Auto Generated UID (For Official Use Only):
25-11-10546858968
O*NET Job Zone:
Job Zone 3
O*NET Job Code:
29-2099.08
Work Days Per Week:
Monday, Tuesday, Wednesday, Thursday, Friday
Work Hours Per Week:
40
Estimated Work Hours Per Day:
8
Hourly Work Schedule Per Day:
Monday - Friday 8am - 5pm
Are Hours Per Day Flexible?:
No, hours are set.
Payment Frequency:
Bi-Weekly
Estimated Annual Salary (If value is 0, employer did not provide):
0
Opening Date of Announcement:
11/10/2025
Closing Date of Announcement:
12/01/2025
Anticipated Start Date of Employment:
02/28/2026
Anticipated Closing Date of Employment:
02/27/2027
Number of Job Openings:
1
Job Location:
Saipan
Job Location Address:
1st Floor, RJ Commercial Building, Suite 2 Chalan Monsignor Guerrero Road Dandan, Saipan 96950
FLSA Covered?:
Yes
DOD or VEVRAA Related?:
No
Overtime Available?:
Yes, overtime rate calculated at 1.5x per hour
Payroll Deductions:
Federal Income Tax, State Income Tax, Social Security (FICA), Medicare Tax
Job Qualification Requirements:
HIGH SCHOOL DIPLOMA OR EQUIVALENT, 24 MONTHS EXPERIENCE, U.S. AND FOREIGN WORKERS MUST BE FAMILIAR WITH THE MILLIMAN CARE GUIDELINES(MCG)/MEDICAL SOCEITY GUIDELINES.
Additional Job Information: Benefits, Required Tools, Supplies, etc.:
TEMPORARY FULL-TIME POSITION
Position: Utilization Management Coordinator
No. of Position: 1
Anticipated days of work per workweek: Monday – Friday 8:00AM – 5:00PM
HOURLY RATE:
$16.38 to $19.00
OVERTIME HOURLY RATE:
$24.57 to $28.50
Anticipated total hours per day: 8 hours
Total hours per workweek: 40 hours
THREE-FOURTHS GUARANTEE: Workers will be offered employment for a total number of work hours equal to at least three-fourths of the workdays of the total period that begins with the first workday after the arrival of the work at the place of employment of the advertised contractual first date of need, whichever is later, and ends on the expiration date specified in the work contract or its extensions, if any.
TRANSPORTATION AND SUBSISTENCE: If the worker completes fifty percent of the work contract period, the employer will provide, reimburse, or advance payment for the worker’s transportation and subsistence from the place of recruitment to the place of work. Upon completion of the work contract or where the worker is dismissed earlier, the employer will provide or pay for the worker’s reasonable cost of return transportation and subsistence back home or to the place the worker originally departed to work, except where the worker will not return due to subsequent employment with another employer or whether the employer has appropriately reported a worker’s voluntary abandonment of employment. The amount of the transportation payment or reimbursement will be equal to the most economical and reasonable common carrier for the distances involved.
Daily Transportation: Workers will be provided with daily transportation to and from the worksite in compliance with all applicable Federal and Commonwealth laws and regulations – N/A
Overtime Available: Overtime hours will be available to the worker under this job offer and payable for every hour worked at the rate disclosed in this application - Yes
On-the-Job Training Available: Workers will be provided with on-the-job training to perform the duties assigned – N/A
Employer-Provided Tools and Equipment: Workers will be provided, without charge or deposit charge, all tools, supplies, and equipment required to perform the duties assigned - Yes
Board, Lodging, or Other Facilities: Workers will be provided with board, lodging, or other facilities and/or the employer will assist workers in securing board, lodging, or other facilities –N/A
Deductions from Pay: State all deduction(s) from pay and, if known, the amount(s) - STATE AND FEDERAL EMPLOYMENT TAXES
