Utilization Review Associate
Augusta, ME - USA
Department:
Job Summary
Job Title: Utilization Review Associate
Job Type: Part-time
Travel: 0-25%
Skills & Abilities
Education:High school diploma
Experience: Two years experience with Microsoft Office and office work
Computer Skills: Able to learn and utilize electronic medical record electronic data systems and electronic communications. Proficient in Microsoft Office.
Position Summary
The Utilization Review Associate assists with planning and coordinating the duties of Utilization Review. This position is responsible for assisting with HEDIS measures GICA AWVs reporting and other collaborative projects with both internal and external entities such as third-party payers.
Essential Functions
- Assist with maintaining records and reporting related to Utilization Review.
- Upload all required information including but not limited to annual wellness supporting documents.
- Prepare reports providing status of programs services and quality initiatives related to Utilization Review.
- Assists in scheduling and coordinating for Utilization Review.
- Assists in tracking and reporting on all required documentation for collaborative projects.
- Provide patients and families information about available Arcare initiatives and services.
- Meet professional obligations through efficient work habits such as meeting deadlines honoring schedules coordinating resources and meetings in an effective and timely manner.
- Regular attendance at work is required.
- Other duties as assigned.
About Arcare
Founded on the belief that healthcare is a right not a privilege Arcare exists to make comprehensive high-quality care accessible to everyone especially in rural and underserved communities. What began in the rural Arkansas delta has grown into a multi-state healthcare network but our mission remains the same:Health for All. That mission drives everything we do from accepting every patient regardless of insurance status or ability to pay to expanding access to care and improving health outcomes in the communities we serve
We believe strong communities start with strong teams. We foster a supportive collaborative environment where employees are valued encouraged to grow and empowered to make a meaningful impact through their work. We invest in our people by supporting professional development encouraging leadership growth and providing opportunities to build long-term careers within the organization. A healthy work-life balance and a predictable schedule are part of our workplace culture.
Whether caring for patients in the clinic supporting operations behind the scenes or serving communities through outreach and education our teams are united by a shared purpose: delivering compassionate accessible care that improves lives.
Application Assistance:
If you need assistance with the application process please email .
Equal Opportunity Employer:
Arcare is committed to creating a diverse environment and is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability veteran status or any other characteristic protected by law.
Required Experience:
IC