Outpatient UM Coordinator
MedPOINT Management
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. #J-18808-Ljbffr MedPOINT Management
- MedPOINT Management is looking for an Outpatient UM Coordinator in Sherman Oaks, CA. The role involves reviewing outpatient treatment plans, coordinating with healthcare providers, and ensuring compliance with clinical guidelines. Candidates should have an active RN license...SuggestedRemote jobWork from homeFlexible hours
- ...Role: MedPOINT Management is looking for a dedicated Outpatient Utilization Management Coordinator to join our team in Sherman Oaks, CA. In this role, you... ...authorization requests, approvals, and denials in the UM system Apply evidence-based clinical criteria (e.g.,...SuggestedWork at officeWork from homeFlexible hours
- Aya Healthcare, Inc. is seeking a Practice Coordinator for an outpatient clinic in Los Angeles, CA. The role is dayshift, 5x8s, 13-week assignment with start date 09/21/2026. Openings: 1; customer-focused administration with Epic charting experience preferred. Compensation...SuggestedDay shift
$24 - $25 per hour
...Job Description Job Description Title: UM Coordinator Location: Montebello, CA (Onsite) Schedule: Mon–Fri (8:00–5:00 or 8:3... ...to the Medical Management department to ensure timeliness of outpatient or inpatient referral/authorization processing per state...SuggestedTemporary work- ...Job Description Job Description JOB TITLE: UM Coordinator - Outpatient DEPARTMENT: Utilization Management REPORTS TO: Supervisor, Utilization Management JOB SUMMARY: This position processes authorizations and ensures that all information is correct before...SuggestedWork at office
$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- ...Job Description Job Description JOB DESCRIPTION JOB TITLE: Director, UM - RN FLSA STATUS: Exempt DEPARTMENT: Utilization Management REPORTS TO: Chief Medical Officer AUTHORITY : Clinical and non-clinical staff JOB SUMMARY: Responsible for providing...
Imperial Management Administrators Services Inc
Pasadena, CA6 days ago $34 - $47 per hour
...position, you will utilize your clinical judgement to approve or deny outpatient medical services for patients based on Medical Necessity... ...unrestricted LVN license in CA. At least 1 years of outpatient UM experience Experience with Microsoft applications such as Word...Hourly payLive inWork at officeRemote workMonday to FridayShift workAstrana Health, Inc.
Monterey Park, CA1 day ago- ...Outpatient Case Manager (RN/LVN)Recruiting on behalf of a leading healthcare organization in Southern CaliforniaAbout the Opportunity... ...FOCUS Charting, nursing standards, and company policies.Care Coordination & Transition Management: Act as a liaison between administration...Casual workWork at officeRelocation package
Vivo HealthStaff
Sherman Oaks, CA3 days ago - ...Angeles. The nurse specialist applies advanced clinical judgment to coordinate physical and behavioral healthcare for LA Care members. The role... ...CalAIM supports, and Hospice care. Requires at least 3 years of direct nursing or UM/CM experience. #J-18808-Ljbffr Working Nurse
- Martin Luther King, Jr. Community Hospital seeks an RN Coordinator for Enhanced Care Management (ECM) to support complex, high-need patients... ..., care planning, and coordination across inpatient, outpatient, and community settings, addressing medical, behavioral, and...
