Outpatient UM Coordinator
MedPOINT Management
Job Description Job Description Benefits: 401(k) 401(k) matching Company parties Dental insurance Free food & snacks Health insurance Paid time off Parental leave Savings bank Training & development Vision insurance Wellness resources About the Role: Join MedPOINT Management as an Outpatient UM Coordinator in Sherman Oaks, CA, where you'll play a crucial role in ensuring the quality and efficiency of outpatient care. This position offers a dynamic environment where you can make a real impact on patient outcomes and collaborate with a passionate team. Responsibilities: Review and assess outpatient treatment plans for medical necessity and compliance. Coordinate with healthcare providers to facilitate timely authorizations and care transitions. Utilize clinical guidelines and criteria to determine appropriate levels of care. Document and track authorization requests and outcomes in the system. Communicate effectively with patients, providers, and insurance companies. Participate in interdisciplinary meetings to discuss patient care and service improvements. Monitor and report on trends in outpatient utilization and quality metrics. Stay updated on regulatory changes and best practices in utilization management. Requirements: Active RN license or relevant clinical certification required. Minimum of 2 years of experience in outpatient utilization management or related field. Strong knowledge of medical terminology, insurance processes, and clinical guidelines. Excellent communication and interpersonal skills to collaborate with diverse teams. Proficient in electronic health record (EHR) systems and Microsoft Office Suite. Detail-oriented with strong organizational and time-management skills. Ability to work independently and manage multiple priorities effectively. Commitment to patient-centered care and continuous improvement. About Us: MedPOINT Management has been a trusted partner in healthcare management for over 15 years, dedicated to optimizing patient care and operational efficiency. Our clients appreciate our commitment to quality, while our employees thrive in a supportive and innovative work environment that values professional growth and collaboration. Flexible work from home options available.
$21 - $26 per hour
...UM Coordinator - Denials Department: HS - UM Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting To: Felicia Calles Compensation: $21.00 - $26.00 / hour Description Astrana Health is seeking a dedicated...SuggestedHourly payFull timeWork at officeWeekend workAstrana Health, Inc.
Monterey Park, CA1 day ago- ...Training & development Vision insurance Wellness resources About the Role: Join MedPOINT Management as an Inpatient UM Coordinator in Sherman Oaks, CA, where you will play a vital role in ensuring quality patient care and efficient utilization management....SuggestedRemote work
MedPOINT Management
Sherman Oaks, CA4 days ago $20 - $24 per hour
...UM Coordinator - Hybrid Department: HS - UM Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting To: Sandra Castellon Compensation: $20.00 - $24.00 / hour Description Astrana Health is seeking a dedicated...SuggestedHourly payFull timeWork at officeShift workWeekend workAstrana Health, Inc.
Monterey Park, CA4 days ago$24 - $25 per hour
...Job Description Job Description Title: UM Coordinator Location: Montebello, CA (Onsite) Schedule: Mon–Fri (8:00–5:00 or 8:30... ...to the Medical Management department to ensure timeliness of outpatient or inpatient referral/authorization processing per state...SuggestedTemporary work- ...Job Description Position Title: Director of Residential & Outpatient Programs Department : Residential / Outpatient Programs... ...Residential, Outpatient, and Recovery Bridge Housing programs. Coordinate services and maintain collaborative relationships with directors...SuggestedFull timeContract workFlexible hours
Tarzana Treatment Centers, Inc
Los Angeles, CA16 days ago $24 per hour
...excited to share this 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...Temporary workMonday to Friday- ...must guide what we do, as individuals and professionals, every day. Works Under The Supervision Of The Nurse Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And Supervises Individual Patient Care On A Nursing Unit/Department...Temporary workFlexible hours
Yale New Haven Health
Hawthorne, CA14 hours ago - ...Description Job Description Hi, we are hiring a concierge nurse coordinator to work in our boutique hospice office in valley village. We... ...Serious Inquires please. Company Description We are a outpatient full service hospice provider focusing on a end of life...Work at office
Maximum Care Hospice Inc
Los Angeles, CA5 days ago $17.74 - $31.63 per hour
...Join to apply for the Wellness Coordinator role at Optum 1 day ago Be among the first 25 applicants Join to apply for the Wellness Coordinator... ..., managed care organization, or joint medical/behavioral outpatient practice) Experience working in an environment that required...Hourly payMinimum wageFull timeTemporary workWork experience placementInternshipLive inWork at officeLocal areaRemote workMonday to FridayShift workOptum
