Inpatient Campus Administrator

3 weeks ago

Northridge, United States Regal Medical Group, Inc. Full time
Job Description

Essential Duties Responsibilities include the following :

  1. Works collaboratively with campus medical directors, managers and staff working in concurrent review/Vital Care management/Prior Authorization Departments. Monitors and analyzes UM protocols and identifies trends and makes recommendations and develops programs and interventions to improve management.
  2. Develops and coordinates strategies, in collaboration with the campus Medical Director, for ensuring the delivery of care in the most cost effective setting. (i.e. hospitals)
  3. Oversees campus medical management operations, works with staff including concurrent review, prior auth and vital care staff in order to achieve company goals and metrics.
  4. Interprets and analyses campus utilization and budget reports for campus medical director.
  5. Develops and manages department business plan and budget.
  6. Assures contracted providers are utilized and collaborates with the Network Management Departments to obtain new contracts for specialty and ancillary services.
  7. Provides guidance and mentoring to Directors, managers and staff working in Utilization Management/Compliance/Grievances and Appeals
  8. Works cooperatively and collaboratively with the executive team as well as the campus medical director.
  9. Coordinates or performs campus project/activities as delegated.
  10. Monitors and analyzes UM protocols and identifies trends and makes recommendations and develops programs and interventions to improve outpatient budget as well as processes.
  11. Identifies, develops and oversees the educational needs of the (Utilization Management/ Compliance/Quality Management staff)
  12. Identifies opportunities for the development and implementation of new approaches that improve efficiencies and production while maintaining quality
  13. Works collaboratively with the Medical management team to assure appropriate processes are in place to maintain compliance with regulatory bodies.
  14. All other duties as directed by management.


The pay range for this position at commencement of employment is expected to be between $100,000 /year to $110,000/yearhowever, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience.

The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered.

Details of participation in these benefit plans will be provided if an employee receives an offer of employment.

If hired, employee will be in an "at-will position" and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.

As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.

Full Time Position Benefits:

The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life.

Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options.

Health and Wellness:

  • Employer-paid comprehensive medical, pharmacy, and dental for employees
  • Vision insurance
  • Zero co-payments for employed physician office visits
  • Flexible Spending Account (FSA)
  • Employer-Paid Life Insurance
  • Employee Assistance Program (EAP)
  • Behavioral Health Services

Savings and Retirement:

  • 401k Retirement Savings Plan
  • Income Protection Insurance

Other Benefits:

  • Vacation Time
  • Company celebrations
  • Employee Assistance Program
  • Employee Referral Bonus
  • Tuition Reimbursement
  • License Renewal CEU Cost Reimbursement Program
  • Business-casual working environment
  • Sick days
  • Paid holidays
  • Mileage

Employer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance.

Requirements

Required

  1. College BA, BS, Masters preferred.
  2. One year or more experience in managed care environment
  3. Proficient with Microsoft applications


Preferred

  1. Masters Degree, MS
  2. Proficient in Company database software such as CART
  3. Experience in coordinating inpatient and outpatient case management
  4. Experience managing disease management programs

  • Inpatient Coordinator I

    3 days ago

    Northridge, United States Regal Medical Group Full time

    Job DescriptionPosition Summary: 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 the in-patient management process by assuring the right information is provided...

  • Inpatient Coordinator

    3 hours ago

    Northridge, United States Regal Medical Group Full time

    Job Description Position Summary: The Inpatient 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 the in-patient management process by assuring the right information is provided timely...

  • Inpatient Coordinator

    2 weeks ago

    Northridge, United States Regal Medical Group Full time

    Job DescriptionPosition Summary: The Inpatient 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 the in-patient management process by assuring the right information is provided timely to...

  • Inpatient Coordinator

    5 days ago

    Northridge, United States Regal Medical Group Full time

    Job DescriptionPosition Summary: The Inpatient 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 the in-patient management process by assuring the right information is provided timely to...

  • Inpatient Coordinator

    2 days ago

    Northridge, United States Regal Medical Group, Inc. Full time

    Job DescriptionPosition Summary:The Inpatient 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 the in-patient management process by assuring the right information is provided timely to...

