Senior Utilization Management Assistant

6 days ago


Santa Rosa, California, United States Providence Health & Service Full time
About the Role

We are seeking a highly skilled and dedicated Senior Utilization Management Assistant to join our team at Providence Health & Service. As a key member of our Care Management team, you will play a critical role in coordinating care for our patients and ensuring seamless transitions between healthcare settings.

Key Responsibilities
  • Provide support to the Care Management team in coordinating patient care and ensuring timely and effective transitions between healthcare settings.
  • Collaborate with multiple disciplines, including physicians, hospital staff, and insurance companies, to facilitate patient care and manage authorizations.
  • Perform insurance verification and authorization tasks to ensure compliance with regulatory requirements.
  • Act as a liaison between patients, families, and healthcare providers to facilitate communication and resolve issues.
Requirements
  • 5 years of experience in a hospital, clinical, or healthcare-related field.
  • 3 years of demonstrated outstanding customer service experience.
  • 3 years of clerical and computer experience.
  • 3 years of knowledge of insurance billing and managed care.
Preferred Qualifications
  • Coursework or training in medical terminology, medical assistance, or a related field.
  • EPIC Case Management and ADT Patient Access experience.
About Providence Health & Service

Providence Health & Service is a not-for-profit organization dedicated to providing high-quality, patient-centered care to our communities. We are committed to fostering a culture of respect, empathy, and compassion, and we believe that every workforce member has the right to work in an environment that is free from all forms of unlawful discrimination and harassment.

We offer a comprehensive benefits package, including a retirement 401(k) Savings Plan with employer matching, health care benefits, life insurance, disability insurance, time off benefits, and much more. Learn more at providence.jobs/benefits.


  • Caregiver Assistant

    2 weeks ago


    Santa Rosa, California, United States Brookdale Senior Living Full time

    About Brookdale Senior LivingWe are a leading provider of senior living solutions, dedicated to making a positive impact on the lives of our residents and associates.Job SummaryWe are seeking a compassionate and skilled Caregiver to join our team at Brookdale Senior Living. As a Caregiver, you will play a vital role in providing direct care to our residents,...


  • Santa Rosa, California, United States Watercrest Senior Living Group Full time

    Job Title: Licensed Practical NurseWe are seeking a compassionate and skilled Licensed Practical Nurse to join our team at Watercrest Senior Living Group. As a key member of our Resident Care team, you will provide high-quality care to our residents, ensuring their physical, emotional, and social needs are met.Job Summary:The Licensed Practical Nurse will be...


  • Santa Rosa, California, United States PURE Property Management Full time

    Assistant Property Manager Job DescriptionPURE Property Management is seeking a highly skilled and detail-oriented Assistant Property Manager to join our team. As a key member of our property management team, you will be responsible for assisting the Property Manager in maintaining excellent resident relations, communicating with residents, and ensuring the...

  • Caregiver Assistant

    2 weeks ago


    Santa Rosa, California, United States LCS Senior Living Full time

    About the RoleWe are seeking a compassionate and skilled Caregiver to join our team at LCS Senior Living. As a Caregiver, you will play a vital role in providing exceptional care and support to our residents, ensuring their physical, emotional, and social needs are met.ResponsibilitiesAssist residents with daily living activities, including bathing,...


  • Santa Rosa, California, United States Pure Property Management Full time

    Job SummaryPure Property Management is seeking a highly skilled Assistant Property Manager to join our team. As a key member of our property management team, you will be responsible for assisting the Property Manager in promoting resident relations, maintaining accurate records, and ensuring seamless lease renewal processes.Key ResponsibilitiesAssist the...

  • Caregiver Assistant

    2 weeks ago


    Santa Rosa, California, United States Brookdale Senior Living Full time

    Unlock Your Potential with Brookdale Senior LivingAt Brookdale Senior Living, we're dedicated to providing exceptional care and support to our residents. As a Caregiver, you'll play a vital role in helping our residents maintain their independence and dignity.Key Responsibilities:Provide direct care to residents, recognizing individual needs and encouraging...


  • Santa Rosa, California, United States County of Sonoma, CA Full time

    Job Title: Assistant General Manager - Operations and MaintenanceJoin the County of Sonoma, CA as we seek a highly skilled and experienced Assistant General Manager to lead our Operations and Maintenance Division. As a key member of our executive team, you will be responsible for overseeing the planning, organization, and coordination of water and wastewater...

  • Senior Tax Manager

    6 days ago


    Santa Rosa, California, United States Jobot Full time

    Senior Tax Manager Job DescriptionWe are seeking a highly motivated and experienced Senior Tax Manager to join our dynamic team at Jobot. As a Senior Tax Manager, you will be responsible for managing a team of tax accountants, preparing and reviewing federal and state tax returns, and providing tax planning and consulting services to clients.Key...

