Utilization Management (UM) Coordinator
6AM City
Job Description Utilization Management (UM) Coordinator Montebello, CA Schedule: 8a - 5p Monday through Friday Pay: 23- 26/hour Summary: This position is responsible for providing support to the Medical Management department to ensure timeliness of outpatient or inpatient referral/authorization processing per state and federal guidelines. This position performs troubleshooting when problems situations arise and coordinates with leadership. Requirements: High School Diploma or equivalent required. MA or Medical Billing Certificate preferred. Minimum 1 year of experience working in a medical billing environment (IPA or HMO preferred), with pre-authorizations and reimbursement regulations pertaining to Medi-Cal, CCS and other government programs required. Prior experience working in a clinic/health care specialty call center. Prefer experience in utilization management processing authorization referrals. Job Type: Temp #J-18808-Ljbffr
- ...NeueHealth, Inc. is seeking a Utilization Management Coordinator to manage the authorization process for medical services. In this role, you will work closely with nurses and physicians to ensure compliance with clinical guidelines and regulatory requirements. Qualified...SuggestedHourly pay
$85.7k - $128.54k
E2E Alignment Healthcare USA, LLC is seeking a Supervisor for Utilization Management in California. The role includes overseeing the UM department, leading a clinical team, and ensuring compliance with CMS regulations. The ideal candidate will have supervisory experience...Suggested- A leading healthcare company in California is seeking a Utilization Management Coordinator to support the coordination and administrative functions of the utilization review process. The candidate will collaborate with healthcare professionals to ensure compliance with...SuggestedHourly pay
$85.7k - $128.54k
The Supervisor, Utilization Management (UM), reports to the Manager of UM and oversees the UM department, leading a clinical team and ensuring... ...pre‑service and claims reviews. Supervise licensed and coordinator staff, ensuring adherence to CMS and Alignment Health turnaround...SuggestedRemote jobLocal area- ...Centene Corp. is seeking a Supervisor, Utilization Management (RN) to lead and supervise our Clinical Review team. This role focuses on ensuring appropriate care for our members and promotes adherence to compliance standards through effective team management and continuous...SuggestedRemote workFlexible hours
$24 - $25 per hour
Job Overview The Transportation Coordinator (RanchRide Coordinator) serves the residents of... ...Responsibilities Assist the RanchRide Manager at each meeting, support agenda, provide... ...compliance, FirstService Residential may utilize an Automated Employment Decision Tool (AEDT...Hourly payFull timePart timeWork experience placementFor subcontractorSeasonal workWork at officeLocal areaFlexible hoursAfternoon shift- ...fast-paced environment where talented professionals can grow and make a meaningful impact.About the role:The Senior Manager of Maintenance & Utilities is a strategic operations leader responsible for ensuring the reliability, safety, and performance of all manufacturing...Contract workFor contractorsWork at officeAll shiftsFlexible hoursShift work
- ...Best Formulations in California is looking for a Senior Manager of Maintenance & Utilities to lead and optimize all manufacturing and facility assets. The ideal candidate will oversee maintenance strategies, regulatory compliance, and team development, ensuring high operational...
$110k - $140k
...leading agricultural company is seeking a Facilities Maintenance Manager to oversee maintenance operations and ensure compliance with... ...regulations. The ideal candidate will have over 5 years of experience in utilities management, leadership skills, and a relevant engineering...Full time- ...NBCUniversal is seeking an Archive Management Coordinator to join their Studio Mastering & Content Operations Team in Universal City, California. The role focuses on asset management, including the tracking and migration of physical and digital assets. Successful candidates...Work at office
- Libertana, located in California, is seeking an FMS Account Coordinator to assist with the Financial Management Services program. This role involves processing referrals, maintaining patient account accuracy, and providing excellent customer service to various stakeholders...
- The Digital Asset Management Consortium, Inc. is seeking an Archive Management Coordinator to join their team in California. The role involves managing and researching asset databases while contributing to archival standards and facilitating asset movement. Candidates...
- A leading hospitality management company is looking for a Site Coordinator to manage administrative and onboarding tasks at Grant Grove in Kings Canyon National Park, California. This role requires assisting with HR functions, supporting Team Member housing, and ensuring...