  • Inpatient Coordinator After Hours

    3 weeks ago

    Northridge, United States Regal Medical Group, Inc. Full time

    Job DescriptionAfter Hours work schedule: Fully remote, 3 weeknights from 5 pm - 9 pm; 12 hour shift every weekend from 8 am - 9 pm, and 12 hour shift every holiday from 8 am - 9 pm.We are looking for Inpatient Coordinators to join our team in Northridge after hours team to help support our members in the San Fernando /Simi Valley areas.Position Summary:The...

  • Inpatient Coordinator After Hours

    2 days ago

    Northridge, United States Regal Medical Group Full time

    Job Description After Hours work schedule: Fully remote, 3 weeknights from 5 pm - 9 pm; 12 hour shift every weekend from 8 am - 9 pm, and 12 hour shift every holiday from 8 am - 9 pm. We are looking for Inpatient Coordinators to join our team in Northridge after hours team to help support our members in the San Fernando /Simi Valley areas.Position Summary:...

  • Authorization Specialist

    3 days ago

    Northridge, United States REGAL MEDICAL GROUP, INC Full time

    **Essential Duties and Responsibilities include the following**: - “First line” resource for inpatient inquiries. - Responsible for compiling coordinator audit questionnaires. - Reflecting current processes and will be responsible for updating and maintaining the questionnaires as processes change. - Review each case with the same expectations,...

  • Family Medicine Faculty Physician

    1 month ago

    Northridge, United States Dignity Health Full time

    Dignity Health Medical Group - Northridge is a service of Dignity Health Medical Foundation. We are aligned with Dignity Health, one of the largest health systems in California. We are recruiting an experienced, enthusiastic Family Medicine Physician who would enjoy a combination of traditional, outpatient practice and Family Medicine Residency (lectures,...

  • Denial Letters Nurse

    3 weeks ago

    Northridge, United States Regal Medical Group, Inc. Full time

    Job DescriptionPosition Summary:The Denial Nurse is responsible for being the "second line" resource for preparing and maintaining health plan criteria for the campus Medical Directors. This includes collaborating with each Health Plan to obtain updated/adequate criteria for each specialty to ensure that appropriate criteria are referenced upon furnishing a...

  • Receptionist

    3 days ago

    Northridge, United States Hire Talent Full time

    Title: Receptionist Duration: 6 months Location: Northridge, CAAbout the Role The Receptionist position serves as the first point of contact for the company with visitors and customers. The position requires that an individual be skilled in outstanding customer service, communication skills, professional in their demeanor and ability to prioritize tasks in...

  • Receptionist

    2 days ago

    Northridge, United States Omni Inclusive Full time

    About the Role The Receptionist position serves as the first point of contact for the company with visitors and customers. The position requires that an individual be skilled in outstanding customer service, communication skills, professional in their demeanor and ability to prioritize tasks in order to be able to direct the flow of visitors, phone calls,...

  • GP Ve

    2 weeks ago

    Northridge, CA, United States Dignity Health Full time

    Dignity Health Medical Group - Northridge is a service of Dignity Health Medical Foundation. We are aligned with Dignity Health, one of the largest health systems in California. We are recruiting an experienced, enthusiastic Family Medicine Physician who would enjoy a combination of traditional, outpatient practice and Family Medicine Residency (lectures,...

  • Family Medicine Faculty Physician

    2 weeks ago

    Northridge, CA, United States Dignity Health Full time

    Dignity Health Medical Group - Northridge is a service of Dignity Health Medical Foundation. We are aligned with Dignity Health, one of the largest health systems in California. We are recruiting an experienced, enthusiastic Family Medicine Physician who would enjoy a combination of traditional, outpatient practice and Family Medicine Residency (lectures,...

  • Family Medicine Faculty Physician

    1 month ago

    Northridge, United States Foundation Physician Medical Group Full time

    **Overview** Dignity Health Medical Group - Northridge is a service of Dignity Health Medical Foundation. We are aligned with Dignity Health, one of the largest health systems in California. We are recruiting an experienced, enthusiastic Family Medicine Physician who would enjoy a combination of traditional, outpatient practice and Family Medicine Residency...

  • Denial Letters Nurse

    7 days ago

    Northridge, CA, United States Regal Medical Group, Inc. Full time

    Job DescriptionPosition Summary:The Denial Nurse is responsible for being the "second line" resource for preparing and maintaining health plan criteria for the campus Medical Directors. This includes collaborating with each Health Plan to obtain updated/adequate criteria for each specialty to ensure that appropriate criteria are referenced upon furnishing a...