Utilization Coordinator

1 week ago


Riverside, California, United States UHS Full time
Job Summary

We are seeking a highly skilled Utilization Coordinator to join our team at Riverside Medical Clinic. As a key member of our Utilization Management Department, you will play a critical role in ensuring the efficient and effective delivery of healthcare services to our patients.

Responsibilities
  • Verify patient benefits and eligibility prior to authorizing services or supplies
  • Prepare authorizations and fax, as necessary, to applicable providers, offices, or health plans
  • Develop and implement monthly utilization statistics, as necessary, for use in Utilization Management Department and Utilization Management Committee
  • Prepare monthly reports and analyze miscellaneous utilization data
  • Communicate system malfunctions and required benefit file updates, as necessary, to ensure system accuracy
  • Update authorizations on system to ensure timely turnaround and compliance with health plan requirements
Requirements
  • High school diploma or GED required
  • One to three months related experience and/or training; or equivalent combination of education and experience
Benefits
  • Competitive compensation and paid time off
  • Excellent Medical, Dental, Vision and Life Insurance Plans
  • 401(K) with company match and discounted stock plan

We offer a challenging and rewarding work environment, growth and development opportunities within UHS and its subsidiaries, and a competitive compensation package. If you are a motivated and detail-oriented individual who is passionate about delivering high-quality healthcare services, we encourage you to apply for this exciting opportunity.



  • Riverside, California, United States UHS Full time

    Job SummaryWe are seeking a highly skilled Utilization Coordinator to join our team at Riverside Medical Clinic. As a key member of our Utilization Management Department, you will play a critical role in ensuring the efficient and effective delivery of healthcare services to our patients.ResponsibilitiesVerify patient eligibility and benefits for...


  • Riverside, California, United States Golden Coast MSO Full time

    About UsGolden Coast MSO is a proactive and easy-to-work-with management services organization dedicated to providing exceptional professional services. Our team of managed care professionals in Southern California is committed to prioritizing provider and patient needs.Job SummaryThe Utilization Management Manager is responsible for overseeing the...


  • Riverside, California, United States Kaiser Permanente Full time

    Job Summary:As a Manager of Utilization Management at Kaiser Permanente, you will play a critical role in ensuring cost-effective and quality patient care by appropriate utilization of resources. You will provide direction to staff, collaborate with multi-disciplinary teams, and manage member care with non-KFH hospital facilities and providers.Key...


  • Riverside, California, United States Kaiser Permanente Full time

    Job Summary:As a key member of the Kaiser Permanente team, the Utilization Management Program Director plays a critical role in ensuring cost-effective and quality patient care. This position is responsible for managing the day-to-day operations of the Utilization Management Program, collaborating with multidisciplinary teams to plan and coordinate care...


  • Riverside, California, United States Supplemental Health Care Full time

    Job SummaryWe are seeking a skilled Utilization Management Tech to join our team at Supplemental Health Care. As a Utilization Management Tech, you will play a critical role in ensuring the efficient use of healthcare resources.Key ResponsibilitiesConduct thorough reviews of patient records to identify areas for improvement in healthcare utilization.Develop...


  • Riverside, California, United States Universal Health Services, Inc. Full time

    Job SummaryWe are seeking a highly skilled and experienced Utilization Review Supervisor to join our team at Universal Health Services, Inc. This is a challenging and rewarding opportunity for a professional with a passion for healthcare and a commitment to delivering high-quality patient care.ResponsibilitiesOversee the collection and analysis of data...


  • Riverside, California, United States Mission Pediatrics Full time

    Job Title: Behavioral Health CoordinatorMission Pediatrics is seeking a highly skilled Behavioral Health Coordinator to join our team. As a key member of our Enhanced Care Management (ECM) Program, you will play a crucial role in providing high-quality care management to improve the overall health and well-being of pediatric members and their families.Job...

  • Proposal Coordinator

    2 weeks ago


    Riverside, California, United States Skanska Full time

    Proposal Coordinator Job DescriptionSkanska is seeking a skilled Proposal Coordinator to join their team. As a Proposal Coordinator, you will play a crucial role in creating engaging content for various proposals, presentations, and marketing materials.Key Responsibilities:Develop and implement effective proposal strategies to drive business...


