Utilization Management Summer Intern

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    "requisitionDescription": "<div><div><div><div><div><div><div><p style=\"margin-left:0in;\" data-pasted=\"true\">Since 1957, Shield Healthcare has provided high-quality healthcare services while focusing on customer satisfaction and employee achievement. We are dedicated to fulfilling the medical supply needs of consumers and the caregiving community while maintaining a 99% overall customer satisfaction rating. Over the years, Shield HealthCare has expanded nationally with current service locations in California, Colorado, Illinois, Ohio, Texas and Washington.</p><p style=\"margin-left:0in;\"><br></p><p style=\"margin-left:0in;\">Shield HealthCare is looking for a <strong>Utilization Management Summer Intern&nbsp;</strong>in our<strong>&nbsp;Valencia, CA&nbsp;</strong>corporate office to process documents within specified software supporting order processing, documentation, and customer needs. This role will also support interdepartmental cross-functionality with exposure to the Utilization Management Customer Support team.</p><p style=\"margin-left:0in;\"><strong>This is an on-site position in Valencia, CA</strong></p><p style=\"margin-left:0in;\"><strong>JOB RESPONSIBILITIES:</strong></p><ul type=\"disc\"><li style=\"margin-left:0in;\">Process prescription responses received from clinicians.</li><li style=\"margin-left:0in;\">Process authorization responses received from insurance plans.</li><li style=\"margin-left:0in;\">Review clinicals, completing data entry and achieving documents in specified programs and locations.</li><li style=\"margin-left:0in;\">Complete document staging for authorization renewals.</li><li style=\"margin-left:0in;\">Process failed faxes.</li><li style=\"margin-left:0in;\">Perform general administrative duties such as data entry, scanning, document preparation, and record organization.</li><li style=\"margin-left:0in;\">Support cross-functional projects and initiatives as assigned.</li><li style=\"margin-left:0in;\">Assist in documenting workflows, standard operating procedures (SOPs), and best practices.</li></ul><p style=\"margin-left:.25in;\"><br></p><p style=\"margin-left:0in;\"><strong>QUALIFICATIONS:</strong></p><ul type=\"disc\"><li style=\"margin-left:0in;\">Currently enrolled in an accredited college or university pursuing a degree in business administration, communications, marketing, healthcare administration, health sciences, or a related field.</li><li style=\"margin-left:0in;\">Proficiency in Microsoft 365 (Excel, PowerPoint, Word, SharePoint, Teams).</li><li style=\"margin-left:0in;\">Excellent written and verbal communication skills.</li><li style=\"margin-left:0in;\">Organized with the ability to work accurately, managing multiple priorities, and meeting deadlines.</li><li style=\"margin-left:0in;\">Strong attention to detail and commitment to patient safety.</li><li style=\"margin-left:0in;\">Demonstrated problem solving ability.</li><li style=\"margin-left:0in;\">Data entry experience preferred.</li><li style=\"margin-left:0in;\">Ability to maintain patient confidentiality and comply with HIPAA regulations.</li></ul><p style=\"margin-left:0in;\"><strong>&nbsp;SALARY:</strong></p><ul type=\"disc\"><li style=\"margin-left:0in;\">$18.47/hour</li></ul></div></div></div></div></div></div></div>\n",
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