About the role


Under direction of the Director of Health Services and the Health Services Manager, the Non-Clinical Intake Coordinator III will support the Clinical Intake staff in the processing of Health Plan referrals for medical services, durable medical equipment, and specialty care. This position will provide the UM Department with administrative support in the implementation of the authorization process to ensure accuracy of service determinations, limitations of Health Plan coverage, and timeliness in the communication and decision-making process. This position will play a key role as provider and member liaison to the UM process. This position will provide administrative support to the Utilization Management Department, a licensed health maintenance organization (HMO).


Essential Duties and Responsibilities
+ Screen calls from providers and members regarding the UM process.

+ Obtain referral information from providers and members to imple...