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18 days old

Clinical Support Coordinator / Utilization Managment Associate

Kelly Services
Rancho Cordova, CA 95670
**Clinical Support Coordinator Rancho Cordova, CA**



Kelly Services, a global leader in staffing solutions, is seeking Clinical Support for with an industry-leading health insurance client in the Rancho Cordova, CA area!



**JOB DESCRIPTION:**



Serves as initial point of contact for providers and members in the medical management process by telephone or correspondence. Assists in ensuring members are effectively and efficiently managed through the medical/disease management process as needs require. Within extension of authority, assigns length of stay on acute inpatient admissions, as well as approves specific home health, DME.



**Responsibilities:**




+ Answer high volume of inbound Provider telephone calls, 35-40 calls/day on average.

+ Process authorization requests and facilitates referrals.

+ Assists with system letters, requests for information and data entry.

+ Provides administrative/clerical support to medical and disease management

+ Process authorization requests and facilitates referrals.

+ Assists with system letters, requests for information and data entry.

+ Provides administrative/clerical support to utilization management, case management and disease management teams.

+ Intake, worksheet initiation

+ Performs eligibility checks Responds to call center inquiry calls

+ Researches networks Select support for Case Management such as mailings, surveys.

+ Data entry including authorization forms, high risk member information, verbal HIPPA authorizations, and lower level of care admissions

+ Specified callbacks



**MINIMUM Requirements:**




+ 1 year of Call Center PLUS 1 year of Authorizations experience required

+ Knowledge of Medical Terminology and basic diagnosis codes desired

+ Clear and effective communication, oral and written

+ Ability to work in a fast paced environment

+ PC skills (with average typing speed of 35 WPM)



**Schedule:**




+ Monday through Friday 8am 4:30pm



**Important information: This position is not recruited by your local Kelly branch. Please submit your resume to be considered for this position.** **If you have questions about the opening, you may contact the recruiter for this position at matthsy** **@** at mailto:matthsy@kellyservices.com **kellyservices.com.**





Apply Today!



Why Kelly?

As a Kelly Services candidate you will have access to numerous perks, including:

Exposure to a variety of career opportunities as a result of our expansive network of client companies

Career guides, information and tools to help you successfully position yourself throughout every stage of your career

Access to more than 3,000 online training courses through our Kelly Learning Center

Group-rate insurance options available immediately upon hire (Available for purchase and administered by a designated third-party vendor)

Weekly pay and service bonus plans



**We invite you to bookmark our Web site and encourage you to review it regularly for new opportunities worldwide:** **www.kellyservices.com** at http://www.kellyservices.com/ **.**



_Kelly Services is a U.S.-based Fortune 1000 company. With our global network of branch locations, we are uniquely positioned to provide our customers with international staffing support and our employees with diverse assignments around the world. Kelly Services is an Equal Opportunity Employer._






**Why Kelly** **** **?**



As a worker today, its up to you to take charge of your career and look for opportunities to learn, grow, and achieve your potential. Helping
you find whats next is what were all about. We know whats going on in the evolving world of workjust ask the nearly 500,000 people we employ
each year. Connecting with us means getting the support, guidance, and opportunities needed to take your career where you may have never imagined.




**About Kelly** ****



At Kelly, were always thinking about whats next and advising job seekers on new ways of working to reach their full potential. In fact, were a
leading advocate for temporary/nontraditional workstyles, because we believe they allow flexibility and tremendous growth opportunities that enable
a better way to work and live. Connecting great people with great companies is what we do best, and our employment opportunities span a wide variety
of workstyles, skill levels, and industries around the world.


Kelly is an equal opportunity employer committed to employing a diverse workforce, including, but not limited to, minorities, females,
individuals with disabilities, protected veterans, sexual orientation, gender identity. Equal Employment Opportunity is The Law.
Posted: 2020-01-10 Expires: 2020-02-10

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Clinical Support Coordinator / Utilization Managment Associate

Kelly Services
Rancho Cordova, CA 95670

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