Utilization Management Asst

Job Summary and Responsibilities

You will provide essential administrative and clerical support to the Utilization Management (UM) team, managing documentation, processing requests, facilitating communication, and assisting with data entry and record-keeping.

• Manage timely post-acute care referrals to assist with length of stay management and denial mitigation.
• Communicate and collaborate with interdisciplinary teams, patients, and families to facilitate care progression.
• Ensure post-acute follow-up appointments for identified patients to prevent readmissions and maintain continuity of care.
• Deliver required patient notifications and letters, and obtain patient or family signatures on necessary documentation to meet regulatory compliance.
• Manage transportation referrals as requested.
• Comply with confidentiality policies, HIPAA regulations, and organizational standards when transmitting protected patient information to external agencies and vendors.

Job Requirements

• This is a remote position.
• Associates in Business/Health-related field, or High School Graduate with General Studies, or Medical Assistant or Certified Nursing Assistant certificate, or at least 3 years of previous experience in healthcare, care coordination, utilization review, discharge planning, or similar healthcare setting.
• Preferred: Bachelor's degree in relevant field, or equivalent experience.

Where You'll Work
Virginia Mason Franciscan Health has a rich history dating back to 1891, evolving through strategic partnerships and integrations to serve the Puget Sound area. The organization remains committed to holistic care, offering a wide range of services across 10 hospitals and nearly 300 care sites. Joining Virginia Mason Franciscan Health means becoming part of a collaborative team dedicated to excellence and service.

Pay Range
$24.15 - $37.44 /hour