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Utilization Management Assistant Jobs in California

Franciscan Alliance

$39K - $45K/yr

Sierra Drive Campus 1040 Sierra Dr Greenwood, Indiana 46143 The Utilization Management Assistant performs secretarial or clerical functions to support the administrative operations of the Utilization ...

Franciscan Alliance

$39K - $45K/yr

Sierra Drive Campus 1040 Sierra Dr Greenwood, Indiana 46143 The Utilization Management Assistant performs secretarial or clerical functions to support the administrative operations of the Utilization ...

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Utilization Management Assistant information

See California salary details

$28.6K

$47.8K

$68.6K

How much do utilization management assistant jobs pay per year?

As of Jul 13, 2026, the average yearly pay for utilization management assistant in California is $47,763.00, according to ZipRecruiter salary data. Most workers in this role earn between $41,400.00 and $47,900.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Utilization Management Assistant, and why are they important?

To thrive as a Utilization Management Assistant, you need a solid understanding of healthcare processes, medical terminology, and administrative procedures, often supported by a high school diploma or associate's degree. Familiarity with electronic health records (EHR) systems, insurance verification tools, and Microsoft Office Suite is typically required. Strong organizational skills, attention to detail, and effective communication are crucial soft skills for managing documentation and collaborating with clinical teams. These skills ensure accurate data handling, efficient workflow, and compliance with healthcare regulations, all of which are vital for successful utilization management operations.

What are some common challenges Utilization Management Assistants face when working with insurance pre-authorizations?

Utilization Management Assistants often encounter challenges such as navigating complex insurance requirements, meeting tight deadlines for pre-authorization requests, and communicating effectively with both healthcare providers and insurance representatives. Staying organized and detail-oriented is essential to ensure all documentation is accurate and submitted promptly. Additionally, adapting to frequent changes in insurance policies and maintaining strong problem-solving skills are key to overcoming these obstacles.

What is a Utilization Management Assistant?

A Utilization Management Assistant is a healthcare administrative professional who supports the utilization management team by handling clerical tasks, coordinating communications, and organizing patient documentation. They often help ensure that medical services are used efficiently and that insurance requirements are met by gathering information, processing authorizations, and maintaining records. This role is essential in facilitating collaboration between healthcare providers, insurance companies, and patients, ultimately helping to optimize the quality and cost-effectiveness of patient care.
What are the most commonly searched types of Utilization Management jobs in California? The most popular types of Utilization Management jobs in California are:
What cities in California are hiring for Utilization Management Assistant jobs? Cities in California with the most Utilization Management Assistant job openings:
Utilization Management Assistant jobs near you
Utilization Management Assistant

Utilization Management Assistant

Franciscan Alliance

On-site

$39K - $45K/yr

Part-time

Posted 13 days ago

Franciscan Health rating

6.8

Company rating: 6.8 out of 10

Based on 266 frontline employees who took The Breakroom Quiz

491st of 882 rated healthcare providers

Job description

Sierra Drive Campus1040 Sierra Dr Greenwood, Indiana 46143

The Utilization Management Assistant performs secretarial or clerical functions to support the administrative operations of the Utilization Management department. This position assists by reviewing and scanning prior authorization forms into the electronic medical record system, reviewing and working the high volume of faxes received daily from payers, reviewing surgery schedules, and requesting authorization for services.
WHO WE ARE
With 11 ministries and access points across Indiana, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.
WHAT YOU CAN EXPECT

  • Schedule: 3 days a week (Monday - Friday), 9am - 5:30pm EST

  • Hybrid schedule - will need to work in office once per week

  • Obtainstatus details regarding care authorizations and supervisory visit requirements from insurance payers.

  • Followpayer processes (website, fax, contact number) to submit appropriate clinical documentation; remaincurrent on updates from payers, to ensure appropriate reimbursement from payers.

  • Collect clinical information regarding services to be rendered for prior authorizations.

  • Contactpayers to obtain prior authorizations; enters standardized documentation within electronic medical record, to identify prior authorization and the criteria surrounding each authorization.

  • Educatecollaborative multi-disciplinary teams regarding the prior authorization process; adviseproviders and their clinical staff when issues arise relating to obtaining prior authorization.

  • Completeadministrative duties which include answering telephone calls and directing them to the appropriate team member, if needed, reviewing incoming faxes, manually fax if system is down, provide support to the nurses on the team.

  • Processprior authorization forms.

  • Respectthe sensitive nature of correspondence and consistently maintains confidentiality.

  • Assistin the onboarding and training of new coworkers, to ensure all coworkers receive consistent and accurate information.

QUALIFICATIONS

  • High School Diploma/GED required

  • 1 year of clerical/office experience preferred

  • 1 year of hospital experience preferred

TRAVEL IS REQUIRED:

Up to 20%

EQUAL OPPORTUNITY EMPLOYER

It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.

Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.

Franciscan Alliance is committed to equal employment opportunity.

Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on thebenefit section of our career site, jobs.franciscanhealth.org.

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