Utilization Review Assistant

Mosaic Life Care

Job Description

The Utilization Review Assistant is responsible for the administrative components of Utilization Management that primarily focuses on supporting the medical review process.

Responsibilities

Responsible for communication of required healthcare documents to patients and/or representatives.
Adhere to regulatory and compliance standards
Understanding benefits including Medicaid and Medicare
Work closely with utilization review staff, care managers and social workers to assist with any administrative responsibilities or needs.
Documentation entry
Phone and Voicemail retrieval
Mail distribution within the department
Worklist management
Other duties assigned

Education

H.S. Diploma - or GED - Required

Work Experience

Experience in healthcare, managed care, hospital, or clinical setting, or other comparable work experience. - Preferred

Licenses and Certifications

Upon Hire

Travel Requirements

Travel to off-site locations may be required. - Required

Qualifications

Skills and Abilities

Essential Technical/Motor Skills

Hand/eye coordination: speaks clearly; good hearing, ability to use computers, printers and telephone equipment
Interpersonal skills
Ability to work as a member of a team and develop trusting relationships quickly
Excellent verbal and written communication skills including sensitivity to other cultures and ethnicities.

Interpersonal Skills

Essential Physical Requirements

Essential Mental Abilities

Implements and provides ongoing support of members care plan, recognizes alternatives, identifying problems.
Provides patient and family teaching about health related needs, financial needs and other coping issues.
Concentrates on plans and roles of other team members, understanding all responsibilities and plans.

Essential Sensory Requirements

Visual and hearing skills to obtain a driver's license are required.
Ability to communicate with members and families, communicating in person and on phone.

Exposure to Hazards

Other Skills and Abilities

Must have access to transportation

Apply

Vacancy posted 2 days ago

Similar jobs that could be interesting for youBased on the Utilization Review Assistant in St Joseph County, IN vacancy

