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Utilization Management Coordinator
Dignity Health Rancho Cordova, CA
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$91k-113k (estimate)
Full Time 3 Days Ago
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Dignity Health is Hiring an Utilization Management Coordinator Near Rancho Cordova, CA

**Overview**

Dignity Health Medical Foundation established in 1993 is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health - one of the largest health systems in the nation - with hospitals and care centers in California Arizona and Nevada. Today Dignity Health Medical Foundation works hand-in-hand with physicians and providers throughout California to provide comprehensive health care services to the many communities we serve. As Dignity Health Medical Foundation continues to grow and establish new premier care centers we provide increasing support and investment in the latest technologies finest physicians and state-of-the-art medical facilities. We strive to create purposeful work settings where staff can provide great care while advancing in knowledge and experience through challenging work assignments and stimulating relationships. Our staff is well-trained and highly skilled qualities that are vital to maintaining excellence in care and service.

**Responsibilities**

**Position Summary:**

Under the direction of Utilization Management (UM) leadership, the UM Coordinator processes prior authorization with established criteria. Coordinates In-Patient and SNF process to include referral creation, formation, data entry and ensure UM notification. The UM Coordinator is responsible for referral outcome notification via letter collation and distribution to members, providers and regulatory bodies. This position keeps accurate appeals and grievance intake and outcome. The UM coordinator takes minutes and help coordinate UM meetings. This position is able to work with a variety of staff and in multiple areas as a self-starter with accuracy.

**Qualifications**

**Minimum Qualifications:**

- 3 years experience in a medical environment utilizing computer programs.

- High School Graduate

- Experience and comfort with multiple computer programs.

- Ability to work independently and as part of a group.

**Preferred Qualifications:**

- Working knowledge of both front and back office preferred.

- Strong understanding and experience in insurances preferred.

- Training in ICD-9 codes, provider scheduling programs, communication skills preferred.

**Pay Range**

$20.71 - $28.48 /hour

We are an equal opportunity/affirmative action employer.

Job Summary

JOB TYPE

Full Time

SALARY

$91k-113k (estimate)

POST DATE

06/09/2024

EXPIRATION DATE

06/24/2024

HEADQUARTERS

SACRAMENTO, CA

SIZE

>50,000

FOUNDED

2019

REVENUE

$5B - $10B

INDUSTRY

Ancillary Healthcare

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The following is the career advancement route for Utilization Management Coordinator positions, which can be used as a reference in future career path planning. As an Utilization Management Coordinator, it can be promoted into senior positions as a Clinical Outcomes Manager that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Utilization Management Coordinator. You can explore the career advancement for an Utilization Management Coordinator below and select your interested title to get hiring information.