Care Management Liaison Specialist

6 days ago


Riverside, California, United States Buenaventura Affiliated Physicians, IPA Full time

Job Overview:

Buenaventura Affiliated Physicians IPA is a medical group dedicated to providing quality healthcare services to its members. We are seeking an experienced Care Management Liaison Specialist to join our team.

About the Role:

The successful candidate will be responsible for assisting with Utilization Management (UM) and approval of authorizations, coordinating Quality Management (QM) activities with primary care physician offices, acquiring credentials for Physician contracts, and providing patient care coordination.

Key Responsibilities:

  • Assist with UM and approval of authorizations
  • Coordinate QM activities with primary care physician offices
  • Acquisition of Credentials for Physician contracts
  • Patient care coordination, answering questions and call backs to physician offices

Qualifications and Requirements:

To be considered for this role, applicants should possess previous Healthcare experience as a Medical Assistant or LVN, literacy with Managed care software, knowledge of Managed Care and referral and authorization process, and a Bachelor's or Master's in Healthcare Administration preferred.

Estimated Salary: $65,000 - $85,000 per year, depending on experience and qualifications.



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