Senior Utilization Management Assistant - Utilization Management: Remote
Providence Health & Service
Senior Utilization Management Assistant This position is Part time and will work 8-hour, Evening shifts. Under the supervision of Regional Director of Care Management, the Utilization Management Coordinator is responsible for providing support to the Care Management team who coordinates care. This position works closely as a healthcare team member and performs complex tasks related to the overall team functions and activities identified during the initial and ongoing assessment and management of patients. Providence caregivers are not simply valued they're invaluable. Join our team at Providence California Regional Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications: 5 years Hospital, clinical setting or healthcare related field. 3 years Demonstrated outstanding customer service experience. 3 years Clerical and computer experience. 3 years Knowledge of insurance billing and managed care. Preferred Qualifications: Some college level course work or High School Diploma or GED equivalent or some college level course work preferred particularly Medical Terminology or Medical Assistance coursework. Within 6 months (180 days) of hire: CHAA (If in California). 3 years EPIC Case Management and ADT Patient Access. Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. About the Organization The Sisters of Providence and Sisters of St. Joseph of Orange have deep roots in California, bringing health care and education to communities from the redwood forests to the beach shores of Orange county - and everywhere in between. In Southern California, Providence provides care throughout Los Angeles County, Orange County, High Desert and beyond.Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School.Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
- ...Senior Utilization Management Assistant - REMOTE position. This position is Part tinme and will work 8- hour, Evening shifts. Under the supervision of Regional Director of Care Management, the Utilization Management Coordinator is responsible for providing support...Remote workSeniorPart timeAfternoon shift
- Providence California Regional Services seeks a Senior Utilization Management Assistant for a remote, part-time role with 8-hour evening shifts. You will support the Care Management team and coordinate care within a hospital/healthcare setting. Under the supervision of...Remote jobSeniorPart timeAfternoon shift
- ...Integrated Management Strategies, LLC is seeking an experienced Sr Review Coordinator for our healthcare consulting practice. This fully remote role within the United States focuses on utilization review of plans of service for home and community-based programs, supporting...Remote workSeniorWork from home
- ...Prime Therapeutics invites a Senior Clinical Specialist Pharmacist to join our team remotely in the United States. This role focuses on delivering clinical... ..., handling prior authorization and utilization management, and supporting claims adjudication alongside...Remote workSenior
$219k - $286.9k
...Oscar Health seeks a Physician Reviewer to join the Utilization Management team. You will assess medical appropriateness for inpatient, outpatient... ...data and applying evidence-based guidelines. This remote position, open to candidates nationwide in the United States...Remote workSenior- ...Integra Partners is seeking a Senior Utilization Management Audit & Compliance Analyst to lead external audits and respond to inquiries from health plans, clients, regulators, and accreditation bodies. This role involves reviewing UM data in Essette and related systems...Remote workSenior
- ...Providence California Regional Services is seeking a Senior Utilization Management Assistant for a REMOTE, per diem role with 8-hour variable shifts. Reporting to the Regional Director of Care Management, you will support the care management team in coordinating patient...Remote workSeniorDaily paidShift work
- ...Engineering Technology Lead - Plant Utilities to own design, maintenance, and optimization... ...sites in North America. This senior, full-time, remote role requires deep expertise in water... ...build strong business cases for senior management, mentor local teams, and ensure OSHA...Remote workSeniorFull timeLocal area
- ...Medina Talent Group seeks a Senior Project Manager to lead strategic innovation and R&D technology initiatives within a large, regulated utility environment. You will drive 1–2 concurrent enterprise projects from concept to delivery, ensuring clear scope, disciplined...Remote workSenior
- ...Yambay is seeking a Product Manager for Utilities to lead engagement with North American electric utilities, shaping the roadmap and translating field insights into scalable enterprise software. You will collaborate with Engineering, CS, and Sales across the US and Australia...Remote workSenior
- ...Integra Partners is seeking a Senior Utilization Management Audit & Compliance Analyst to serve as the subject matter expert for external audits, regulatory inquiries, and UM oversight. You will review audit requests, analyze UM data in Essette, and prepare professional...Remote workSenior
- ...full lifecycle of project schedules for large electrical utility projects, using Primavera P6 to manage labor and cost data across transmission lines and... ...) match, generous PTO, and full health benefits. This remote role supports national operations with occasional on-site...Remote jobSeniorFor contractors
- ...LIBERTY Dental Plan is seeking a Senior Staff Dentist to lead utilization management and clinical review across Commercial, Medicare Advantage, and Medicaid programs. You will adjudicate dental claims, prior authorizations, and referrals while guiding quality and compliance...Remote workSenior
