Referral Navigator Representative - Kelsey Seybold Clinic - Utilization Review - Remote
Optum/UHG · Pearland, Texas, United States · US
Posted 60+ days ago
Utilization Review
Remote
Not yet analysed
Demand80
Career growth75
Healthcare fit82
Remote potential100
5-year outlook
Entry-level coordination roles typically start modestly, but with a clinical background, advancement into higher-paying utilization review, care management, or leadership positions is realistic within 3-5 years.
Clinical license
Not required
Applicant reach
broad
Seniority
entry
Employment type
–
Date found
2026-09-06
Intelligence details
Why this is worth applying to
Yes, this is an excellent entry point for clinicians transitioning to non-clinical roles, leveraging their medical knowledge in a remote, structured environment. It offers a clear path into utilization management and care coordination.
Who should apply
Nurses, doctors, allied health professionals, IMGs, and healthcare graduates with at least 2 years of healthcare experience who want to move into non-clinical care coordination or utilization review.
CV angle
Highlight clinical experience, medical terminology proficiency, familiarity with EMRs and payer processes, and any prior experience with referrals, authorizations, or care coordination. Emphasize ability to communicate with providers and navigate healthcare systems.
Skills to highlight
- Care coordination
- Prior authorization
- Medical terminology
- EMR proficiency
- Communication with providers
- Documentation review
- Managed care knowledge
- CPT/ICD-10 coding awareness
Role summary
A remote role within a large healthcare organization that coordinates referrals, authorizations, and continuity of care for patients, acting as a central navigator between providers, payers, and patients.
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