Intensive Case Management Coordinator
1 month ago
As a Utilization Management Intensive Case Management Coordinator, you will play a vital role in ensuring smooth and efficient case management processes to support quality care at UCLA Health.
Key Responsibilities- Process and manage authorization requests, including urgent, routine, pre-service, and retro authorizations.
- Prepare and process referrals according to established procedures within the medical group utilization department.
- Identify and prepare necessary documents for the next level of review.
- Maintain and prepare specific reports and manage computer applications and logs.
- Monitor members/patients followed by Case Management.
- Work directly with a nurse team lead.
- Review pending claims for approval or denial.
- High school diploma, GED, or equivalent.
- Experience working in a Managed Care environment, highly desired.
- Experience processing ambulatory managed care referrals, preferred.
- Proficient computer skills with working knowledge of Microsoft Excel and Word.
- Ability to operate a variety of office equipment, including computers, printers, copiers, fax machines, scanners, and mailing equipment.
- Ability to multi-task, work with frequent interruptions, and meet deadlines.
- Strong attention to detail, organization, and ability to follow directions.
- Clear and concise communication skills, both written and verbal.
- Familiarity with Vodavi phone system.
- Ability to lift up to 25 pounds.
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Travel Nurse RN Case Management Position
4 weeks ago
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Travel Nurse Case Manager
4 weeks ago
Los Angeles, California, United States TotalMed Case Management Staffing Full timeTotalMed Case Management Staffing is seeking a travel nurse RN Case Manager for a travel nursing job.Job DetailsSpecialty: Case ManagementDiscipline: RNDuration: 16 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelWe are seeking a Case Manager-Registered Nurse for an assignment in California.TotalMed Case Management Staffing Job ID #1597463....
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Travel Nurse RN Case Manager
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Travel Nurse RN Case Manager
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Travel Nurse RN Case Manager
4 weeks ago
Los Angeles, California, United States TotalMed Case Management Staffing Full timeTotalMed Case Management Staffing is seeking a travel nurse RN Case Management professional for a travel nursing assignment in California.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNShift: 12 hours, daysEmployment Type: TravelWe are looking for a skilled Case Manager-Registered Nurse for an assignment in California.TotalMed Case...
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Travel Nurse RN Case Manager
4 weeks ago
Los Angeles, California, United States TotalMed Case Management Staffing Full timeTotalMed Case Management Staffing is seeking a travel nurse RN Case Manager for a travel nursing job.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNDuration: 13 weeks, 40 hours per weekShift: 8 hours, daysEmployment Type: TravelWe are seeking a Case Manager-Registered Nurse for an assignment in California.Pay package is based on 8 hour...
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Travel Nurse RN Case Management Position
4 weeks ago
Los Angeles, California, United States TotalMed Case Management Staffing Full timeTotalMed Case Management Staffing is seeking a travel nurse RN Case Management professional for a travel nursing position in California.Job DetailsSpecialty: Case ManagementDiscipline: RNDuration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelTotalMed Case Management Staffing is a leading provider of travel nursing services, and we are...
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Intensive Case Manager I
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