Remote Insurance Utilization Review Jobs in Seattle, WA

As our Utilization Management (UM) Assistant, you will provide essential administrative and clerical support to the UM team, playing a crucial role in maintaining efficient and organized operations.
Every day you will manage documentation, process incoming requests, facilitate communication between team members and external parties, and assist with data entry and record-keeping to ensure smooth UM workflows.
To be successful in this role you will possess excellent organizational skills, a keen eye for detail, strong communication abilities, and a proactive approach to supporting the daily functions of the Utilization Management department.

• Manage timely post-acute care referrals, to assist with length of stay management and mitigation of denials.
• Communicate and collaborate with interdisciplinary team, patients, and family to facilitate care progression.
• Ensure post-acute follow-up appointments for identified patients to assist with readmission prevention and ensuring continuity of care.
• Deliver required patient notifications and letters, and obtain patient or family signatures on required documentation as needed 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 as needed for placement, payment or referral.

This is a remote position.

Education and Experience:

• Associates Other in Business/Health-Related field, upon hire required or
• High School Graduate General Studies, upon hire required and
• Medical Assistant or Certified Nursing Assistant certificate upon hire or Experience in a healthcare setting required, upon hire and
• At least 3 years previous experience in health care, care coordination, utilization review, discharge planning or similar healthcare setting required and
• Experience supporting clinicians in demanding and fast paced patient care environments required. and

Preferred

• Bachelors Other, upon hire

Licensures and Certifications:

• • None, upon hire required 

Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area.
Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person – body, mind, and spirit – in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth.
Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care.
We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose.

This is a remote position.

Education and Experience:

• Associates Other in Business/Health-Related field, upon hire required or
• High School Graduate General Studies, upon hire required and
• Medical Assistant or Certified Nursing Assistant certificate upon hire or Experience in a healthcare setting required, upon hire and
• At least 3 years previous experience in health care, care coordination, utilization review, discharge planning or similar healthcare setting required and
• Experience supporting clinicians in demanding and fast paced patient care environments required. and

Preferred

• Bachelors Other, upon hire

Licensures and Certifications:

• • None, upon hire required