Utilization Coordinator

Job Description

Job Description

Overview

Cambrian Homecare LLC is seeking detail-oriented individuals to join our Utilization Team . As a member of this team, you will build and maintain strong relationships with clients and providers by offering one-on-one support. Your primary responsibilities will include assisting with schedule coordination, keeping clients and providers informed about authorized hours, and ensuring all tasks are completed accurately and in a timely manner.

This is a full-time, in-office position located at our Corporate Office in Long Beach.

The schedule is Monday through Friday .

This is not a remote position

Responsibilities

Responsibilities:

Client Conversion

• Contact clients to start services
• Facilitate completion of assessments and schedule initial visits
• Communicate consistently with clients, caregivers, and internal teams to remove barriers to conversion and service continuation.

Authorization Utilization

• Re-initiate services for clients who have not had a completed visit in over 30 days.
• Generate ongoing schedules
• Ensure future visits are scheduled under the correct authorization.
• Verify and resolve non-compliant visits for accurate and timely authorization utilization.
• Respond to client inquiries for updates on their authorized hours and remaining available hours.

Client Scheduling

• Ensure all visit submissions are entered timely and accurately in the system
• Monitor and maintain visits for new submission and proper documentation.
• Educate clients and caregivers on proper utilization of authorizations
• Verify client information, visit details, authorization information to prevent errors

Qualifications

Qualifications

• High school diploma or equivalent
• Effective communication and interpersonal skills - both verbal and written
• Strong attention to detail
• Strong computer and data entry skills
• Fluency in both English and Spanish preferred

Requirements

• 18+ years of age or older
• Eligible for employment in the United States
• Ability to pass a background and reference check

We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.