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
- 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
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...SuggestedWork 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...SuggestedWork at officeWeekend work
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...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
$25 - $31 per hour
...Description Description: Position Summary The Utilization Management (UM) Coordinator is responsible for providing administrative, operational, and care coordination support to the inpatient and outpatient Utilization Management teams within Blue Zones Health, an...Hourly payWork at officeRemote workMonday to FridayBlue Zones Health
La Crescenta, CA8 days ago$21 - $26 per hour
...Job Description Job Description Description 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...Hourly payWork at officeFlexible hoursShift workWeekend work$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$132.3k - $307.1k
...Job Description \n Description \n \n This role will serve as Supervisor for Transplant Coordinators under the direction of the Transplant Nurse Manager. Responsible for operational and supervisory leadership by overseeing daily workflows, ensuring regulatory compliance...UCLA Health
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...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, CA4 days ago- University of Southern California's Keck Hospital is seeking a Transplant Coordinator I, RN for Heart Acquisition to manage outpatient transplant care and donor/recipient processes. The role emphasizes coordinated patient flow, education, and interdisciplinary collaboration...
- ...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. \nCompany Description We are a outpatient full service hospice provider focusing on a end of life...Work at office
Maximum Care Hospice Inc
Los Angeles, CA4 days ago $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- The University of Southern California is seeking a Transplant Coordinator III-NP to manage care for heart transplant patients in Los... ...coordinating medical and surgical management in both inpatient and outpatient settings for patients with end-stage organ diseases. The...
$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- ...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
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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- ...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, CA18 hours ago - 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
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...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$60.84 - $100.39 per hour
RN Coordinator (VAD) - Mech Circulatory Program - Full Time 8 Hour Days (Non-Exempt) (Non-Union) Los Angeles, CA Job ID REQ20172011 Category... ...for 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$110.24k - $181.9k
RN Coordinator - Downtown Clinic - Full Time 8 Hour Days (Exempt) (Non-Union) - University of Southern California (USC) Serves as a valued... ...therapeutic care to patients and their families in the outpatient setting, when required. Ensures patient's right to privacy, safety...Full timeWork experience placementLocal area- Keck Hospital of USC is seeking a Transplant Coordinator to independently manage outpatient care for transplant patients, coordinate donor/recipient workflows, and support evaluation, listing, and post-transplant follow-up. The role requires strong communication, regulatory...
$1,715 - $1,810 per week
...Registered Nurse (RN) | Outpatient Clinic Location: Los Angeles, CA Agency: GQR Healthcare Pay: $1,715 to $1,810 per week Shift Information: Days Contract Duration: 26 Weeks Start Date: ASAP About the Position TravelNurseSource is working...Hourly payWeekly payFull timeContract workImmediate startShift workTravelNurseSource
Los Angeles, CA1 day ago$1,797 - $2,281 per week
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Glendale, CA1 day ago$2,462 per week
...Registered Nurse (RN) | Outpatient Clinic Location: Glendale, CA Agency: GetMed Staffing Pay: $2,462 per week Shift Information: Days - 5 days x 8 hours Contract Duration: 13 Weeks Start Date: 11/16/2026 About the Position TravelNurseSource...Full timeContract workShift workTravelNurseSource
Glendale, CA1 day ago$2,458 - $2,534 per week
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Glendale, CA19 hours ago$2,604 per week
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Glendale, CA19 hours ago
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