A Healthcare Program Manager manages ongoing program activity, or a group of related projects, for a healthcare company or organization. May work in healthcare directly, or work in other operational roles which support the healthcare program.
Prior Authorization Coordinator Medica Talent Group Montebello, CA Job Details Temporary | Full-time $24 - $25 an hour 1 hour ago Benefits Health insurance Dental insurance Vision insurance Life insurance Retirement plan Qualifications Insurance prior authorization Utilization review Insurance verification Overseeing healthcare denial management High school diploma or
GED ICD-10
Utilization management EMR Medical referrals Medical payer enrollment Full Job Description UM Coordinator Medical Talent Group is excited to present this opportunity with a prominent healthcare organization in Montebello, CA ! We are seeking an experienced Utilization Management (UM) Coordinator to join their team. Candidates with experience in Utilization Management, Prior Authorization, and/or Case Management are encouraged to apply.
Job Details Title:
UM Coordinator Schedule:
Monday - Friday, 8:30 AM - 5:00
PM Assignment Type:
Temp-to-Hire Location:
Montebello, CA Compensation:
$24.00 - $25.00/hour Position Overview The UM Coordinator supports the coordination of services for assigned members throughout the continuum of care. This role is responsible for gathering and coordinating clinical and member information, supporting assessments and care planning, facilitating interdisciplinary care team activities, and assisting with transitions of care. The UM Coordinator will also identify and resolve issues, troubleshoot barriers to care, and take appropriate action to ensure timely and effective coordination of services . Qualifications High School Diploma or equivalent required. Minimum of 2 years of experience in a healthcare setting , preferably within Utilization Management, Prior Authorization, Case Management, or a related function. Experience working in a healthcare clinic, health plan, IPA, HMO, or healthcare call center environment. Working knowledge of prior authorization and case management regulations and processes related to Medi-Cal, Medicare, Commercial plans, CCS, and other government and commercial programs . Experience in a managed care or health plan environment strongly preferred. Strong communication, organization, problem-solving, and follow-through skills. Experience working with ethnically and culturally diverse populations preferred.
Job Types:
Full-time, Temporary Pay:
$24.00 - $25.00 per hour Expected hours: 40.0 per week
Benefits:
Dental insurance Health insurance Life insurance Retirement plan Vision insurance
Education:
High school or equivalent (Required)
Experience:
Denial letter processing: 1 year (Preferred) Prior authorization processing: 1 year (Preferred) Utilization management: 1 year (Preferred) Ability to