Martin Luther King, Jr. Community Hospital
Burbank, CA6 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 work$28 - $32 per hour
...'s needed most. As a private, non-profit, multi-specialty outpatient clinic, VCC provides more than healthcare, we provide opportunity... ...for initial, semi-annual, annual and as needed. Coordinates with the interdisciplinary team to develop a comprehensive care...Hourly payFlexible hours$29 - $45.2 per hour
...Under the supervision of the ambulatory care manager, the care coordinator provides care coordination services required to meet an... ...management 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- ...transplantation for the organ type specified. Responsibility involves coordination of interdisciplinary medical care delivery system under the... ...1,071.365-$243,419.04 (annually) TC2: $218,175.12- $260,749.44(annually) TC2: must have CCTC #J-18808-Ljbffr UCLA Outpatient Clinics
$47.25k - $65k
...years in a fast‑paced, detail‑oriented environment. Benefits Comprehensive medical, dental, and vision coverage. 100% coverage for outpatient in‑network mental health services. Fertility coverage for eligible participants. Wellbeing reimbursements for fitness, spa, meal,...Contract workSummer workWork at officeImmediate startFlexible hours- ...Donor Allocation Transplant Coordinator II Develops and maintains nursing practice standards of care for a specific transplant population... ...follow-up care. Coordinates communications with the outpatient transplant population such as transplant clinic visits, community...Full timeLocal areaNight shift
$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- The Administrative RN Coordinator at UCLA Outpatient Clinics blends clinical nursing expertise with operational coordination to support the Interventional Pulmonary Program. You will coordinate patient care, manage workflows, and facilitate communication among multidisciplinary...
- UCLA Outpatient Clinics in Los Angeles is seeking an Epic Simple Visit Coding Analyst 2 to review charges from origin, assign ICD-10-CM, CPT/HCPCS codes, and ensure accurate charge capture and medical necessity documentation. You will work with physicians, clinical departments...
$30 - $34 per hour
...Compensation: $30.00 - $34.00 / hour Department: Health Services (HS - UM) Job Title Utilization Management Review Nurse About the Role... .../retrospective reviews of elective inpatient admissions, outpatient procedures, post-homecare services, and durable medical equipment...Hourly payWork at officeMonday to FridayShift work$34 - $50 per hour
...training PURPOSE AND SCOPE The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement... ...is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning,...Hourly payShift workFresenius Medical Care
Compton, CA3 days ago- ...Review Nurse to assist our Health Services Department. In this position, you will utilize your clinical judgement to approve or deny outpatient medical services for patients based on Medical Necessity Criteria, respective to various Health Plans. This is a remote position...Live inRemote work
Astrana Health
Monterey Park, CA3 days ago - MAJOR RESPONSIBILITIES/ESSENTIAL FUNCTIONSThe primary job duties this position is responsible for achieving are listed in order of importance.Job Summary: To facilitate a safe discharge and/or transition of care for patients from hospital, lower level of care or to the ...Full timeWork experience placementShift work
- We are looking for a Workflow Coordinator to support high-volume document and administrative operations for a client team in Los Angeles, California. This Long-term Contract position is ideal for someone who can organize incoming requests, manage competing priorities, and...Long term contractWork at office
- We are looking for a Metadata Coordinator for a top media & entertainment out of their Burbank CA offices!Bill: $48.00/Pay $32.00Responsibilities:Translate label copy information as received by A&R and other parties into Metadata and populate repertoire system according...Hourly payFreelanceWork at office
- Adventist Health Glendale is looking for Revenue Reimbursement Coordinator for Full-time, Day Shift. We are looking for great individual who can work onsite to our location in Glendale, CALocated in the metropolitan area of Sacramento, the Adventist Health corporate headquarters...Full timeContract workWork experience placementWork at officeFlexible hoursDay shift
- Horton Lees Brogden Lighting Design is seeking a driven marketing professional to support our Los Angeles, San Francisco, Denver and Seattle offices, as well as the national marketing team on firmwide initiatives with a focus on proposals. The role requires independence...Work at officeLocal areaRemote work
$58.65 - $81.73 per hour
...when you merge creativity, intuition and cutting-edge technology. Come be a part of what’s next.The OpportunityNetflix is seeking a Coordinator to be part of the US and Canada (UCAN) Minors, Immigration & Diligence (MInD) team within the Studio Affairs legal team. MInD...Hourly payFull timeImmediate startFlexible hours- ...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...Local areaImmediate start
The Villa Outpatient Services LLC
Los Angeles, CA16 days ago
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