Inpatient UM Coordinator
MedPOINT Management
Benefits: 401(k) 401(k) matching Company parties Employee discounts 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 Inpatient UM Coordinator in Sherman Oaks, CA, where you will play a vital role in ensuring quality patient care and efficient utilization management. This position offers an exciting opportunity to work in a dynamic environment focused on improving healthcare outcomes. Responsibilities: Conduct comprehensive reviews of inpatient cases to determine medical necessity and appropriateness of care. Collaborate with healthcare teams to develop and implement effective treatment plans. Monitor patient progress and adjust care plans as needed to ensure optimal outcomes. Communicate effectively with physicians, nursing staff, and other stakeholders regarding utilization management processes. Maintain accurate documentation of all case reviews and decisions in compliance with regulatory standards. Participate in interdisciplinary team meetings to discuss patient care and resource utilization. Stay updated on industry trends and best practices in utilization management. Assist in the development and implementation of quality improvement initiatives. Requirements: Active RN or LPN license in California is required. Minimum of 3 years of experience in inpatient care or utilization management. Strong knowledge of medical terminology, coding, and reimbursement methodologies. Excellent communication and interpersonal skills for effective collaboration. Proficient in electronic health records (EHR) and utilization management software. Detail-oriented with strong analytical and problem-solving abilities. Ability to work independently and manage multiple priorities in a fast-paced environment. Certification in Utilization Review (CPUR or equivalent) is a plus. About Us: MedPOINT Management has been at the forefront of healthcare management for over 15 years, dedicated to enhancing patient care through innovative solutions. Our clients appreciate our commitment to quality service, while our employees thrive in a supportive and collaborative work environment that fosters professional growth. This is a remote position.
$23 per hour
...Inpatient Care Coordinator The Inpatient Care Coordinator is responsible for supporting the process that manages all hospital and skilled nursing admissions, concurrent review, and discharge planning. The goal of the Inpatient Care Coordinator is to effectively support...SuggestedFull timeCasual workImmediate startRelocation packageFlexible hoursRegal Medical Group
Canoga Park, CA3 days ago$21 - $24 per hour
...UM Coordinator Astrana Health is seeking a dedicated Utilization Management (UM) Coordinator to support the UM department in reviewing, monitoring, and processing prior authorization requests while ensuring compliance with regulatory standards and health plan guidelines...SuggestedRemote jobHourly payWork at officeShift workWeekend work- ...bank Training & development About the Role: Join MedPOINT Management as an Inpatient UM Nurse Case Manager in Sherman Oaks, CA, where you will play a vital role in patient care coordination. Be part of a dynamic team dedicated to improving health outcomes and...SuggestedFull timeRemote work
- ...Job Description Job Description JOB TITLE: UM Coordinator - Inpatient DEPARTMENT: Utilization Management REPORTS TO: UM, Assistant Manager JOB SUMMARY: This position processes authorizations and ensures that all information is correct before submitting...SuggestedWork at office
$24 - $25 per hour
...Job Description Job Description Title: UM Coordinator Location: Montebello, CA (Onsite) Schedule: Mon–Fri (8:00–5:00 or 8:30... ...Management department to ensure timeliness of outpatient or inpatient referral/authorization processing per state and federal guidelines...SuggestedTemporary work- ...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...Full timeWork at officeWork from homeFlexible hours
- ...the job description. Reports to the Patient Access Supervisor, and is guided by the procedures of Inpatient and Outpatient services, the Registration/UM Coordinator is responsible for providing support to all intensive (Inpatient, Partial Hospitalization, Intensive...
University of California , San Francisco
San Francisco, CA3 days ago $38 per hour
...Utilization Management Coordinator I MSO Burlingame, CA 94010 Overview Salary Range... ...Nurse, performing utilization management (UM) and care coordination duties for the... ...and Treatment Authorization Requests for inpatient and outpatient services. Process and...Hourly payFull time$24 per hour
...excited to share this temporary opportunity! We partnered with a prominent healthcare organization based in Montebello, CA to fill a UM Coordinator position. Please consider applying if you come with a minimum of 2 years of Utilization Management and Prior Authorization...Temporary workMonday to Friday- ...Job Description Job Description Position Summary The Utilization Management (UM) Coordinator is responsible for coordinating prior authorization requests, processing referrals, documenting case activity, and supporting timely utilization review activities using...Work at officeFlexible hours
$172.93k - $229.18k
...Inpatient Pharmacy Coordinator — Your Next Big Move in Northern California Step into a dynamic leadership opportunity as the Inpatient Pharmacy Coordinator and bring your vision to a respected, mission-driven hospital network with a multi-site footprint across multiple...Full timeSeasonal workRelocation packageWeekend work$21 - $24 per hour
...Job Description Job Description Description Astrana Health is seeking a dedicated California-based Utilization Management (UM) Coordinator to support the UM department in reviewing, monitoring, and processing prior authorization requests while ensuring compliance...Remote jobHourly payWork at officeHome officeShift workWeekend work$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 officeWeekend work$35.95 - $50.59 per hour
...Managers, support staff, insurance payers, and post-discharge vendors to ensure safe, timely, and efficient transitions of care. This coordination not only supports optimal patient outcomes but also helps ensure appropriate hospital reimbursement for services rendered....Hourly payShift workWeekend work- L.A. Care Health Plan seeks a Supervisor of Utilization Management (UM) RN to lead the day-to-day operations of the UM department and supervise CM staff. The role ensures staffing, efficiency, and adherence to policies, while evaluating performance and guiding improvements...
