Outpatient UM Clinician
Med Point Management
Job Description
Job Description
Benefits:
- 401(k)
- 401(k) matching
- Company parties
- Dental insurance
- Employee discounts
- Free food & snacks
- Health insurance
- Opportunity for advancement
- Paid time off
- Parental leave
- Savings bank
- Training & development
- Vision insurance
- Wellness resources
Join MedPOINT Management as an Outpatient UM Clinician in Sherman Oaks, CA, where you will play a vital role in ensuring quality care for our patients. Be part of a dynamic team dedicated to improving patient outcomes through effective utilization management. Responsibilities:
- Conduct utilization reviews for outpatient services to ensure compliance with standards.
- Collaborate with healthcare providers to assess patient needs and treatment plans.
- Document and track patient progress and treatment outcomes.
- Communicate with insurance companies regarding authorizations and appeals.
- Provide education and support to patients and families regarding care options.
- Participate in quality improvement initiatives to enhance service delivery.
- Stay updated on industry regulations and best practices in utilization management.
- Assist in training and mentoring new staff on UM processes.
- Licensed clinician with a background in nursing, social work, or a related field.
- Minimum of 2 years of experience in utilization management or case management.
- Strong understanding of healthcare regulations and insurance processes.
- Excellent communication and interpersonal skills.
- Ability to work collaboratively in a fast-paced environment.
- Proficient in electronic health records and documentation practices.
- Detail-oriented with strong analytical and problem-solving skills.
- Commitment to patient-centered care and quality improvement.
MedPOINT Management has been a leader in outpatient management solutions for over a decade. Our commitment to quality care and patient satisfaction has earned us the trust of both our clients and employees, creating a supportive and rewarding work environment.
This is a remote position.
Vacancy posted 1 day ago
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