REFERRAL COORDINATOR, UM

SummaryJob DescriptionProvides leadership, support, training, and direction to the Inpatient UM teammates. The incumbent will use clinical judgment to provide utilization management review for inpatient during high volume situations. Provide high quality, cost-effective care to enable patients to achieve maximum medical improvement, while receiving care...

What you can expect!Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!The Manager, UM Regulatory & Compliance - CCA is responsible for the coordination, implementation, and oversight of the IEHP’s overall Utilization Management...

What you can expect!Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!The Manager, UM Regulatory & Compliance - CCA is responsible for the coordination, implementation, and oversight of the IEHP’s overall Utilization Management...

Updated: Apr 12, 2024 Location: Fountain Valley Job Type: Department: Case Management-FVR Position Summary: Working under the direction of the RN Case Manager, the Discharge Planner completes referrals for post-acute services for patients and assists with tasks that do not require a clinical license or degree. The Discharge Planner's responsibilities...

Updated: Apr 12, 2024 Location: Fountain Valley Job Type: Department: Case Management-FVR Position Summary: Working under the direction of the RN Case Manager, the Discharge Planner completes referrals for post-acute services for patients and assists with tasks that do not require a clinical license or degree. The Discharge Planner's responsibilities...

Updated: Apr 12, 2024 Location: Fountain Valley Job Type: Department: Case Management-FVR Position Summary: Working under the direction of the RN Case Manager, the Discharge Planner completes referrals for post-acute services for patients and assists with tasks that do not require a clinical license or degree. The Discharge Planner's responsibilities...

**Position**:LVN Utilization Review Nurse **Qualifications** At least 2 years of Utilization Management/Case Management experience in a hospital or HMO setting Managed Care experience performing UM and CM at a medical group or management services organization. Experience with Managed Medi-Cal, Medicare, and commercial lines of...

* 3 Positions available If you're interested, please apply for the position, and send your resume to PBaker@mlkch.org   POSITION SUMMARY The Referral Coordinator guides patients through the healthcare system by providing education, assisting with accessing community resources, developing relationships with service providers, and tracking interventions...

* 3 Positions available If you're interested, please apply for the position, and send your resume to PBaker@mlkch.org   POSITION SUMMARY The Referral Coordinator guides patients through the healthcare system by providing education, assisting with accessing community resources, developing relationships with service providers, and tracking interventions...

Job Summary: Coordinates with physicians, staff and non-Kaiser providers and facilities regarding patients transitions and discharge planning. In conjunction with physicians, develops plans of care and discharge plans, and makes recommendations for alternative levels of care as required. Essential Responsibilities: Utilization Management: Performs daily...

Job Summary: Coordinates quality, utilization and risk management activities for the Home Care Agency; provides technical, educational, consultative, and coordinating support to assigned areas. Essential Responsibilities: Assists in the coordination of the quality management/utilization management department activities. Acts as a consultant for...

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and...

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and...

Your Role The Medical Care Solutions Clinical Service Intake team responsible for timely and accurate processing of Treatment Authorization Request. The Clinical Services Coordinator will report to the Supervisor of Clinical Services Intake. In this role you will be for supporting clinical staff day to day operations for Promise lines of business. Your...

Job Summary: Coordinates with physicians, staff and non-Kaiser providers and facilities regarding patients transitions and discharge planning. In conjunction with physicians, develops plans of care and discharge plans, and makes recommendations for alternative levels of care as required. Essential Responsibilities: Utilization Management: Performs daily...

**Job Summary**: The Community Support Outreach Specialist is responsible for customer services tasks that ensure current and prospective members that have the information and assistance they need for the Community Support Program. **Position Responsibilities**: - Follows established policies to outreach, enroll, and exclude members. - Verify eligibility...

We are searching for a **Outreach & Event Coordinator** to join our team! If you enjoy interacting with older adults and want to help them navigate the process of enhancing their lifestyle by moving to a community, this may be a good fit for you! **Position Summary**: The Marketing Outreach and Event Coordinator works in accordance with established policies...

Overview: Loving Family Dental is seeking an Appointment Coordinator to join our team of dental professionals. Our practice is dedicated to providing continuous and patient-oriented excellence by creating positive patient experiences for each guest who enters our office. Our ideal candidate is professional and team-oriented and will strive to make visits as...

**Position: Registered Nurse (RN)** **Responsibilities**: - Manage patient cases efficiently, coordinating appointments, referrals, and follow-ups with healthcare providers and support services. - Communicate effectively with clinicians, accurately relaying patient information and advocating for optimal care outcomes. - Organize and track patient data,...

Your Role The Medical Care Solutions Clinical Service Intake team responsible for timely and accurate processing of Treatment Authorization Request. The Clinical Services Coordinator will report to the Supervisor of Clinical Services Intake. In this role you will be for supporting clinical staff day to day operations for Promise lines of business. Your...