UM Coordinator: Healthcare Utilization & Compliance
NeueHealth
Neuehealth is seeking a Utilization Management Coordinator in Los Angeles, California, to coordinate the utilization review process. This role involves reviewing medical service authorizations, collaborating with providers, and ensuring compliance with healthcare guidelines. The ideal candidate has at least 2 years in a health plan environment, strong medical terminology knowledge, and is preferred to be bilingual in English and Spanish. Health benefits and a 401(k) are offered. #J-18808-Ljbffr
$21 - $24 per hour
...Astrana Health is seeking a dedicated Utilization Management (UM) Coordinator to support the UM department in... ...requests while ensuring compliance with regulatory standards and health... ...High School Graduate, Bachelor's in Healthcare Administration is a plus A minimum...SuggestedHourly payWork at officeShift workWeekend work- ...MedPOINT Management as an Outpatient UM Coordinator in Sherman Oaks, CA, where you'll... ...plans for medical necessity and compliance. Coordinate with healthcare providers to facilitate timely authorizations... ...and care transitions. Utilize clinical guidelines and criteria...SuggestedWork at officeWork from homeFlexible hours
$21 - $24 per hour
...Utilization Management Coordinator - Hybrid Astrana Health is seeking a dedicated Utilization Management (UM) Coordinator to support the UM department in... ...requests while ensuring compliance with regulatory... ...Graduate, Bachelor's in Healthcare Administration is a plus...SuggestedHourly payWork at officeShift workWeekend work- ...Management as an Inpatient UM Coordinator in Sherman Oaks, CA, where... ...patient care and efficient utilization management. This position offers... ...focused on improving healthcare outcomes. Responsibilities... ...case reviews and decisions in compliance with regulatory standards....SuggestedRemote work
$21 - $26 per hour
...UM Coordinator - Denials Astrana Health is seeking a dedicated Utilization Management (UM) Coordinator – Denials to join our Denial Department. This role ensures timely... ...processing of all deferrals and denials in compliance with Astrana Health policies, NCQA standards,...SuggestedHourly payWork at officeWeekend work$70k - $80k
...is a cutting-edge behavioral healthcare company dedicated to... ...delivering exceptional care, utilizing state-of-the-art facilities,... ...Title: Utilization Review Coordinator Reports to: Director of... ...clinical documentation and compliance with licensing, accrediting,...Full timePart timeRemote work$25 - $27 per hour
...center in California is seeking a Credentialing Coordinator to oversee the credentialing and privileging... ...maintaining credentialing databases, ensuring compliance with regulations, and coordinating with various healthcare providers. The ideal candidate has a bachelor's...- ...Corp in Montebello is seeking a Credentialing Coordinator to process initial and re-credentialing applications for healthcare practitioners. This role collaborates with... ...ensure effective credentialing processes and compliance. The ideal candidate should have at least 3...
$23.06 - $28.24 per hour
A healthcare organization is seeking an Administrative Coordinator in Los Angeles to act as a liaison between site leadership and the hospital. The role entails... ...support, managing site financials, and ensuring compliance with Vituity policies. Ideal candidates will have...- ...Description Job Description Position Overview: The Utilities Coordinator III/Virtual Design and Construction (VDC) works closely with... ...As-Built drawings. o Underground utilities CAD database • Compliance review. o Utility Infrastructure (ASCE 38-02 and Underground...Local area
- ...BIM/GIS Coordinator - Virtual Design and Construction (VDC) Los Angeles, CA, USA 80-... ...: CAD/BIM As-Built CADD standards compliance review and management of drawings through... ...the presence and condition of existing utility infrastructure. Conflict Resolution...Hourly payFull timeFor contractorsRelocation
$22 - $34.18 per hour
The Staffing Coordinator will provide support to the Nursing Supervisors, Managers, and Directors... ...agency staff. He/She will assist with compliance related to various regulatory agency... .../ Flex logs for staff as assigned. Utilize timekeeping, scheduling, and acuity software...Hourly payDaily paidWork experience placementWork at officeLocal areaFlexible hoursShift workRotating shift$102.18k
...Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization... ...The Supervisor of Utilization Management (UM) RN is responsible for executing the day... ...performance including productivity and compliance with regulatory requirements, compliance...Full time- A prominent infrastructure management firm in Los Angeles is seeking a Utilities Coordinator III/VDC. This role involves monitoring underground utilities data and supporting BIM data management. Candidates should have over 5 years of experience in Architecture or Construction...
