Humana Pharmacy Solutions, Inc.Hiring

Utilization Management Administration Coordinator, SNF

  • Remote, worldwide
  • Full-time
  • Entry-level
  • Posted 2 weeks ago
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In one line

Remote admin role supporting a nursing team's utilization review for skilled nursing facilities, handling calls, authorizations and letters.

About the role

Chart review prep and authorization work for an utilization management team, keeping clinical information moving between providers, members and reviewers.

At a glance

Pay
Not stated in the posting
Remote scope
Remote, worldwide
Seniority
Entry-level
Employment
Full-time
Skills
Microsoft Word, Outlook, Excel, ICD-10
Posted
11 Oct 2026
Last checked
27 Oct 2026

What you will do

  • Prepare chart reviews for the nursing team
  • Build and pend authorizations for review
  • Call providers and members to confirm clinical details, discharge dates and admission status, then log the calls
  • Request clinical records from providers and facilities and send out determination letters

What they look for

  • At least a year in an administrative support role
  • Working knowledge of Word, Outlook and Excel, with solid typing and data entry
  • Comfort learning new systems, from basic to advanced use

Nice to have

  • Prior authorization or utilization review experience in managed care
  • Familiarity with medical terms or ICD-10 codes
  • Call center or member service background

Benefits

  • Telephone equipment provided for the role
  • Bi-weekly internet allowance for home workers in a few listed states

A typical week

  • A mix of inbound and outbound calls to providers and members
  • Documenting calls and attaching the clinical information received
  • Preparing chart reviews and pending authorizations for nurses
  • Producing and distributing determination letters

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Claude

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Connector URL
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Muse

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Message for Muse
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Muse is available in the US only for now.

Prompt
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Questions about this job

Is this job fully remote, and from where?

The posting lists it as remote with no single country named, so candidates from different countries can apply.

What does this job pay?

The posting does not state a salary, so there is no figure to quote.

What experience is needed?

It is an entry-level role. The posting asks for: at least a year in an administrative support role; working knowledge of Word, Outlook and Excel, with solid typing and data entry; comfort learning new systems, from basic to advanced use. Skills it names include Microsoft Word, Outlook, Excel, ICD-10.

How do I apply with Keywordise AI?

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Humana Pharmacy Solutions, Inc.Remote, worldwide
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