- Actalent (Redlands, CA)
- … is responsible for executing all aspects of the referral process. The UM Coordinator collaborates with clinical team members to evaluate the potential ... Job Title: UM CoordinatorJob Description The Utilization Management ( UM...interaction with utilization review nurses and health plans regarding UM and referral authorization issues. Responsibilities + Execute the… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Under the supervision of the Utilization Management ( UM ) Operations Supervisor, the UM Coordinator I's primary job function is to support UM ... the provider call center lines), and appropriately processing required UM notifications (letters, faxes, etc.). MINIMUM QUALIFICATIONS: HS Diploma,GED,or Equivalent… more
- Cedars-Sinai (Beverly Hills, CA)
- …**A Little More About What You Will be Doing** The Case Management Coordinator provides support to the utilization review process. The coordinator works ... Department and other Care Coordination Department staff. In addition, the coordinator assists in identifying, tracking and coordinating services for patients when… more
- Dignity Health (Long Beach, CA)
- **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...Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred + Knowledge of managed care and… more
- Dignity Health (Long Beach, CA)
- **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...Certified Case Manager (CCM) Accredited Case Manager (ACM-RN) or UM Certification preferred + Knowledge of managed care and… more
- Dignity Health (Glendale, CA)
- **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...Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred + Knowledge of managed care and… more
- Dignity Health (Merced, CA)
- **Responsibilities** **Position Summary** 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...Case Manager (CCM), + Accredited Case Management (ACM-RN), or UM Certification preferred Please be advised that this location… more
- Dignity Health (Los Angeles, CA)
- …bonus not to exceed 10% of salary for this position. 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, cost… more
- Dignity Health (San Bernardino, CA)
- **Responsibilities** As an RN Care Coordinator at St. Bernardine Medical Center, you will play a vital role in guiding patients through their care journey, from ... experience. + Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred + Knowledge of managed care and payer environment… 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. **Job Description** : **_**This is a full-time, benefited, LIMITED TERM opportunity**_** **EDUCATION:**… more