Utilization Management Intensive Case Management Coordinator
2 weeks ago
General InformationPress space or enter keys to toggle section visibilityWork Location: Los Angeles, USAOnsite or RemoteFlexible HybridWork ScheduleWednesday - Friday 1:00pm - 10:00PM PST, Saturday - Sunday 8:00am - 5:00pm PSTPosted Date04/09/2024Salary Range: $22.03 - 43.68 HourlyEmployment Type2 - Staff: CareerDurationIndefiniteJob #15470Primary Duties and ResponsibilitiesPress space or enter keys to toggle section visibilityProvide key clinical support within a world-class health organization. Help ensure the delivery of exceptional, compassionate, and appropriate patient care. Take your professional expertise to the next level. You can do all this and more at UCLA Health.Under the direction and supervision of the RN Assistant Director, the Case Management Coordinator is responsible for patient high risk care coordination activities in hospital, SNF and outpatient settings during afterhours and weekends. The role receives urgent, routine, pre-service and retro authorization requests and processes them through the referral and authorization procedures as established by the medical group utilization department. Responsible for prepping and processing referrals according to DOFR, posted UCLA Medical Group Medical Guidelines, identifies documents needed to assist the next level of reviewer in review, and health plan contracts.The Case Management Coordinator will also be responsible for:* Preparation and maintenance of specific reports and computer applications/logs* Monitoring members/patients followed by Case Management for safe discharge planning and appropriate access to care* Working directly with Concurrent Nurses and Intensive Case Management Nurses* Review pending claims for approval or denial* Provide timely care coordination for CM enrolled patients and Medicare Advantage high risk patients to prevent hospital utilizationSalary Range: $22.03 - $43.68 HourlyNote: This posted position is 1 of 2 positions available for hire. All applicants will apply through this requisition and if selected will be hired into one of the available positions.Job QualificationsPress space or enter keys to toggle section visibilityWe're seeking a well-organized, detail-oriented, deadline-driven individual with:* High school diploma, GED, or equivalent* Experience working in case management and care coordination in managed care environment preferred* Proficiency in processing ambulatory managed care referrals* Vodavi phone system experience desired* Ability to operate a wide variety of office equipment* Computer proficiency with Microsoft Office* Excellent communication and multi-tasking skills* Ability to work well with frequent interruptions and meet deadlines* Care Coordination experience preferred#J-18808-Ljbffr
by Jobble
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Los Angeles, California, United States University of California Full timeProvide key clinical support within a world-class health organization. Help ensure the delivery of exceptional, compassionate, and appropriate patient care. Take your professional expertise to the next level. You can do all this and more at UCLA Health.Under the direction and supervision of the RN Assistant Director, the Case Management Coordinator is...
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Utilization Management Intensive Case Management
3 weeks ago
Los Angeles, United States UCLA Health Full time**Description** Provide key clinical support within a world-class health organization. Help ensure the delivery of exceptional, compassionate, and appropriate patient care. Take your professional expertise to the next level. You can do all this and more at UCLA Health. Under the direction and supervision of the RN Assistant Director, the Case Management...
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Los Angeles, United States University of California Full timeDescription Provide key clinical support within a world-class health organization. Help ensure the delivery of exceptional, compassionate, and appropriate patient care. Take your professional expertise to the next level. You can do all this and more at UCLA Health. Under the direction and supervision of the RN Assistant Director, the Case Management...
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Re-Admissions Case Manager
3 weeks ago
Los Angeles, United States MedPOINT Management Full timeJob DescriptionJob DescriptionSalary Range: $35-40 hourly POSITION SUMMARY:Under the direct supervision of the Leads & RN Clinical Manager for Case Management, the Readmissions Case Manager is responsible for assessing, planning, implementing monitoring and evaluating options and services to develop a patient focused action plan for their identified cohort...
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Los Angeles, United States UCLA Health Full time**Description** Under the direction of the RN Asst. Director for Utilization Review, Intensive Case Management, you will support and perform duties to provide discharge planning/ UM concurrent review of the complex cases admitted in Non Domestic Hospital. You will use the nursing process to identify and advocate for patient issues. Work collaboratively with...
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Los Angeles, United States MedPOINT Management Full timeJob DescriptionJob DescriptionSummaryUnder the direct supervision of the Leads & RN Clinical Manager for Case Management, the RN/LVN Case Manager is responsible for assessing, planning, implementing monitoring and evaluating options and services to develop a patient focused action plan for their patients. The RN/LVN Case Manager acts as patient advocate...
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Case Manager
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Los Angeles, United States Linc Housing Corporation Full timeIn the spirit of collaboration, excellence, and innovation, we at Linc housing are committed to building and preserving housing that is affordable, environmentally sustainable and a catalyst for community improvement. Our team works hard to address California?s homelessness crisis by building supportive housing and addressing the affordable housing needs of...
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1 week ago
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ICMS Case Manager
2 weeks ago
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4 weeks ago
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ICMS Case Manager
3 weeks ago
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