Assistant General Manager
$75k - $85k
...sales and minimize costs, including food, beverage, supply, utility, and labor costs Assist the General Manager in ensuring that all financial (... ...establish performance expectations and by conducting performance reviews Qualifications At least 2+ years of senior level...
Suggested
Temporary work
Flexible hours
Shift work
Saltgrass Steakhouse
Mishawaka, IN
1 day ago
Retail Keyholder (Store 721)
...moderate supervision, the Retail Keyholder assists the store management team in executing... ...experiences within a sales culture that utilizes elements of GameStop's Circle of Life buy... ...laws. For further information, please review the Know Your Rights notice from the Department...
Suggested
Full time
Local area
Worldwide
Flexible hours
Shift work
Night shift
3 days per week
GameStop
Mishawaka, IN
5 days ago
Seasonal Sales Associate
...service experiences in a sales culture that utilizes elements of GameStop's buy, sell, trade,... ...service by promptly greeting guests, assisting them with their video gaming needs,... ...employment laws. For further information, please review the Know Your Rights notice from the...
Suggested
Temporary work
Seasonal work
Local area
Flexible hours
Night shift
GameStop
Mishawaka, IN
10 hours ago
Administrative Assistant- Part Time
...This position is primarily responsible for assisting the Property Manager in effectively... ...parking stickers, assist laundry tickets), utilize One‑Site software, coordinate special... ...implement compliance regulations, read/review reports and correspondence. Willingness...
Suggested
Part time
Work at office
Immediate start
Evergreen Real Estate Services
Mishawaka, IN
2 days ago
Assistant Manager
...Assistant Manager Position Taco Bell joined Flynn Group in 2013 with the acquisition of... ...Organizational and Time Management Standards: Utilize effective time management skills to meet... ...please let us know. We look forward to reviewing your application and potentially...
Suggested
Shift work
Taco Bell
South Bend, IN
2 days ago
Sales Associate - White House Black Market
...Results Meets company sales goals by utilizing sales techniques and communicating product... ...keep the store full and abundant. Assists with locate fulfillment. Assists with... ...When we do have an open position, we will review your application to determine if your...
Local area
Flexible hours
Shift work
Night shift
Chico's FAS, Inc.
Granger, IN
5 days ago
Vans: Seasonal Sales Associate - University Park
$14 - $19.2 per hour
...experience. ~ Achieve individual and team sales goals by utilizing available resources and tools. ~ Assist in visual merchandising, product replenishment, and... ...that this position can participate in. You can review a general overview of the benefits provided at VF by...
Hourly pay
Part time
Internship
Seasonal work
Local area
Vans
Mishawaka, IN
5 days ago
Sales Associate
...for the entire store through store image reviews, proper merchandising, safety audits,... ...the daily and weekly shift duties lists. Assists store manager with recruiting quality applicants... ...display. Execute merchandising plans utilizing proper merchandizing techniques to...
All shifts
Shift work
Family Express
Mishawaka, IN
4 days ago
Merchandising Sales Associate
...fixtures and PDQs. Perform recovery and review planogram integrity. Make the... ...complete assignments with little to no assistance. Working Conditions Indoor floors... ...complete all required training. Ability to utilize strong written and verbal communication...
Full time
Part time
Flexible hours
Shift work
Tractor Supply
St Joseph County, IN
3 days ago
Assistant General Manager
...Assistant General ManagerSupervise and manage hotel departments and oversee hotel operations as directed.Your Growth PathGeneral Manager... ...customer complaints, and anticipate potential problems by reviewing and monitoring operational issues, business flow and associate...
Shift work
The Rittenhouse Hotel
South Bend, IN
2 days ago
Assistant General Manager
...South Bend, IN (on-site) JSK Hospitality is seeking an experienced Assistant General Manager to support the overall success of our... ...service Monitor and improve guest satisfaction scores and online reviews Support financial performance through revenue management, cost...
Shift work
Afternoon shift
JSK Hospitality
South Bend, IN
4 days ago
Dental Receptionist - Business Assistant
...Dental Receptionist - Business Assistant Dental Front Office - Dental Receptionist - Osceola... ...honors come after the organization was reviewed among 1.5 million large and mid-sized... ...patients and insurance companies Utilize Dentrix for patient scheduling and records...
Work at office
Local area
Immediate start
Monday to Friday
Bartram Family Dental Care
Osceola, IN
10 hours ago
Produce Food Clerk | Part Time | 10a - 10p Avail
...Paid parental leave Paid education assistance Team member discount Development programs... ...advancement and career growth Please review the job profile below and apply today!... ...to merchandising standards. Utilize technology to complete activities and tasks...
Weekly pay
Part time
Meijer
Mishawaka, IN
3 days ago
Deli Clerk
...Paid parental leave Paid education assistance Team member discount Development programs... ...advancement and career growth Please review the job profile below and apply today!... ...to merchandising standards. Utilize technology to complete activities and tasks...
Weekly pay
Part time
Meijer
Mishawaka, IN
2 days ago
Eligibility Assistant - Front Desk
$15 per hour
...Eligibility Assistant This position is located in South Bend, Indiana. Knowledge Services... ..., Federal and State Governments, Public Utilities, Telecom, Manufacturing and more. As such... ...visitors and determine nature of business Review client information for accuracy Assist...
Work at office
Local area
Immediate start
Monday to Friday
Knowledge Services
South Bend, IN
1 hour ago
Retail Part Time Store Associate
$15.5 - $18 per hour