- UC Irvine is seeking an Assistant Research Data Coordinator to provide comprehensive data management for clinical research, ensuring the accuracy of submissions and compliance with regulatory bodies. The ideal candidate will possess a Bachelor’s degree and have 1-3 years...
- ...permanent. The California Department of Justice seeks to hire a POD Coordinator (Analyst II) to join a “POD” of legal support personnel to... ...in the Antitrust Section. Supervised by the POD Legal Support Manager (Supervisor I), the POD Coordinator independently and...Permanent employmentTraineeshipSeasonal workWork at office
$44.79k - $67.19k
...Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. Contract Coordinator - Network Management Reporting into the Sr. Manager, Network Management, this role plays a critical part in supporting contracting and...Remote jobFull timeContract workWork at officeMonday to FridayNight shift$21 - $33 per hour
...Counseling (RCM) contributes to Cardinal Health Practice Operations Management oversees the business and administrative operations of a... ...financial obligations. Position Summary The Senior Coordinator, Financial Counseling is responsible for supporting patients...Hourly payTemporary workWork at officeLocal areaImmediate startFlexible hours- ...of faculty and staff and make a difference. Position Title Coordinator of Eye Care Services Position Control Number S00760 Type of... ...of patient care services and clinical education through the management of the optical services, optometric assisting, and billing in...Hourly payFull timeWork at officeLocal areaMonday to FridayFlexible hoursNight shiftWeekend work
- E2E Alignment Healthcare USA, LLC in California is hiring a Contract Coordinator for Network Management. This full-time position involves coordinating contracts, working cross-functionally, and ensuring timely updates and approvals. The ideal candidate is detail-oriented...Remote jobFull timeContract work
- A leading travel management company is seeking a Remote Guest Relations Coordinator to assist clients in planning and managing their vacations. The remote role involves coordinating flights, hotels, and activities while maintaining clear communication with clients. Successful...Remote work
- Paramount Pictures is seeking an Administrative Coordinator to support senior executives with scheduling, communication, and project tracking. This role demands strong organizational and time-management skills while managing competing priorities in a fast-paced environment...
- CommonSpirit Health is looking for a Physical Therapist Coordinator to work in California. As part of your role, you will assist patients in improving their physical wellbeing through evaluations and tailored care plans. You're expected to meet productivity standards while...
- The City of Pico Rivera is seeking a Temporary-Hourly position for their REACH program in California. This role involves supervising children, implementing activities, and ensuring safety in an after-school setting. Candidates should possess a high school diploma and two...Hourly payTemporary workPart time
$115k - $120k
...have over 5 years of experience in the construction industry, with at least 3+ years in a supervisory role. Responsibilities include managing project timelines and safety regulations while mentoring Kiewit's staff. The position offers a competitive salary range of $115,00...$79.13k - $126.61k
...mentoring, budget support, equipment and supply coordination, and promoting excellence in patient... ...acuity. Support and partner with the Manager/Clinical Leader, ensuring that staff... ...activities, including shared governance. Utilize critical thinking regarding patient safety...Monday to FridayShift workDay shift$27 - $30 per hour
...assigned. The Supervisor reports to the Manager and Assistant Manager, Entertainment Operations... ...when additional support is required. Coordinate and oversee on‑boarding, Take 2 Training... ..., and assignments. Proactively utilize slower periods to improve work and or work...Hourly payFull time$29.44 - $43.79 per hour
Overview The incumbent prioritizes and coordinates the activities for the Trauma Registry in order to meet schedules and deadlines, and... ...and enters into a comprehensive computerized data management system. Incumbent acts as a liaison/facilitator with the Trauma...Traineeship- A community college in California seeks a Professional Expert - Interpreter Coordinator. The role involves coordinating ASL interpreting services, managing data for D/HH students, and ensuring effective communication between students and interpreters. Applicants should...
$23 - $40.13 per hour
...LCA Lab. Corp. of America is seeking a Phlebotomist to join their team in California. Responsibilities include managing patient flow, performing blood collections, and providing excellent customer service. Candidates should have a high school diploma and a phlebotomy...Hourly pay$21 - $24 per hour
Bob's Discount Furniture is seeking a Shipping Lead to oversee real-time analysis and coordination of Shipping Operations. Responsibilities include recording and reporting deliveries, providing administrative support, and ensuring operational tasks are completed accurately...
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