LH
Annapolis, Maryland, United States
$20 – $27/hr
ExcelProcurementCustomer Service
LH
Role overview
Job description
Position Objective: Facilitates the exchange of clinical information and authorization between the hospital and the third party payors, providing direct support to the utilization review process. Essential Job Duties: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions Reviews each Case Managers daily work list to identify the clinical reviews due to the payor that day. Reports trends in Case Managers failing to provide timely reviews to Care Management leadership. Communicates medical record clinical information telephonically, written via fax, or electronically to payors to obtain authorization for admission, continued stay or levels of care, and documents in medical record. Verifies the payor responds to the clinical update provided. Contacts payor if a response is not received. Initiates appropriate action when a discrepanc
…About this listing
- Source: Luminis Health's official careers site (via Greenhouse) · last confirmed on the source 31 Oct 2026
- Posted 3 Aug 2026
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What they are looking for
Skills & requirements
Qualification
Obtains insurance authorization and submits timely clinical information and feedback to the Payors and Care Management nurses; Completes Medical Assistance 3808s Educational/Experience Requirements: High school diploma or equivalent; Required License/Certifications: N/A Working Conditions, Equipment, Physical Demands: There is a reasonable expectation that employees in this position will not be exposed to blood-borne pathogens
Department · Luminis Health - LH Utilization Management
Hiring company
Luminis Health
Healthcare
Luminis Health is a nationally recognized health system in Maryland. With more than 700 inpatient beds and nearly 100 sites of care across the region, including Anne Arundel Medical Center, Doctors Community Medical Center, J. Kent McNew Family Medical Center, Pathways, and Luminis Health Clinical Enterprise, we are committed to providing easy access to high-quality care, near to where people, live, work and play. Luminis Health believes that health and wellness are fundamental to everyone and by working side by side with our community, patients, and partners, we generate a positive impact for all. We are committed to diversity and addressing health equity. We believe access to healthcare should be refreshingly easy. Our R.I.S.E. values of Respect, Inclusion, Service, and Excellence guide how we work together every day. We will enhance the health of the people and communities we serve, because we believe that we're better together. All of us.
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