Address
Form of workJob Description
UM Coordinator Temp
Medica Talent Group is seeking a UM Coorinator to join our team in the LA area. We are looking for a professional, self-motivated, caring, dedicated Nurse to join our team.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.
Job Types:Temp
Salary: $$23 – $25/HR
Expected hours: Monday – Friday, 8AM to 5PM
For immediate consideration, please submit your resume to: bchairez@medicatg.com
Responsibilities:
- 1. Input data into the case management system to ensure timely care coordination and outreach.
2. Verifies member benefits and eligibility upon receipt of care coordination and/or case management.
3. Utilizes DOFR and/or delegation agreements to drive decision-making.
4. Coordinates and assists with patient appointments, transportation, and/or community resources.
5. Has primary responsibility for gathering relevant information for the identified member population during assessment, care
planning, interdisciplinary care team meeting, and transitions of care.
6. Completes applicable patient assessments.
7. Completes problem solving and coordination for patients in collaboration with case manager.
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 commer
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 commer
INDMED