Los Angeles, CA4 days ago- ...Job Description Provides advanced discharge coordination and clerical support for the Care Management team with an emphasis on forward... ...Hospital - Downey and PIH Health Good Samaritan Hospital, 27 outpatient medical locations, a multispecialty medical (physician) group...Daily paid
PIH Health
Downey, CA5 days ago - ...comprehensive evaluations of patients in both inpatient and outpatient settings and develop customized treatment plans Deliver hands... ...interdisciplinary team rounds and conferences to facilitate coordinated care Education ~ Doctorate in Physical Therapy (DPT)...Local areaFlexible hours
MLee Medical Employment
Los Angeles, CA3 days ago $21 - $31.36 per hour
...Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient... ...Under supervision from the clinical care team, provides care coordination for patients as they move into and through the care continuum...Full timeLocal areaShift workNight shiftPrime Healthcare
Lynwood, CA9 hours ago$23 per hour
...Job Description: In the UM department, Case Management Coordinator is to assist with the coordinating of the day-to day activities in the medical group, request for authorization for ancillary services, and certify the group is utilizing the most cost effective provider...Monday to FridayHealth Source MSO Inc
Alhambra, CA5 days ago$25.53 per hour
...Care Management Coordinator, Per Diem, 8:30 AM - 5:00 PM Works with case managers, social workers and Access coordinators to coordinate... ...Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician...Daily paidWork at officePIH Health
Downey, CA2 days ago- ...Staffing Coordinator Day (5x8 Hours) 8:00 20:00 "Location: 8767 Wilshire Blvd, Beverly Hills, CA Schedule: 8 hours between 08... ...with EPIC or FAST 1 year of recent experience working in an outpatient clinic or medical office setting Ability to read,...Work at officeAll shiftsWeekend work
Pacer Group
Beverly Hills, CA3 days ago $26.92 - $33.65 per hour
...that drives us forward every day. Job Overview This Coordinator II of Utilization Management is responsible for providing support... ...Medical Management department to ensure the timeliness of outpatient or inpatient referral/authorization processing per state and...Hourly payFlexible hoursAltaMed Health Services
Montebello, CA2 days ago$37.5 - $40 per hour
...Outpatient Case Manager (RN/LVN) Recruiting on behalf of a leading healthcare organization in Southern California About the Opportunity... ..., nursing standards, and company policies. Care Coordination & Transition Management: Act as a liaison between...Hourly payCasual workWork at officeRelocation packageFlexible hoursVivo HealthStaff
Sherman Oaks, CA5 days ago$29 - $45.2 per hour
...Case Management Care Coordinator Provides department support for the Case Management team to facilitate discharge planning and ensure... ...of specific patient populations in the inpatient and outpatient settings. The care coordinator role assists the ambulatory care...Hourly payFull timeWork experience placementWork at officeLocal area- ...joining our team ! Help Group's Child and Family Center and Outpatient Programs are family focused, child centered community mental... ..., program, and clients with the approval of the Program Coordinator/Director APPLY NOW! Competitive salary Productivity bonuses...Local areaWork from homeRelocation packageAfternoon shift
Help Group
Los Angeles, CA12 hours ago $24 - $25 per hour
...in the lives of those recovering from addiction? At The Villa Outpatient, we are looking for a dedicated and compassionate Case Manager... ...observation, and tests Act as (literal) client advocate to coordinate required services or to resolve emergency problems in crisis situations...Full timeLocal areaImmediate startThe Villa Outpatient Services LLC
Los Angeles, CAa month ago$45 - $50 per hour
...Case Manager Outpatient RN The Case Manager Outpatient RN is responsible for the assessment, treatment planning, intervention, monitoring... ...address needs not covered by the member's benefit plan, and coordinates member benefits as needed, with the health plan....Hourly payFull timeCasual workRelocation packageFlexible hours$58.5 - $96.53 per hour
...VAD Transplant Coordinator The VAD Transplant Coordinator provides nursing care as an RN to Ventricular Assistive Devise and cardiothoracic... ...VAD services as assigned Independent coordination of the outpatient VAD patient by: a. Coordinating clinic visits and diagnostic...Hourly payFull timeWork experience placementLocal areaShift workNight shiftWeekend work$34 - $47 per hour
...UM Review Nurse - LVN Department: HS - UM Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park... ...position, you will utilize your clinical judgement to approve or deny outpatient medical services for patients based on Medical Necessity...Hourly payFull timeLive inWork at officeRemote workMonday to FridayShift workAstrana Health, Inc.
