UM Coordinator

Job Description

Job Description

Medica Talent Group is excited to share this temporary opportunity! We partnered with a prominent healthcare organization based in Montebello, CA to fill a UM Coordinator position. Please consider applying if you come with a minimum of 2 years of Utilization Management and Prior Authorization experience.

Job Details

Title : UM Coordinator

Schedule : Monday – Friday, 8AM to 5PM

Assignment Length : 3-months (possibility of extension or direct hire)

Location : Montebello, CA (onsite)

Compensation : $24 / hr

Job Overview

This position has primary responsibility for gathering relevant information for the identified member population during assessment, care planning, interdisciplinary care team meeting, and transitions of care. This position performs trouble-shooting when problems situations arise and takes independent action to resolve complex issues.

Qualifications

1. High School Diploma or equivalent required.

2. Prior experience working in a clinic / health care call center.

3. Minimum 2 years of experience working in a health care environment; knowledge of prior authorization and case management regulations governing Medi-Cal, Commercial, Medicare, CCS, and other government and commercial programs.

4. Prefer experience in a managed health care environment, preferably IPA, HMO, or Health Plan.

5. Prefer experience working with an ethnically diverse population.

INDMED