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Raleigh, North Carolina
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UM Coordinator II
JOB SUMMARY: The UM Coordinator II is primarily responsible for identifying and resolving any missing information from Inpatient Clinicals and prior authorization requests; assisting with training new hires and completing all non-clinical tasks pertaining to prior authorizations , concurrent reviews, and providing general assistance to UM Leadership and UM Coordinator Team. This position is responsible for the initiation of requests for authorization by entering clinical, demographic, and product information into the Medical Management system, received via phone, fax, or online portal, and accurate case creation and completion, maintaining quality and productivity standards. The UM Coordinator II electronically routes cases
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