$70.9k - $145.2k
...NBS), the Newborn Screening Coordinator coordinates care and follow‑... ...facilities and providers to ensure compliance. The Coordinator also serves... ...virtual), and training for healthcare professionals, community... ...care. Case management/utilization management, health education...Contract workWork at officeNight shiftWeekend work$100k - $130k
...management firm based in California. We are seeking a Senior Field Utility Coordinator to support utility coordination efforts for major... ...utility engineering (SUE), relocation strategies, and regulatory compliance, with proven ability to coordinate with multiple agencies...Full timeLocal areaRelocationVisa sponsorshipRelocation packageFlexible hours- ...Glendale is one of the area's leading healthcare providers. We are comprised of a 515-bed... ...Summary: Schedules, leads, and coordinates the daily activities of a defined unit... ...safe, quality nursing care and regulatory compliance while providing leadership to staff by...Full timeWork experience placementLocal areaAll shiftsShift workDay shift
- ...registries. Internal Data Management: Utilize internal databases for generating volume... ...External Data Submission: Ensure compliance with Centers for Medicare and Medicaid Services... ...Experience in clinical data management, healthcare quality compliance, registry management,...Full time
$58.5 - $96.53 per hour
...VAD Transplant Coordinator The VAD Transplant Coordinator provides... ...spreadsheets and tables, utilizing functions (formulas) and manipulating... ...patient and family compliance with medical regimen c. Monitoring... ...Basic Life Support (BLS) Healthcare Provider from American Heart...Hourly payFull timeWork experience placementLocal areaShift workNight shiftWeekend work- ...United Cerebral Palsy of Georgia is seeking a Quality Assurance Coordinator to support operational processes and ensure compliance across clinical teams. The role involves coordinating program operations, managing inventory, and tracking performance indicators. Qualified...Full timeMonday to FridayFlexible hours
$24 per hour
...temporary opportunity! We partnered with a prominent healthcare organization based in Montebello, CA to fill a UM Coordinator position. Please consider applying if you come with a minimum of 2 years of Utilization Management and Prior Authorization experience. Job...Temporary workMonday to Friday- ...Management as a PNO Delegation Oversight Coordinator in Sherman Oaks, CA, where you'll play... ...our mission of delivering exceptional healthcare management solutions. Responsibilities... ...within the PNO framework. Monitor compliance with regulatory requirements and internal...Work from homeFlexible hours
$70.3k - $75.1k
...partnerships and programs to provide equitable healthcare resources in a variety of south Los... ...Job Summary: The Residency Program Coordinator manages the day-to-day operations of... ...plays a critical role in accreditation compliance, educational programming, resident support...Contract workWork at officeLocal area$60.79 - $74.4 per hour
...EPRP Nurse Coordinator - Temporary Position Primary Location Downey, California Schedule... ...Responsibilities: Prospective utilization review activities by reviewing cases with... ...experience. Bachelors degree in nursing or healthcare related field preferred. Notes:...Full timeContract workTemporary workWork experience placementWork at officeShift workAfternoon shift$53 - $87.45 per hour
...Coordinator Registered Nurse The Coordinator is a Registered Nurse with recognized leadership... .../licenses/Annual Health Assessment. Utilizes Samie Model for problem solving and... ...RN (CA DCA) Basic Life Support (BLS) Healthcare Provider from American Heart...Hourly payDaily paidFull timeWork experience placementLocal areaImmediate start- Providence Health & Services is seeking a Supervisor of Utilization Management responsible for overseeing daily operations of Utilization Review Specialists. The role includes mentoring the team, managing workflows, and supporting patient care initiatives while promoting...Remote job
- ...A healthcare organization in Lynwood, California is seeking an experienced MDS Nurse to oversee resident assessments and ensure compliance with reimbursement rules. The ideal candidate is a licensed LVN/RN in California with at least 1 year of MDS Nurse experience. Responsibilities...
$25.75 - $32.19 per hour
...day. Job Overview The Scheduling Coordinator is responsible for scheduling and coordinating... ...Center staff, specialty providers, and Utilization Management to ensure timely access to... ...Job Advertisement & Application Compliance Statement AltaMed Health Services Corp...Hourly payFlexible hours- ...AND VALUES Our mission is to provide quality, comprehensive healthcare and supportive services to those in our community. Our vision... ...Community Health Centers. JOB SUMMARY The Enrollment Coordinator will assist patients to enroll and maintain enrollment into...Work experience placementWork at officeLocal areaImmediate startMonday to FridayShift work
$25 - $28 per hour
...On-call Intake Coordinator Are You Ready to Make a Difference in Healthcare? We are now hiring an Intake Coordinator to join our team! Schedule: Monday and... ...Medical Records (EMR) systems. You will ensure compliance with government regulations and ensure that adequate...Hourly payWork experience placementWork at officeLocal areaImmediate startRemote workMonday to FridayShift workWeekend work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to UM Coordinator: Healthcare Utilization & Compliance. Be the first to apply!
- transaction coordinator Los Angeles, CA
- registered nurse coordinator Los Angeles, CA
- continuous improvement coordinator Los Angeles, CA
- database coordinator Los Angeles, CA
- order coordinator Los Angeles, CA
- fulfillment coordinator Los Angeles, CA
- workforce coordinator Los Angeles, CA
- workplace coordinator Los Angeles, CA
- architectural coordinator Los Angeles, CA
- placement coordinator Los Angeles, CA


