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Job Summary:
UM Coordinator l coordinates and supports activities related to authorization processing for outpatient, inpatient and ambulatory services. Compiles daily inpatient log; reviews specified UM reports; processes referrals, completes denial letters and performs retro-review coordination. QM coordination of grievances/activities/QOC, and CCS related activities. Acts as liaison to the providers’ offices and the UM/QM staff. Provides clerical assistance and prepares reports for the UM/QM Supervisor, Manager and/or Director of Medical Management
Essential Job Functions:
Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the position.
Other Functions:
Competencies
Education and Licensure
Full Time
$102k-134k (estimate)
04/06/2023
07/09/2024
rcmg.com
Sacramento, CA
100 - 200