- ...Oscar Health is seeking a Physician Reviewer for our Utilization Management team. You will assess medical appropriateness for inpatient, outpatient... ...services using evidence-based guidelines. This is a remote position open to US residents. Typical hours are 8am–5pm...Remote workSeniorLocal areaWeekend work
- ...Providence California Regional Services is seeking a Senior Utilization Management Assistant for a REMOTE Per Diem role with 8-hour day shifts. You will support the Care Management team in coordinating patient care and perform complex tasks as part of the utilization...Remote workSeniorDaily paidDay shift
- ...Advanced Utility Systems, a division of Harris, seeks a Senior Account Executive to win new municipal utility accounts across North America. This remote role requires building relationships with public sector buyers, leveraging AI to enhance RFP responses and demos, and...Remote workSeniorContract work
- ...Serving as the subject matter expert for external customer audits and regulatory inquiries, the full-time remote Senior Utilization Management Audit & Compliance Analyst will manage audit requests, perform detailed analyses of utilization management data, and prepare...Remote workSeniorFull time
$150k - $175k
A leading executive search firm is seeking a Utility Solutions Sales Director to drive market penetration within the utility sector. This remote position requires extensive travel and strong sales experience in electrical products or related solutions. The ideal candidate...Remote jobSenior- Providence California Regional Services is seeking a Senior Utilization Management Assistant for a remote, per diem role. You will support the Care Management team in coordinating patient care, performing clerical duties, and contributing to efficient care workflows from...Remote jobSeniorDaily paid
- Based in Walnut Creek and remote-friendly, Celerity seeks a Senior Manager to build and run the BIS practice's operational backbone. Lead senior practitioners... ...rapid expansion across client engagements in utilities and digital transformation. #J-18808-Ljbffr CelerityRemote workSenior
- Ensemble Health Partners is seeking an RN Utilization Review quality professional to lead QA efforts within the VUR team. You will mentor... ..., and knowledge of medical necessity review criteria. Remote work with travel to client sites is expected, and opportunities...Remote jobSenior
- UST is seeking a Senior Lead Generation/BD Representative to drive top-of-funnel growth for utilities accounts in the West US remote region. You will independently prospect, qualify stakeholders, and build a pipeline of vetted opportunities to hand off to sales leaders....Remote jobSenior
- SOLV Energy is seeking a Senior Commissioning Project Manager to oversee integrated commissioning for a portfolio of utility-scale projects. You will lead planning, energization, testing... ...ability to forecast risks and costs. Remote with Midwest travel, salary ranges apply...Remote jobSenior
$92.3k - $166.85k
...Engineering is seeking an experienced Senior Project Manager to join our Power Delivery Solutions division... ...Services supporting electric utility clients throughout the Northern and Midwestern... ..., Vision, and Values.This role has remote and hybrid-working capabilities, but...Remote workSeniorFull timeContract workFor subcontractorFlexible hours- ...Sales Leader For Utilities Business In The Americas 3?GIS is a leading software provider... ...utility and telecommunications organizations manage complex networks, assets, and operations... ...where people enjoy working together This is a remote work from home position 3-GISRemote workSeniorWork from home
- Bring your energy to Aggreko as a Senior Business Development Manager (SBDM) - Utilities IPP LATAM role supporting our Utilities and Independent Power Producer... ...events that last a few weeks to mining operations and remote communities who rely on us for decades.What you’ll...Remote workSeniorFull time
$177.4k - $208.7k
...are currently seeking a highly skilled Senior Solutions Architect specializing in Work and Asset Management to join our Energy & Utilities team. This role will focus on designing... ...Energy & Utilities office as listed or remote in the United States. Key Responsibilities...Remote workSeniorWork at officeLocal areaImmediate startFlexible hours$47.03 - $63.48 per hour
...technology-enabled revenue cycle management solutions for health systems... ...healthcare. The RN, Senior Utilization Review Quality will play... ...leaders. This role will assist with continued training, education... ...experiences This is a remote position; however, candidates...Remote workSeniorTemporary workWork at officeLocal area- ...Humana is seeking an Utilization Management Administration Coordinator to provide non-clinical support for policies ensuring appropriate care for members. This fully remote role sits within Home Solutions, supporting the Skilled Nursing Facility segment with CenterWell...Remote work
- ...The UM Administration Coordinator at Humana supports utilization management administration and provides non-clinical support to ensure appropriate... ..., with some discretion under defined policies. Remote position; 40 hours/week, Mon-Fri with Central Time alignment...Remote work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Utilization Management Assistant - Utilization Management: Remote. Be the first to apply!
- assistant service manager Torrance, CA
- assistant director of sustainability Torrance, CA
- assistant lab manager Torrance, CA
- management aide Torrance, CA
- supervisor assistant manager Torrance, CA
- assistant director Torrance, CA
- assistant manager Torrance, CA
- assistant manager in training Torrance, CA
- assistant manager mines Torrance, CA
- assistant director parks and recreation Torrance, CA


