Utilization Management Coordinator PRN - Must have weekday availability between 7am - 7pm WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, inn…
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Per diem
high school
PPO Medical Plan, Preventive Healthcare, Paid Time Off, Retirement Programs (TRS), Paid Parental Leave, Wellness Programs
Posted 19d ago
~40 hrs/week
Responsibilities
Coordinates utilization management functions by processing clinical reviews and managing communications with insurance companies. Responsible for documenting data in Epic and ensuring timely notifications of patient admissions to payors.
Requirements
Requires a high school diploma and at least 5 years of experience in a hospital or insurance industry setting. Some college education is preferred.
Full job description
Utilization Management Coordinator
PRN - Must have weekday availability between 7am - 7pm
WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career!
BENEFITS UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:
PPO medical plan, available day one at no cost for full-time employee-only coverage
100%25 coverage for preventive healthcare-no copay
Paid Time Off, available day one
Retirement Programs through the Teacher Retirement System of Texas (TRS)
Paid Parental Leave Benefit
Wellness programs
Tuition Reimbursement
Public Service Loan Forgiveness (PSLF) Qualified Employer
Experience 5 years of hospital and/or insurance industry experience.
Preferred
Education Some college preferred.
JOB DUTIES
Assists in faxing initial, concurrent or discharge reviews to insurance companies.
Documents information submitted/received by phone or fax from insurance companies into Epic.
Manages phone and fax lines. Processes incoming faxes, scans documents and other clerical duties as deemed necessary to assist with the facilitation of Utilization Management functions.
Communicates with insurance company to obtain pending authorizations.
Responds to insurance requests for clinical reviews within time frames designated by contractual obligations.
Generates and submits EPIC reports specific to third party payers.
Maintains departmental productivity, quality metrics and completes assigned tasks in compliance with regulatory and departmental requirements.
Assists in faxing initial, concurrent or discharge reviews to insurance companies.
Calls payors to notify them of patient's admission, updates Payor Communication in EPIC, monitors work queue to ensure timely notification of admission.
Performs other duties as assigned.
SECURITY AND EEO STATEMENT
Security This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.
EEO UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.
How many Healthcare jobs are open in Dallas, TX right now?
There are currently 3,626 open healthcare positions in Dallas, TX listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Healthcare roles in Dallas, TX?
Companies currently hiring include University of Texas Southwestern Medical Center, Methodist Health System, CHILDREN'S HEALTH SYSTEM OF TEXAS, Baylor Scott & White Health, CVS Health, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Healthcare jobs in Dallas, TX?
Yes — 489 of the 3626 open healthcare positions offer remote or hybrid work (269 remote, 220 hybrid).
How do I apply for Healthcare jobs in Dallas, TX?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.