Case Management Coordinator Health Source MSO
Alhambra, CA30+ days ago
- $23 Per Hour
- Full-time
- Employee
Highlights
This role is responsible for coordinating and documenting medical review activities to confirm that services meet established criteria for medical necessity, appropriateness, and efficiency, while facilitating clear and timely communication across all stakeholders. The UM Coordinator will serve as a key liaison between providers, members, and internal clinical staff, delivering excellent customer service and ensuring accurate documentation and timely processing of referrals.
Numbers & Facts
| Location | Monterey Park, CA |
Description
Astrana Health is seeking a dedicated Utilization Management (UM) Coordinator to support the UM department in reviewing, monitoring, and processing prior authorization requests while ensuring compliance with regulatory standards and health plan guidelines. The UM Coordinator will serve as a key liaison between providers, members, and internal clinical staff, delivering excellent customer service and ensuring accurate documentation and timely processing of referrals. This role is responsible for coordinating and documenting medical review activities to confirm that services meet established criteria for medical necessity, appropriateness, and efficiency, while facilitating clear and timely communication across all stakeholders.
Our Values:
- Put Patients First
- Empower Entrepreneurial Provider and Care Teams
- Operate with Integrity & Excellence
- Be Innovative
- Work As One Team
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