Utilization Management Coordinator- Temporary

2 weeks ago


Van Nuys, United States 360 Behavioral Health- Management Services Full time

**Temporary Assignment
- 4 months**

**Who are we?**

At 360 Behavioral Health, we take pride in our long-standing commitment to providing exceptional care for individuals impacted by autism and other developmental delays. With over three decades of expertise, we are one of the original and most established Applied Behavior Analysis (ABA)-based behavioral health services authorities. Today, 360 Behavioral Health is one of the top ABA, enhanced personal assistance and respite providers in the United States. The commitment, dedication, and approach to care that guided our founders when they opened their doors continues to guide all we do today. Our devotion to their philosophy landed us on the list for “The 5 Best ABA Therapy Providers for 2023”, and to us being labeled as a certified “Best Place To Work”

**What would this role do?**

As a Utilization Management Coordinator, you report to the Supervisor of Utilization Management and partner closely with the Care Navigation & Intake teams. Your focus is to ensure the company delivers an exceptional customer experience to all health plan representatives, local office partners and others as you process new and existing clients’ service authorizations through the organization.

**Role Responsibilities**
- Live the Company’s business theory of Customer Focus, Total Participation, Continuous Improvement, Leadership, and Mutual Learning.
- Coordinate insurance activities including eligibility and benefits verification, preauthorization for initial assessment services for new clients meeting admission requirements and who are interested in initiating services with the company, submitting ongoing authorization requests, submitting discharge and transfer documentation to funding sources.
- Maintain status of all funding activities by recording details in the client’s record in Lumary, confirming and uploading all documentation as required, and recording details into the Authorization Tracking and other documents as required.
- Manage daily workload to ensure proper submission of funding source authorization requests through the UM process per established processes and protocols including timely follow up of all authorizations assigned.
- Contribute as an active and enthusiastic member of the UM team, and continually monitor, evaluate, and make recommendations for enhancements to the utilization management process.
- Participate in / contribute to the attainment of KPIs established for the department.
- Ensure compliance with HIPAA and other relevant regulatory requirements.
- Assist with other projects or initiatives that support improvements in the customer and clinic experiences.

**Must Haves**
- High School graduate or equivalent.
- Proven success in current and prior roles and responsibilities.
- Proven understanding of insurance processes and procedures.
- Ability and understanding of insurance authorizations.
- Ability to work independently within established procedures.
- Exceptional customer service attitude and acumen with a drive toward providing an exceptional customer experience with every interaction.
- Superb oral and written communication skills.
- Proactive, self-motivated, curious, driven.
- Computer savvy with thorough knowledge of Microsoft Office (Word, Excel, Outlook, PowerPoint).
- Excellent organizational and time management skills.
- Critical attention to detail, deadlines, and reporting.
- Ability to function effectively in an office-based environment and collaborate effectively with others across all levels and functional areas of the organization.

**What we offer**
- **Competitive compensation (we value transparency) $21.00-$23.00/hourly.**:

- **Monday
- Friday 8:00am-5:00pm**:

- **Hybrid. Must be in office on Thursdays**:

- Health Benefits: Medical, Dental and Vision
- _Company covers 100% of dental and vision._
- 401(K) retirement savings program

360 Behavioral Health is an equal opportunity employer. If anyone is unable to fully access any portion of the 360 Behavioral Health on-line system, we are committed to providing reasonable accommodations. Please contact us at 855-360-4437 for assistance.

**EEO/Minorities/Females/Disabled/Veterans**

**Americans With Disabilities Act**

**Experience**: Required
- 1 year(s): Understanding of insurance processes and procedures.
- 1 year(s): Ability and understanding of insurance authorizations.

**Education**: Required
- High School or better


  • Warehouse Manager

    2 weeks ago


    Van Nuys, United States Insight Global Full time

    We are seeking a dedicated and experienced Warehouse Manager to join our team in managing our warehouse operations in Van Nuys. As the Warehouse Manager, you will oversee a team of warehouse staff and ensure the efficient handling, storage, and distribution of our Inventory. You will play a crucial role in maintaining inventory accuracy, optimizing workflow,...


  • Van Nuys, United States Stinger Management Full time

    Are you a recent college graduate who is goal-oriented, resilient, and ready to start your career? Are you looking for a company that will allow you to grow and develop your professional portfolio? If so Stinger is looking for YOU! Stinger is one of the nation's premier Business Development & Sales firms in the LA area. We are looking for individuals to join...


  • Van Nuys, United States Kord Fire Protection Full time

    **Job description** operation coordinator **Job Summary** - We are a company with friendly and high motivated staffs, currently in need of operation coordinator who is self-motivated, self-managing, organized and goal oriented. The applicant will be responsible for managing schedules for the organization, create work orders, purchase orders, maintain...


  • Van Nuys, United States Children's Dental FunZone Full time

    **Treatment Coordinator**: We are looking for an Office Coordinator to help us with daily office and clerical tasks, ensuring that the office operations run smoothly, are successful in supporting other business activities, and add maximum value to the organization. You should be organized, competent, and comfortable dealing with people. We also expect you...

  • Aviation Parts Manager

    Found in: beBee jobs US - 3 weeks ago


    Van Nuys, California, United States The Structures Company Full time

    Come work for one of the most prestigious private aviation jet companies The Part Manager requires working knowledge of aircraft parts purchasing and inventory control utilizing MRO systems such as Corridor, EBIS, other. Must have the proven ability to anticipate and adapt to changing priorities, working with vendors to negotiate favorable pricing....


