Description
Elevance Health is hiring a Utilization Management Representative I to coordinate precertification and prior authorization cases, determine contract and benefit eligibility, process inpatient and outpatient authorization requests, refer clinical cases to a nurse reviewer, enter referrals into the UM system, and respond to client, provider, and internal inquiries. The role is primarily virtual with required in-person training and occasional office work, requires a high school diploma or GED plus at least one year of customer service or call-center experience, and includes rotating weekends, holidays, and overtime.
