Outpatient UM Coordinator
Med Point 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
- ...Utilization Management Coordinator Denials Astrana Health is seeking a dedicated Utilization Management (UM) Coordinator Denials to join our Denial Department. This role ensures timely and accurate processing of all deferrals and denials in compliance with Astrana Health...SuggestedWork at officeFlexible hoursShift workWeekend work
Astrana Health
Monterey Park, CA3 days ago - Help Group is seeking a full-time administrative support professional for our Outpatient Department in Van Nuys. The role focuses on client care coordination, reception duties, and confidential handling of client information within a large nonprofit healthcare setting....SuggestedFull timeWork at office
$21 - $26 per hour
...Center Dr., Monterey Park, CA 91754 Compensation: $21.00 - $26.00 / hour Department: HS - UM Description Astrana Health is seeking a dedicated Utilization Management (UM) Coordinator - Denials to join our Denial Department. This role ensures timely and accurate...SuggestedHourly payWork at officeWeekend work$21 - $26 per hour
Astrana Health is seeking a Utilization Management Coordinator - Denials in Monterey Park, CA. This role involves processing denials and ensuring... ...high school diploma and proficiency in medical terminology and UM software. It's a hybrid role with full office presence...SuggestedHourly payWork at officeHome officeTrial periodFlexible hours- Astrana Health, Inc. is seeking a dedicated Utilization Management (UM) Coordinator - Denials in Monterey Park, CA. This role processes prior authorization denials in line with NCQA and health plan requirements while maintaining HIPAA privacy and high accuracy standards...Work at officeRemote work
- Hanker Systems, Inc. is seeking an experienced Staffing Coordinator to manage staff and provider schedules in an outpatient medical office in Beverly Hills, California. You will create and maintain staffing coverage, process time-off requests, coordinate weekend/holiday...Work at officeWeekend work
$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...Temporary work- Aya Healthcare, Inc. in Los Angeles, CA is seeking a Practice Coordinator for a 13-week assignment. The role supports administrative functions in an outpatient setting with days shift 08:00-17:00 and Epic charting requirements. The position requires about 1 year of experience...Weekly payDay shift
$70.66k - $115.63k
...substance abuse disorder facility-based and outpatient professional treatment health benefits... ...effective setting in accordance with UM Clinical Guidelines and contract. Refers... ...or substance abuse disorder assessment coordination implementation case planning monitoring...Full timeContract workTemporary workWork experience placementWork at officeLocal area1 day per week- ...Clearance, Registration, and Revenue Cycle processes Monitors, coordinates, and supervises the daily operations and staffing schedule of... ...of 1 year of Lead or Supervisory experience required. Outpatient experience preferred. Why work here? Beyond outstanding...Temporary workShift work
$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... ..., managed care organization, or joint medical/behavioral outpatient practice) Experience working in an environment that...Hourly payMinimum wageFull timeTemporary workWork experience placementInternshipLive inWork at officeLocal areaRemote workMonday to FridayShift workOptum
Los Angeles, CA4 days 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, CA2 hours ago$75k - $100k
...navigating various psychological challenges. About the Organization\n Advanced Medical Therapeutic Clinic is a leading provider of outpatient mental health care, emphasizing a holistic approach to treatment. Our clinic is composed of a diverse group of licensed...Full timeWork at officeImmediate startRemote workMonday to FridayAdvanced Medical Therapeutic Clinic
Glendale, CA13 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
Los Angeles, CA5 days ago$70k - $100k
...accessible, Silverwood Behavioral Health Center operates as an outpatient facility in Los Angeles, California. Our center emphasizes... ...professionals, including psychiatrists and support staff, to coordinate holistic care for clients. \n Maintain accurate and timely...Remote jobFull timeSilverwood Behavioral Health Center
Los Angeles, CA12 days ago$115k - $130k
...Veterans Rethink Counselling, LLC is actively seeking a dedicated and compassionate Licensed Mental Health Therapist to join our outpatient psychiatrist office in South Gate, California. The successful candidate will play a crucial role in supporting individuals struggling...Full timeWork at officeRemote workVeterans Rethink Counselling, LLC
South Gate, CA9 days ago- ...UCLA Health is seeking a Senior Licensed Vocational Nurse in Urology to provide patient care in an outpatient setting and to support urologic procedures. The role includes IV starts, venipuncture, medication administration, and patient flow management. Travel to UCLA...
UCLA Health
Santa Monica, CA1 day ago - Transplant Coordinator -Heart and Lung job at UCLA. Los Angeles, CA. Description Primary responsibility is the clinical case management... ...of the transplant process, from initial referral through outpatient follow-up. This position requires an advanced level of expertise...
$24 - $26 per hour
Medication Management Coordinator job at Medpoint Management. Woodland Hills, CA. Summary As part of the Member Outreach team in QM,... ...High School graduate or GED equivalent 2+ years working in outpatient pharmacy or managed care Pharmacy Technician highly preferred...Hourly payWork at office- Provides advanced discharge coordination and clerical support for the Care Management team with an emphasis on forward-facing patient and... ...Hospital - Downey and PIH Health Good Samaritan Hospital, 27 outpatient medical locations, a multispecialty medical (physician) group...Full timeWork at officeShift work
$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 at office- ...range of services, including mental health care, residential and outpatient substance use treatment, and primary health services.... ...ensuring comprehensive support for participants. The Intake Coordinator conducts the initial evaluation of potential clients to assess...Immediate start
- Adventist Health Glendale is seeking an exceptional Coordinator to streamline admitting and clerical duties in an outpatient setting. You will help schedule patients, gather charts, and coordinate with physicians and billing to ensure smooth patient flow. The role emphasizes...
- ...Job Description Job Description The Surgery Coordinator manages and coordinates all aspects of outpatient surgical procedures, ensuring smooth operations, patient care, and administrative efficiency. Key Responsibilities Responsible for overseeing the entire...Private practiceWork at office
Ali Namazie, MD, FACS
Los Angeles, CA21 days ago $19.83 - $24.22 per hour
Coordinator II, Manufacturing Line Maintenance Position Overview Salary Range $19.83 - 24.22/hour. Financial compensation packages may be... .... Daily activities to include, but not limited to, generate PM/UM work orders for PM group, maintain PM scheduling in CMMS, review...Work experience placementShift work- A leading healthcare solutions provider is seeking an Outpatient Facility Coding Specialist in Culver City, California. The role requires at least 3 years of experience in facility OP & ED coding for large trauma Level I facilities. Key responsibilities include coding...Permanent employmentFull timeMonday to Friday
- Cedars-Sinai is seeking an X-Ray Technician with a Limited Permit to support patient care in an outpatient clinical setting in Los Angeles. You will perform diagnostic X-rays under provider orders and collaborate with the care team to maintain efficient workflows. The...
$151.42k - $246.61k
...discharge planning. Maintains appropriate documentation for transplant candidacy and post‑transplant follow‑up care. Coordinates communications with the outpatient transplant population such as transplant clinic visits, community referrals, telephone consultations,...Full timeWork experience placementLocal areaWork from homeNight shiftRotating shift- ...JOB TITLE: Outpatient Case Manager FLSA STATUS: Non-Exempt DEPARTMENT: Clinical Services REPORTS TO: Case Management Program Manager JOB... ...problem‑solving and addressing any barriers to care needs. Coordinate and refer to appropriate community resources; facilitate access...Temporary work
Imperial Health Plan of California, Inc.
Pasadena, CA1 day ago
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