  • Senior Teller

    3 days ago


    Santa Rosa, California, United States Tri Counties Bank Full time

    Job SummaryWe are seeking a highly skilled and experienced Senior Teller to join our team at Tri Counties Bank. As a Senior Teller, you will be responsible for providing exceptional customer service, managing cash and security procedures, and supporting the Assistant Branch Manager in generating sales and referrals.Key ResponsibilitiesProvide prompt,...


  • Santa Rosa, California, United States Brookdale Senior Living Full time

    Job OverviewBrookdale Senior Living is seeking a dedicated and compassionate Nurse to join our team as a Health and Wellness Coordinator.About the RoleManage the day-to-day healthcare operations of the community to ensure residents' healthcare needs are met.Ensure residents are treated with respect and dignity and ensure quality care as residents' healthcare...

  • Senior Asset Manager

    4 weeks ago


    Santa Rosa, California, United States Consiglio-Mattei Executive Search Group, LLC Full time

    We are seeking a seasoned professional to join our team at Consiglio-Mattei Executive Search Group, LLC as a Senior Asset Manager. In this critical role, you will report directly to the Chief Credit Officer and be responsible for managing the bank's distressed assets.This is a fantastic opportunity to join a reputable organization with a strong community...

  • Senior Civil Engineer

    1 month ago


    Santa Rosa, California, United States Brelje & Race Consulting Engineers Full time

    About the RoleBrelje & Race Consulting Engineers is seeking a highly experienced Senior Civil Engineer to join our team in the execution of water and wastewater projects. This full-time position will be based in our office and is available immediately. Relocation assistance will be offered, if needed.Key ResponsibilitiesExecute projects including wastewater...

  • Senior Counselor

    3 weeks ago


    Santa Rosa, California, United States Center Point - DAAC Full time

    Job Title: Senior CounselorCenter Point - DAAC is seeking a highly skilled and compassionate Senior Counselor to join our team. As a key member of our staff, you will play a vital role in providing comprehensive treatment services to individuals struggling with substance use disorders and mental health issues.Job Summary:The Senior Counselor will be...


  • Santa Rosa, California, United States Amada Senior Care Full time

    Join Amada Senior Care as a Caregiver/HCA (Home Care Assistant)Amada Senior Care is seeking reliable, kind-hearted individuals who are passionate about improving the quality of life for others. As a Caregiver/HCA (Home Care Assistant), you will have the opportunity to connect with clients, listen to their needs, and provide care and support in the comfort of...


  • Santa Rosa, California, United States Watercrest Senior Living Group Full time

    Job Title: Licensed Practical NurseWe are seeking a skilled and compassionate Licensed Practical Nurse to join our team at Watercrest Senior Living Group. As a key member of our Resident Care team, you will provide high-quality care and support to our residents, ensuring their physical, emotional, and social needs are met.Job Summary:The Licensed Practical...


  • Santa Rosa, California, United States Diverse Lynx Full time

    Diverse Lynx is seeking a skilled Utilization Coordinator to join our team. The ideal candidate will have a strong background in healthcare and experience in utilization management, admissions, and discharge planning. Key responsibilities include: * Coordinating admissions and performing concurrent and retrospective utilization review * Facilitating...

  • Tax Senior Manager

    11 hours ago


    Santa Rosa, California, United States Moss Adams Full time

    Tax Senior Manager Job DescriptionMoss Adams is seeking a highly skilled Tax Senior Manager to join our team. As a Tax Senior Manager, you will be responsible for leading tax engagements, managing client relationships, and developing business growth strategies.Key Responsibilities:Lead tax engagements, including planning, execution, and delivery of...


  • Santa Rosa, California, United States Diverse Lynx Full time

    Job Title: Registered Nurse/Case ManagerJob Summary:The Utilization Coordinator at Diverse Lynx plays a vital role in ensuring seamless patient care transitions. This position is responsible for coordinating admissions, conducting concurrent and retrospective utilization reviews, and facilitating discharge planning. Additionally, the Utilization Coordinator...


  • Santa Rosa, California, United States Talent Software Services Full time

    Job SummaryTalent Software Services is seeking a skilled Healthcare Utilization Specialist to join our team. As a key member of our healthcare operations team, you will be responsible for coordinating admissions, performing concurrent and retrospective utilization review, and facilitating discharge planning.Key ResponsibilitiesCoordinate admissions and...


  • Santa Rosa, California, United States Talent Software Services Full time

    Clinical Opportunities/**Job Summary**The Utilization Coordinator is responsible for coordinating admissions, performing concurrent and retrospective utilization review, and facilitating discharge planning. This role requires strong communication and organizational skills to ensure seamless coordination of care.**Key Responsibilities**• Coordinate...