INTERESTED INDIVIDUAL MAY CONTACT CATHY CHARGUALAF MATSUMOTO BY:
1. TELEPHONE AT 670-323-4269 TO PICK UP AN APPLICATION AND SUBMIT RESUME IN PERSON DURING BUSINESS HOURS (MONDAY TO FRIDAY FROM 8AM TO 5PM); OR
2. SUBMIT AN APPLICATION AND RESUME VIA EMAIL TO: ccmatsumoto@staywellguam.com DURING BUSINESS HOURS (MONDAY TO FRIDAY FROM 8AM TO 5PM)
Job Posting Type:
New
Visa Type:
CW-1
H-1A/H-2A/H-2B Related?:
Not Applicable
Staff Notes (For Official Use Only):
Confirmed by DC. 11/10/2025
MANAGE THE MEDICAL CARE COORDINATION FUNCTIONS OF THE SAIPAN BRANCH OFFICE AND THE NURSE COORDINATION TASKS OF THE PHILIPPINE BRANCH OFFICE. COORDINATES AMBULATORY AND INPATIENT CARE FOR PLAN MEMBERS AND THEIR DEPENDENTS; COMMUNICATES WITH THE PATIENT, ATTENDING PHYSICIANS, NURSES, CASE MANAGERS, SOCIAL WORKERS, OTHER MEMBERS OF THE INTERDISCIPLINARY HEALTH TEAM AND PATIENT FAMILY MEMBERS ABOUT CARE OPTIONS, TREATMENT ALTERNATIVES, COMPANY POLICIES AND PROCEDURES IN ORDER TO ASSIST THEM IN MAKING INFORMED DECISIONS ABOUT THE TREATMENT PLAN; PROVIDE A PATIENT-CENTERED, INTERDISCIPLINARY APPROACH TO HEALTH CARE AND CARE COORDINATION USING COMPREHENSIVE, EVIDENCE-BASED CARE PLANS DEVELOPED IN CONCERT WITH PLAN PATIENT CARE AND WITH THE SUPPORT OF THE PROVIDER; CULTIVATES A SATISFACTORY TEAM-ORIENTED RELATIONSHIP WITH PRACTICE PARTNERS INCLUDING ONSITE AND REMOTE INTERACTION WHERE APPROPRIATE, COLLABORATES WITH THE ATTENDING PHYSICIAN AND NURSE TO FACILITATE OFF-ISLAND REFERRAL OF PATIENTS WHO NEED HEALTHCARE THAT IS NOT AVAILABLE IN THE SERVICE AREA. REVIEWS CLINICAL RECORDS TO DETERMINE AND RECOMMEND THE BEST MEDICAL INTERVENTION; REVIEWS MEDICAL RECORDS, PATIENT CHARTS AND CLINICAL INFORMATION COLLECTED BY HEALTH SUPPORT STAFF AND USES THE MEDICAL CASE REPRESENTATIVE TO SCREEN INSURANCE APPLICANTS BASED ON COMPANY’S UNDERWRITING GUIDELINES, ENSURE THAT CARE RECEIVED BY THE PLAN MEMBER IS CONSISTENT WITH STANDARD OF CARE EXCELLENCE AND TO MAKE SURE THAT HEALTH PLAN BENEFIT COVERAGE IS OPTIMIZED; PREPARES DOCUMENTS NEEDED FOR CHART REVIEW REQUESTS AND TRANSMIT REQUESTS TO THE HOSPITAL/CLINIC/PHYSICIAN OFFICES; MAKES COMPLETE CHART REVIEWS OF MEDICAL RECORDS IN THE HOSPITAL/CLINIC/PHYSICIAN OFFICES AND ENSURES MAINTENANCE OF CONFIDENTIALITY OF INFORMATION GATHERED; REVIEWS AND APPEALS UTILIZATION CARE GUIDELINES (MCG), MEDICAL SOCIETY GUIDELINES, INSURANCE, GOVERNMENTAL AND ACCREDITING AGENCY STANDARDS TO EVALUATE QUALITY OF CARE AS WELL AS TO DETERMINE COVERAGE FOR REQUESTED HEALTHCARE SERVICES; CONSULTS WITH MEDICAL DIRECTOR AND/OR OTHER APPROPRIATE PROGRAMS/RESOURCES TO OVERCOME BARRIERS TO MEETING GOALS AND OBJECTIVES AND PRESENTS CASES TO APPROPRIATE RESOURCES TO OBTAIN MULTIDISCIPLINARY VIEW IN ORDER TO ACHIEVE OPTIMAL OUTCOMES; DAILY REPORTING TO THE DIRECTOR OF MEDICAL CARE MANAGEMENT AND THE UN-EMPLOYED CHOSEN DEPARTMENT MANAGER, GIVING ASSISTANCE TO NURSE COORDINATORS IN DECISION MAKING REGARDING UTILIZATION MANAGEMENT ISSUES; AND RESPONSIBLE FOR FOSTERING GOOD RELATIONS WITH EXISTING NETWORK OF PARTICIPATING PROVIDER PHYSICIANS AND FACILITIES; IF NECESSARY, DIRECTLY CONTACT FIELD REPRESENTATIVES, ATTENDING PHYSICIANS, AND OTHERS TO OBTAIN FURTHER INFORMATION; COLLABORATE WITH CHIEF ACTUARY AND DIRECTOR OF ACTUARY AND UNDERWRITING IN DECIDING WHETHER TO OFFER INSURANCE TO THE APPLICANT AND IN DETERMINING THE APPROPRIATE PREMIUMS AND AMOUNTS OF COVERAGE; CREATES, UPDATES AND MAINTAINS RECORDS IN THE UNDERWRITING DEPARTMENTS DATABASE FOR EACH APPLICATION RECEIVED; PERFORMS OTHER RELATED WORK AS REQUESTED; COORDINATES WITH THE HEALTH MANAGEMENT DEPARTMENT TO ENSURE THE SUCCESS OF COMPANY’S DISEASE MANAGEMENT PROGRAM; ABSTRACTS DATA FROM RECORDS AND MAINTAINS STATISTICS AND PREPARES DAILY AND PERIODIC ACTIVITY REPORTS, RESEARCH ISSUES AND MAKES RECOMMENDATIONS; PERFORMS OTHER RELATED DUTIES AS ASSIGNED.
