Utilization Clerk

Utilization Clerk (Bilingual – Spanish Required)

Location:Corona, California
Schedule:Full-Time /Hybrid | Monday–Friday, 8 AM – 5 PM
Travel:Occasional local travel for home visits and meetings
Department:Care Coordination

The Utilization Clerk plays a critical role in maintaining the accuracy and compliance of Electronic Visit Verification (EVV) records. You will monitor EVV activity, assist families and Respite Care Providers with system use, provide technical support, and ensure data integrity according to state and organizational standards. This role also supports daily operations through reporting, follow-up, and occasional front desk coverage.

• Troubleshoot software and technical issues related to EVV systems

• Provide feedback to leadership on technology upgrades and vendor changes

• Monitor daily and weekly EVV compliance for clients and providers

• Generate reports on utilization trends; identify and follow up on issues

• Collect signatures to maintain EVV documentation compliance

• Train and support families and Respite Care Providers in system use

• Assist users with navigating the Family Room portal and Well Sky platform

• Process shifts adjustments, clock‑in/out corrections, and schedule edits

• Support front desk operations as needed

• Collaborate with Care Advocacy on utilization concerns

• Help develop policies and improve workflows to ensure compliance

• High school diploma or GED required; associate degree or college coursework preferred

• 1+ year administrative, scheduling, or data‑entry experience, preferably in healthcare or human services

• Comfortable handling sensitive information in compliance with HIPAA

• Strong attention to detail, accuracy, and accountability

• Proficient with Microsoft Office, cloud systems, and EHR platforms

• Excellent verbal and written communication skills

• Strong organizational and time management skills

• Bilingual in English and Spanish (required)

• Valid driver's license, auto insurance, and reliable transportation

• Office setting with some indoor/outdoor work

• Prolonged sitting and computer use

• Occasional lifting up to 25 lbs.

• Physical activities include walking, bending, and driving

• Ability to travel locally and occasionally by plane, train, or car

• Competitive salary

• Health, dental, and vision insurance

• Paid time off (vacation, sick leave, holidays)

• 401(k) with employer match

• Mileage reimbursement

• Ongoing training and professional development

• Supportive, mission‑driven team environment

• Opportunities for career growth