Utilization Review Administrative Specialist

Job overview

Utilization Review Administrative Specialist is a remote role. Compensation is $16.74–$26.92 per hour. The position supports CorVel’s Utilization Review / Case Management department, and CorVel provides risk management solutions for workers’ compensation, auto, health, and disability management. The specialist supports utilization review intake by handling precertification calls, maintaining accurate patient and provider information, entering service requests, and communicating with stakeholders so the department can process requests effectively.

What you'll do

• Take calls relating to precertification requests
• verify patient, provider, and facility information
• enter notes and service requests in CareMC
• communicate with stakeholders in a timely and professional manner
• perform additional assigned duties.

What we're looking for

Skills & competencies

utilization review

administrative specialist

remote

folsom ca

precertification

case management

caremc

patient information

provider communication

high school diploma

$16.74–$26.92 per hour

medical insurance

401(k)

paid time off

Work arrangement

• Weekend coverage required

Benefits & perks

• Medical, dental, vision, long-term disability, HSA, FSA options, life and other insurance, 401(k), Roth 401(k), and paid time off.

Why this role

Fully remote position; high school diploma or equivalent required, with an associate degree preferred.

About the employer

CorVel Healthcare Corporation is hiring for this role. Industry: Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds. Sector: 52.