...products/services, ensuring you're equipped with the knowledge to assist customers effectively. You will apply cutting-edge sales... ...experience by proactively acknowledging and engaging every customer. Utilizes and understands the selling program to promote the sale of the...
Minimum wage
Part time
Work at office
Local area
ODP
St Joseph County, IN
2 days ago
Administrative Assistant
$17.04 per hour
Administrative Assistant - Mishawaka Are you looking for a rewarding and supportive work environment with opportunities to grow? Join... ...communication throughout the organization and its related businesses Utilize the most appropriate and effective mode(s) of communication...
Full time
Work at office
Flexible hours
Afternoon shift
Oak Lawn
Mishawaka, IN
4 days ago
Retail Store Associate
...assigned for special projects throughout the year, with higher demand from January through June. Full scheduling details will be reviewed during the interview. ScanScape Retail Scan Associates visit a designated selection of stores each week to scan all product barcodes...
Hourly pay
Permanent employment
Part time
Local area
Monday to Thursday
10 hours per week
Shift work
Scanscapeusa
Mishawaka, IN
2 days ago
Administrative Assistant
...Summary Shambaugh is looking for a Contracts Administrative Assistant. In this position you will be responsible for assisting with... ...Employer/Veterans/Disabled Affirmative Action Policy Please review our Affirmative Action Policy. Notice to Prospective...
For contractors
Work at office
Shift work
Weekend work
Emcor UK
South Bend, IN
3 days ago
Administrative Assistant
...Job Summary Shambaugh & Son is looking for an Administrative Assistant, responsible for various office duties to ensure the efficient... ...Employer/Veterans/Disabled Affirmative Action Policy Please review ourAffirmative Action Policy ( . Notice to Prospective...
Full time
For contractors
Work at office
Weekend work
EMCOR Group
South Bend, IN
4 days ago
Store Team Member (Cashier, Stocker, Animal Care)
...every opportunity during your workday, you will: stop to help a neighbor select the perfect toy for a terrier that likes to chew review and compare the ingredient labels of several food brands for a concerned cat parent fit a squirming dachshund with the perfect...
Full time
Local area
Flexible hours
Weekend work
Afternoon shift
Pet Supplies Plus
South Bend, IN
3 days ago
Produce Clerk
...Deliver outstanding customer service by greeting every customer with a smile, assisting them with their needs, and going the extra mile to make their shopping experience a great one Review the status and appearance of merchandise for freshness and replenish and rotate...
Work experience placement
Shift work
Hy-Vee
St Joseph County, IN
10 hours ago
Admissions Operations Assistant
...Admission Operations Assistant Bethel University has an opening for a full-time Admission Operations Assistant. The purpose of this... ...calls coming in and route to the appropriate person on campus. Utilize various modes of communication when working with colleagues and...
Full time
Work at office
Local area
Immediate start
Bethel University
Mishawaka, IN
3 days ago
Grocery Clerk
...and clean environment that encourages our customers to return. Assist the department manager in reaching sales and profit goals established... ...want and need. Check product quality to ensure freshness. Review "sell by" dates and take appropriate action. Grocery Clerk...
Hourly pay
Part time
Seasonal work
Kroger
South Bend, IN
10 hours ago
Retail Part Time Sr. Store Associate
$10.22 per hour
...services, ensuring you're equipped with the next-level knowledge to assist customers effectively. You will apply cutting-edge sales... ...experience by proactively acknowledging and engaging every customer. Utilizes and understands the selling program to promote the sale of the...
Part time
Work at office
Local area
Office Depot
Mishawaka, IN
3 days ago
Assistant Director of Financial Aid
...or an alternative application process. Assistant Director of Financial Aid 10 days ago Requisition... ...external reporting, entering data, and reviewing satisfactory academic progress of... ...Processes withdrawal and readmit paperwork utilizing Federal databases to monitor loan...
Full time
Live out
Work at office
Afternoon shift
Holy Cross College
Notre Dame, IN
3 days ago
School Administrative Assistant
...Responsibilities Reporting to the Principal, the PSOE Administrative Assistant will assist in the institution’s management of front office... ..., stakeholders, partnering organizations, and funders. Utilize effective systems as delegated to run the school office, troubleshoot...
Work at office
Local area
Weekend work
Afternoon shift
Paramount Schools of Excellence, Inc
South Bend, IN
6 days ago
Courtesy Clerk
...Weekly pay Scheduling flexibility Paid parental leave Paid education assistance Team member discount Development programs for advancement and career growth Please review the job profile below and apply today! As an entry-level team member, you will...
Weekly pay
Part time
Seasonal work
Meijer
South Bend, IN
4 days ago
Assistant in Training
...Assistant in Training The Assistant in Training (AIT) and Assistant Manager position's... ...wardrobing experience Demonstrate product utilizing product knowledge and sales education,... ...daily setup, training, impacting, and reviewing while effectively utilizing the Performance...
Hourly pay
Work at office
All shifts
Flexible hours
Shift work
Day shift
Afternoon shift
Buckle
Mishawaka, IN
5 days ago
Administrative Assistant
$44k
...matters, and so do you! Job Description Administrative Assistant | Landscape Services As the Administrative Assistant, you... ...Maintain financial documentation to support audits, budget reviews, and reporting activities. Records and Information Management...
Full time
For contractors
Work at office
University of Notre Dame
Notre Dame, IN
1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Utilization Review Assistant. Be the first to apply!