Awarded the Get With The Guidelines – Stroke GOLD Quality Achievement Award from the American Heart Association/American Stroke Association and have been recognized as a recipient of their Target: Stroke Honor Roll for our expertise in stroke care. We have also received certification by The Joint Commission in collaboration with the American Stroke Association as a Primary Stroke Center.

Work Hours/Shift:

Full Time Days

You Will Be Responsible For:

  • Supports clerical and administrative activities of the Utilization Management team
  • Monitors and addresses electronic faxes and email from payors
  • Forwards communication to appropriate Utilization Management team member
  • Enters pertinent approval and denial information into the appropriate computer programs for Utilization Management team members to review and address in a timely manner
  • Monitors the Centralized Phone Line for telephonic authorization and denial information from payors
  • Manages and monitors mail from the department mailbox, which includes uploading letters from payors to patient encounters and forwarding correspondences to applicable Departments
Qualifications

What You Will Need:

  • High School diploma or GED

Job Summary:

The Utilization Management (UM) Coordinator works under the direction of the Utilization Management Manager and supports the Utilization Management team with Emergency, Observation and Inpatient visits. The UM Coordinator is responsible for processing and documenting clinical requests, authorizations/approvals and denial communication from payors via fax (Vyne), email or phone. The UM Coordinator is responsible for collaborating with all members of the UM team or interdependent departments (i.e. Patient Access,


This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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