$24 - $28.5 per hour
...settings to our outpatient dialysis care. This role is ideal for a coordinator or clinical professional who excels at insurance verification,... ...and implement best practices for accepting patients from inpatient acute care settings into an outpatient dialysis provider. Attend...Minimum wagePart timeApprenticeshipLocal areaImmediate startMonday to FridayShift workDaVita
El Segundo, CA5 days ago- ...rewarding, lasting career with impact. Job Duties The RN Nurse Coordinator serves in an expanded role to assess adult and pediatric pre-... ...years RN work experience is required. Previous experience in the inpatient transplant, nephrology or Dialysis is preferred, but not...Full timeTemporary workPart timeWork experience placement
Geisinger Health System
Danville, CA3 days ago $32.02 per hour
...upon position type and/or level. Job Summary The Coding Coordinator monitors operations, functions, workflow, and services by third... ...(CCS) Cert Coding Spec Physician Bas (CCS-P) Cert Inpatient Coder (CIC) Cert Interv Radiology CV Coder (CIRCC) Cert Outpatient...Work experience placementImmediate startRemote workBaylor Scott & White Health
Sacramento, CA4 days ago$51.03 - $75.9 per hour
...Summary And Responsibilities As the Supervisor of Utilization Management (UM), under the guidance and supervision of the department Manager/Director, you will be responsible and accountable for coordination of services for Mercy Medical Group and Woodland Clinic Medical...Work at officeWork from home- ...healing from emotional, psychiatric and addiction issues. Del Amo Behavioral Health offers a wide range of options, including inpatient, outpatient and specialty programs that includes children, adolescents, adults and seniors. Whether addressing the needs of adults...Local area
Universal Health Services
Torrance, CA5 days ago $60.11k - $87.16k
...Pharmacy Coordinator Salary Range: $60,111 - $87,161 The expected pay range is based on many factors, such as experience, education... ...reports used for pharmacy quality initiatives. 4. Review UM authorization requests for diabetic testing supplies and continuous...Work at officeLocal areaSanta Clara County Health Plan
San Jose, CA23 hours 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, CA3 days ago$40 - $50 per hour
...Now Hiring: Remote Inpatient Coding Specialist (Revenue Cycle) Pay: $40-50/HR Location -Remote Are you a detail-oriented Inpatient Coding Specialist with expertise in ICD-10-CM/PCS, MS-DRG/APR-DRG, and medical record abstraction ? Join a leading healthcare...Hourly payTemporary workLocal areaImmediate startRemote workAdecco US, Inc.
Palo Alto, CA13 days ago$33.5 - $45 per hour
...process that assesses, plans, implements, coordinates, monitors, and evaluates an individual’s... ...restrictive environment To follow the UM/QI/CM/SNP/CMC program descriptions... ...Management Referral review Concurrent/inpatient review and bed-day management. Demonstrates...Hourly pay- ...data elements for each account in compliance with federal and state regulations. This position codes various (most) patient types of inpatient records and follows the Official Guidelines for Coding and Reporting, the American Health Information Management Association (...
Insight Global
Palo Alto, CA5 days ago $55 per hour
Memorial Physician Practices is seeking a Case Manager (CM) for Inpatient Rehabilitation. This Per Diem role requires strong communication and coordination skills, managing interdisciplinary care plans and ensuring effective patient transitions. Applicants must have licensure...Daily paid$25.7 per hour
...orthopedic care, advanced cardiac services, critical care services, inpatient and outpatient rehab programs, and more. Centinela has earned... ...Under supervision from the clinical care team, provides care coordination for patients as they move into and through the care continuum...Daily paidLocal areaShift workCentinela Hospital Medical Center
Inglewood, CA3 days ago- **Revitalize Lives with Movement: Become Part of Our Inpatient Physical Therapy Team in Scenic Glendale, Arizona** **Overview** Imagine a workplace where your daily contributions make a genuine difference in the lives of others, helping them reclaim their independence through...Local areaImmediate startFlexible hours
MLee Medical Employment
Glendale, CA1 day ago - ...Infusion Coordinator Recently named one of Arizona's Top Workplaces, Arizona Arthritis & Rheumatology Associates, P.C. is the largest... ...contract and benefit eligibility; provides authorization for inpatient admission, outpatient pre-certification, prior authorization,...Contract workPrivate practice
Arizona Arthritis and Rheumatology
Glendale, CA2 days ago - ...Transform Lives Through Movement: Join Our Inpatient Physical Therapy Team in Santa Ana Overview Imagine your work facilitating the first steps a patient takes post-surgery, or the joy of helping someone regain their autonomy after a stroke - as a Physical Therapist...Local areaImmediate startFlexible hours
MLee Medical Employment
Santa Ana, CA5 days ago
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