  • Riverside, California, United States AccentCare, Inc. Full time

    Job DescriptionOverviewAccentCare, Inc. is seeking a highly organized and detail-oriented Client Service Coordinator to join our team. As a Client Service Coordinator, you will play a critical role in ensuring the quality coordination of services for our clients and Care Partners.Key Responsibilities:Monitor and support daily activities of services being...

  • Marketing Coordinator

    3 weeks ago


    Riverside, California, United States Fehrandpeersdc Full time

    Proposal & Marketing CoordinatorFehr & Peers is seeking a skilled Proposal & Marketing Coordinator to contribute to our team's success. As a key member of our marketing team, you will play a crucial role in creating high-quality proposals and marketing materials that showcase our expertise and drive business growth.Key Responsibilities:Oversee the...


  • Riverside, California, United States Kaiser Permanente Full time

    Job Summary:We are seeking a skilled and compassionate RN Case Manager to join our team at Kaiser Permanente. As a Specialty Nurse Case Manager, you will work collaboratively with physicians and other healthcare professionals to manage the specialized needs of our patients. Your expertise and dedication will play a critical role in ensuring our patients...


  • Riverside, California, United States La Sierra University Full time

    Job DescriptionJob Title: ZSB Event Management: Student CoordinatorJob Summary:We are seeking a highly organized and detail-oriented student to join our team as an Event Coordinator Assistant. The successful candidate will be responsible for coordinating, developing, and delivering events at the Troesh Conference Center and other designated areas within the...


  • Riverside, California, United States Universal Health Services, Inc. Full time

    Job SummaryWe are seeking a highly skilled and detail-oriented Occupational Medicine Coordinator to join our team at Universal Health Services, Inc. This role is responsible for coordinating patient care for Workers Comp. and Occupational Medicine patients, registration, and referrals.Key ResponsibilitiesCoordinate patient care for Workers Comp. and...


  • Riverside, California, United States Recruit Staff HR Full time

    Job Opening: Delivery and Installations CoordinatorWe are seeking a highly organized and detail-oriented individual to coordinate and schedule delivery and installations.Key Responsibilities:Coordinate and schedule delivery and installationsDevelop and maintain daily schedules for technicians, including capacity planning and route sequencingCommunicate with...


  • Riverside, California, United States Restaurant Industry Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Event Coordinator to join our team at a growing Restaurant Group. As an Event Coordinator, you will be responsible for planning and executing banquets, events, and corporate parties that exceed our clients' expectations.Key ResponsibilitiesEvent Planning and Execution: Coordinate and execute...


  • Riverside, California, United States St. Elizabeth's Medical Center Full time

    Job SummaryWe are seeking a highly motivated and compassionate Consumer Services Coordinator to join our team. As a key member of our staff, you will be responsible for coordinating services and supports for individuals with developmental disabilities and their families.Key ResponsibilitiesProvide case coordination services for consumers, including...


  • Riverside, California, United States St. Elizabeth's Medical Center Full time

    Job SummaryWe are seeking a highly motivated and compassionate Consumer Services Coordinator to join our team. As a key member of our staff, you will be responsible for coordinating services and supports for individuals with developmental disabilities and their families.Key ResponsibilitiesProvide case coordination services for consumers, including...

  • BDC Coordinator

    2 weeks ago


    Riverside, California, United States Moss Bros. Chrysler Dodge Jeep Ram Riverside Full time

    About UsMoss Bros. Auto Group is a leading automotive retailer in Southern California, with a rich history of over 100 years. Our commitment to our employees and customers is unwavering, and we take pride in being one of the largest, locally-owned auto groups in the region.Job SummaryWe are seeking a highly motivated and customer-focused BDC Coordinator to...


  • Riverside, California, United States Inland Regional Center Full time

    Job SummaryWe are seeking a highly skilled and compassionate Consumer Services Coordinator to join our team at Inland Regional Center. As a key member of our staff, you will play a vital role in providing case coordination services to individuals with developmental disabilities and their families.Key ResponsibilitiesCoordinate services and supports for...


  • Riverside, California, United States Moss Bros. Auto Group Full time

    Join Our Team as a Service BDC CoordinatorWe are seeking a highly motivated and customer-focused Service BDC Coordinator to join our team at Moss Bros. Auto Group. As a Service BDC Coordinator, you will play a critical role in providing exceptional customer service and ensuring a seamless experience for our clients.Key Responsibilities:Answer customer calls...