- Insight Global (Irvine, CA)
- Job Description Insight Global is looking for a UM Coordinator for one of their largest healthcare clients located in Irvine. * Applies knowledge/skills to ... department resources and procedures with minimal oversight: At minimum, meet the UM Coordinator daily productivity performance threshold of 65 authorizations/day… more
- Humana (Sacramento, CA)
- …a part of our caring community and help us put health first** The UM Administration Coordinator 2 contributes to administration of utilization management. The ... UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations.… more
- Humana (Sacramento, CA)
- …a part of our caring community and help us put health first** The UM Administration Coordinator 2 contributes to administration of utilization management. The ... UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations.… more
- Dignity Health (Northridge, CA)
- …for more information. RN Case Manager (Care Coordinator ) Case Manager Northridge Hospital Medical Center The ... RN Care Coordinator is responsible for overseeing the progression of care...Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred. + Knowledge of managed care and… more
- Dignity Health (Long Beach, CA)
- …our hospitals and out in the community. **Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning ... for identified patients requiring these services. The RN Care Coordinator performs this role to meet the individual's health needs while promoting quality of care… more
- Dignity Health (Los Angeles, CA)
- …for more information. **Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of ... discharge planning for identified patients requiring these services. The RN Care Coordinator performs this role to meet the individual's health needs while promoting… more
- Sharp HealthCare (San Diego, CA)
- …readmissions to acute or visit to the Emergency Department.Informs Director, QI/ UM of any quality issues.Attends hospitalists rounds, as required, to discuss ... high risk patients requiring case management follow up.Attends clinical in-services or required operational/clinical training sessions. + Act as a resourceDemonstrates knowledge of Health Plan contracts and Health Plan benefits Coordinates services and… more
- Sutter Health (Santa Rosa, CA)
- …Managed Care physicians and/or nurses as per the Utilization Management ( UM ) protocols. Maintains required turnaround times for referral completion. Assists ... providers and patients with referral status questions. Participates in development and implementation of improvements to the referral process and workflows. **Onsite Position** **Job Description** : **EDUCATION:** HS Diploma or GED **SKILLS AND KNOWLEDGE:**… more
- Actalent (Santa Barbara, CA)
- Job Title: Health Plan Nurse Coordinator Non-profit healthcare network is looking for a utilization management registered nurse to join their team on a contract ... Gain experience with a leading healthcare organization Description: The Health Plan Nurse Coordinator (HPNC) is a Registered Nurse who is assigned to one of several… more
- Veterans Affairs, Veterans Health Administration (Palo Alto, CA)
- …Serving as a clinical liaison with patients, physicians, nursing staff, the UM team, and other interdisciplinary health team members regarding the comprehensive ... Incentives: Not Authorized EDRP Authorized: Contact ###@va.gov, the EDRP Coordinator for questions/assistance. Learn more Permanent Change of Station (PCS):… more