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Utilization Coordinator- Part Time (Remote)

Remote, USA Full-time Posted 2025-11-03
Authorization Coordinator-Part Time (Remote) Empowering Minds Resource Center is looking for a candidate to submit authorizations for behavioral health program services... Job Duties: • Review provider clinical documentation to ensure compliance with COMAR and/or CARF regulations. • Responsible for submitting PRP, OMHC and Care Coordination authorizations and gathering supporting documentation (i.e. Collaborations, referral and diagnostics). • Acts as a liaison with OPTUM to provide feedback on system updates, authorization requirements (# of required visits). • Pull authorization list weekly and communicate with client services. • Follow up with authorizations until processing. • Check authorizations daily • Maintains accurate records of all communication and documentation in the EHR system. • Meet weekly with PRP Director. • Other duties as assigned Qualifications: • BA Degree and experience preferred • Must be able to interact and communicate with individuals at all levels of the organization. • Strong personal, phone, and written customer communication skills. • Ability to prioritize work assignments and shift work efforts based on the needs of the department or agency goals. • Ability to manage time effectively, work independently and be self-motivated. • Demonstrate initiative and problem-solving skills. • Excellent computer skills Apply Job!  

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