  • Van Nuys, United States Clínica Romero Full time

    Position Title: Mental Health Care Coordinator Department: Behavioral Health Position reports to: Behavioral Health ManagerPosition Summary:The Behavioral Health Care Coordinator (BHCC) works in collaboration and continuous partnership with chronically ill or high-risk mental health patients and their family/caregiver(s), clinic/hospital/specialty providers...

  • Aviation Parts Manager

    Found in: beBee S US - 3 weeks ago


    Van Nuys, United States The Structures Company Full time

    Come work for one of the most prestigious private aviation jet companies! The Part Manager requires working knowledge of aircraft parts purchasing and inventory control utilizing MRO systems such as Corridor, EBIS, other. Must have the proven ability to anticipate and adapt to changing priorities, working with vendors to negotiate favorable pricing....

  • Experience Manager>

    2 weeks ago


    Van Nuys, United States Ulta Beauty Full time

    Ulta Beauty - 7880 Van Nuys Blvd [Department Supervisor] As an Experience Manager at Ulta Beauty, you'll: Oversee a team of stylists, estheticians, guest coordinators (in select locations) and boutique leads; Be accountable for all aspects of the guest experience, retail sales, and the services businesses, including salon services, boutiques, retail sales,...


  • Van Nuys, United States Clacy Lacy Aviation Full time

    **Clay Lacy Aviation **has been providing private jet services around the globe since 1968. Taking pride in the pursuit of perfection is at the center of everything that we do. Our most valuable asset is our experienced team. If you are goal-oriented, dedicated, proactive and enjoy a customer-centric culture, we would be delighted to get to know you...


  • Van Nuys, United States Strength United Full time

    **Mission**: Empowering Families, Ending Violence and Developing Leaders **Overview**: Reporting to the Executive Director, utilizing an equity, diversity, inclusion and trauma informed lens, the Associate Director of Programs is a seasoned licensed professional with specialized training to assume responsibility for the day to day functioning of all...

  • Chief Aviation Inspector/Manager: SIGN-ON BONUS 8K

    Found in: beBee jobs US - 2 weeks ago


    Van Nuys, California, United States Helinet Full time

    Helinet is a diversified helicopter service provider located in Van Nuys, California. We are a dynamic, fast-paced company that provides services to a wide range of markets, including VIP charter, air medical, electronic news gathering, motion picture production, utility, and public safety. Throughout the industry and around the world, we are known for an...


  • Van Nuys, United States Treasure Transportation, Inc. Full time

    **Job Summary**: We are seeking motivated and detail-oriented _Freight Brokers_ to join our team. As a _Freight Broker/Dispatcher_, you will be responsible for coordinating and arranging the transportation of general goods for our clients. Your role will involve managing relationships with carriers and customers, negotiating rates and ensuring timely...


  • Van Nuys, United States Silver Air Private Jets Full time

    Job DescriptionJob DescriptionDescriptionWe are searching for an experienced Aircraft Maintenance Manager to join our growing team at Silver Air. The Aircraft Maintenance Manager safely manages daily maintenance requirements of the fleet and communicates with internal departments, flight crew, and maintenance vendors. All company positions share the...

  • Branch Manager

    2 weeks ago


    Van Nuys, United States Unavailable Full time

    Introduction Since 1973, East West Bank has served as a pathway to success. With over 120 locations across the U.S. and Greater China, we are the premier financial bridge between the East and West. Our teams of experienced, multi-cultural professionals help guide businesses and community members on both sides of the Pacific looking to explore new markets and...


  • Van Nuys, United States Kord Fire Protection Full time

    Job Summary: We are a service Fire Protection Company in san Fernando valley, seeking a skilled and experienced operational manager to join our team of 50 plus staff. **Responsibilities**: As an Operational Manager you will play a critical role in overseeing the day-to-day operations of services within an organization. Your responsibilities may...


  • Van Nuys, United States Solari Enterprises Full time

    Position OverviewHazeltine and Wyandotte is an affordable housing community compromised of a total if 108 units in Van Nuys, CA. The Assistant Community Manager is responsible, under the supervision of the Regional Manager, for all operations at the community, including, but not limited to, general administration, maintenance, directing on-site personnel,...


  • Van Nuys, United States Solari Enterprises Full time

    Position Overview Hazeltine and Wyandotte is an affordable housing community compromised of a total if 108 units in Van Nuys, CA. The Assistant Community Manager is responsible, under the supervision of the Regional Manager, for all operations at the community, including, but not limited to, general administration, maintenance, directing on-site personnel,...


  • Van Nuys, United States Prospect Medical Holdings Full time

    The Behavioral Health Registered Nurse is specially trained to monitor and utilize therapeutic equipment necessary to provide specialized nursing care to patients with behavioral and/or mental disorders. Collaborates with interdisciplinary teams to develop and implement a plan of care for a specific group of assigned patients, ensuring the coordination of...


  • Van Nuys, United States Prospect Medical Holdings Full time

    The Behavioral Health Registered Nurse is specially trained to monitor and utilize therapeutic equipment necessary to provide specialized nursing care to patients with behavioral and/or mental disorders. Collaborates with interdisciplinary teams to develop and implement a plan of care for a specific group of assigned patients, ensuring the coordination of...


  • Van Nuys, United States Alta Hospitals Full time

    The Behavioral Health Registered Nurse is specially trained to monitor and utilize therapeutic equipment necessary to provide specialized nursing care to patients with behavioral and/or mental disorders. Collaborates with interdisciplinary teams to develop and implement a plan of care for a specific group of assigned patients, ensuring the coordination of...