Outpatient UM Team Coordinator

About the Role:">The Clinical Operations Manager will be responsible for the oversight of Inpatient Review and coordination of all clinical activities of Inpatient UM Teammates in collaboration with the CCC Manager & other key players within MPM & client partners. This includes providing leadership and supervision of day-to-day inpatient UM functions for...

Job DescriptionMaintaining the highest level of accuracy and efficiency in medical record processing is crucial to delivering exceptional patient care. As a Medical Records Specialist on our UM team, you will play a vital role in ensuring the smooth operation of our medical records department.We offer a dynamic work environment where no two days are the...

About the RoleWe are seeking a highly skilled UM Operations Assistant to join our team at MedPOINT Management. This role is an exciting opportunity for individuals who enjoy working in a fast-paced environment and are passionate about delivering exceptional patient care.The ideal candidate will have excellent communication skills, be highly organized, and...

UM Healthcare Liaison Specialist Job DescriptionEstimated Salary: $65,000 - $85,000 per yearThis role requires a UM Healthcare Liaison Specialist to work closely with health plans, members, and providers to resolve issues and improve care coordination. The ideal candidate will have excellent communication skills and a strong understanding of managed care...

Job OverviewWe are seeking an experienced Inpatient Utilization Management (UM) professional to join our team at MedPOINT Management. As a key member of our leadership team, the successful candidate will oversee Inpatient UM clinical operations and provide strategic guidance to ensure delivery of high-quality, cost-effective healthcare services to our...

Join our team as a Plan Liaison Coordinator at MedPOINT Management and contribute to delivering high-quality patient care.In this role, you will serve as the main point of contact between our Outpatient UM team and Health Plan personnel, ensuring seamless coordination of referrals and adherence to regulatory requirements.Your key responsibilities will...

MedPOINT Management is looking for a Healthcare Coordination Manager to support our Outpatient UM team. In this role, you will play a critical part in facilitating effective communication between our team and Health Plan personnel.Your responsibilities will include communicating with OP UM nurses and coordinators, completing Health Plan service requests, and...

Job Summary    As a Medical Records Coordinator at MedPOINT Management, you will play a vital role in ensuring seamless communication between data entry teams, IPA teams, providers, and members. Your primary focus will be to facilitate timely accessible care and services while working closely with the Compliance team to prepare for audits.    Reporting...

MedPOINT Management seeks a dedicated Health Plan Liaison to serve as the primary point of contact between our Outpatient UM team and Health Plan personnel.The successful candidate will oversee referral requests delegated to Health Plans, ensuring seamless communication and timely decisions. Reporting to the Outpatient UM Manager, this role adheres to MPM...

Job OverviewThe MedPOINT Management team is seeking an experienced Outpatient UM Clinician to join our team. This role is responsible for ensuring a thorough review of outpatient precertification/preauthorization referrals for members requiring outpatient services.In close collaboration with the Medical Director, the successful candidate will work towards...

About the RoleThis Clinical Operations Manager - Inpatient UM Line of Business role requires a self-starter with strong analytical skills, Critical thinking skills, time management and problem-solving abilities. The ideal candidate will have a high degree of patience, excellent communication, interpersonal, time management and organizational skills. Key...

Job Summary:The Medical Support Coordinator will provide effective communication between data entry teams, IPA teams, providers, and members to ensure timely accessible care and services. This role will work closely with the Compliance team to prepare for audits and adhere to MedPOINT Management's company policies and procedures.Duties and...

Job Description: As an Outpatient Utilization Manager, you will be responsible for managing outpatient utilization activities, ensuring timely and effective communication with healthcare providers, and maintaining accurate records of patient information.About the Role:This role requires strong organizational and analytical skills, as well as excellent...

Job DescriptionWe seek a skilled Medical Liaison Specialist to facilitate seamless communication between our Outpatient UM team and Health Plan personnel. This role involves overseeing referral requests delegated to the Health Plans, ensuring timely decision-making and effective collaboration.Essential DutiesFoster strong relationships with OP UM nurses and...

MedPOINT Management offers a challenging opportunity for an Inpatient Nurse Case Manager to join their team in the San Fernando Valley. This role involves facilitating patient transfers, coordinating care, and ensuring seamless transitions between healthcare settings.The estimated salary for this position is $85,000 - $110,000 per year, depending on...

Job Overview:The Medical Support Associate plays a vital role in ensuring the smooth operation of our transplant support services. Reporting to the Outpatient Coordinator Lead, this individual will work closely with data entry teams, IPA teams, providers, and members to provide timely and accessible care and services.Duties and Responsibilities:Sorts and...

Role Overview:The Senior Outpatient Care Coordinator plays a pivotal role in facilitating health and wellness for patients in the outpatient setting. This position involves developing tailored care plans, coordinating care with specialists, and ensuring compliance with medical necessity and clinical guidelines.About Us:Blue Shield of California is committed...

Job Summary: We are seeking a detail-oriented and organized Clinical Coordination Specialist to join our team at MedPOINT Management. In this role, you will be responsible for coordinating clinical activities, communicating with healthcare providers, and maintaining accurate records of patient information.About the Role:The Clinical Coordination Specialist...

Job DescriptionWe are seeking a skilled Quality Compliance Nurse or Compliance Coordinator to join our team at Preferred IPA of California.As a key member of our healthcare team, you will be responsible for supporting the development and implementation of our Quality Management Program, as well as managing Health Plan Audits and responding to Appeals and...

Job SummaryThe Senior Case Management Nurse plays a vital role in supporting patients' health and wellness in the outpatient setting. As a key member of the Care Management team, this position involves developing individualized care plans, coordinating care with specialists, and ensuring compliance with medical necessity and clinical guidelines.