Monterey Park, CA2 days ago- ...Title of Position: Intake and Quality Assurance Coordinator Location: Percy Village Exempt/Non-Exempt: Exempt... ...a standalone fifty-five (55) )-bed hospital and six outlying outpatient facilities that have anywhere from fourteen (14) beds to one...Full timeWork at office
GATEWAYS HOSPITAL & MENTAL HEALTH CENTER
Los Angeles, CA2 days ago $1,910 per week
...Registered Nurse (RN) | Outpatient Clinic Location: Los Angeles, CA Agency: Magnet Medical Pay: $1,910 per week Shift... ...modifications and proper medication adherence. Care Coordination : Collaborate with physicians, nurse practitioners, and other...Full timeContract workImmediate startShift workNight shiftMagnet Medical
Los Angeles, CA4 days ago$2,517 per week
...Registered Nurse (RN) | Outpatient Clinic Location: Los Angeles, CA Agency: Mindlance Health Pay: $2,517 per week Shift Information: Days - 4 days x 10 hours Contract Duration: 13 Weeks Start Date: 6/15/2026 About the Position ID: 7...Daily paidPermanent employmentFull timeContract workTemporary workLocal areaFlexible hoursShift workNight shiftWeekend workMindlance Health
Los Angeles, CA4 days ago$2,208 per week
...Registered Nurse (RN) | Outpatient Clinic Location: Los Angeles, CA Agency: GetMed Staffing Pay: $2,208 per week Shift Information: Days - 4 days x 10 hours Contract Duration: 13 Weeks Start Date: 6/15/2026 About the Position GetMed...Full timeContract workShift workGetMed Staffing
Los Angeles, CA4 days ago$2,683 per week
...Registered Nurse (RN) | Outpatient Clinic Location: Los Angeles, CA Agency: Infojini Healthcare Pay: $2,683 per week Shift Information: Days - 4 days x 10 hours Contract Duration: 13 Weeks Start Date: 6/15/2026 About the Position RN...Full timeContract workShift workInfojini Healthcare
Los Angeles, CA4 days ago$1,981 - $2,076 per week
...Registered Nurse (RN) | Outpatient Clinic Location: Los Angeles, CA Agency: GQR Healthcare Pay: $1,981 to $2,076 per week Shift Information: Days Contract Duration: 13 Weeks Start Date: ASAP About the Position Contract - W2 Clinic Registered...Hourly payWeekly payFull timeContract workImmediate startShift workGQR Healthcare
Los Angeles, CA6 days ago$2,376 per week
...Registered Nurse (RN) | Outpatient Clinic Location: Los Angeles, CA Agency: TRS Healthcare Pay: $2,376 per week Shift Information: Days Start Date: 6/15/2026 About the Position Registered Nurse - Clinic/Outpatient TRS Healthcare is seeking...Full timeContract workRelocation packageShift workTRS Healthcare
Los Angeles, CA4 days ago
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