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Inpatient UM Coordinator

MedPOINT Management

Sherman Oaks, CA(remote)

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JOB DETAILS
SKILLS
Analysis Skills, Best Practices, Communication Skills, Detail Oriented, Documentation, Health Insurance, Health Plan, Healthcare, Healthcare Management, Industry/Trade Analysis, Interpersonal Skills, Licensed Practical Nurse/Licensed Vocational Nurse, Medical Coding, Medical Record System, Medical Terminology, Multitasking, Nursing, Organizational Skills, Patient Care, Patient Care Authorizations, Problem Solving Skills, Quality Assurance, Quality Management, Registered Nurse (RN), Regulatory Compliance, Reimbursement, Resource Utilization, Savings Bank, Team Player, Training/Teaching, Treatment Plan, Utilization Management, Vision Plan
LOCATION
Sherman Oaks, CA
POSTED
30+ days ago
Benefits:
  • 401(k)
  • 401(k) matching
  • Company parties
  • Employee discounts
  • Free food & snacks
  • Health insurance
  • Paid time off
  • Parental leave
  • Savings bank
  • Training & development
  • Vision insurance
  • Wellness resources

About the Role:
Join MedPOINT Management as an Inpatient UM Coordinator in Sherman Oaks, CA, where you will play a vital role in ensuring quality patient care and efficient utilization management. This position offers an exciting opportunity to work in a dynamic environment focused on improving healthcare outcomes.



Responsibilities:
  • Conduct comprehensive reviews of inpatient cases to determine medical necessity and appropriateness of care.
  • Collaborate with healthcare teams to develop and implement effective treatment plans.
  • Monitor patient progress and adjust care plans as needed to ensure optimal outcomes.
  • Communicate effectively with physicians, nursing staff, and other stakeholders regarding utilization management processes.
  • Maintain accurate documentation of all case reviews and decisions in compliance with regulatory standards.
  • Participate in interdisciplinary team meetings to discuss patient care and resource utilization.
  • Stay updated on industry trends and best practices in utilization management.
  • Assist in the development and implementation of quality improvement initiatives.
Requirements:
  • Active RN or LPN license in California is required.
  • Minimum of 3 years of experience in inpatient care or utilization management.
  • Strong knowledge of medical terminology, coding, and reimbursement methodologies.
  • Excellent communication and interpersonal skills for effective collaboration.
  • Proficient in electronic health records (EHR) and utilization management software.
  • Detail-oriented with strong analytical and problem-solving abilities.
  • Ability to work independently and manage multiple priorities in a fast-paced environment.
  • Certification in Utilization Review (CPUR or equivalent) is a plus.
About Us:
MedPOINT Management has been at the forefront of healthcare management for over 15 years, dedicated to enhancing patient care through innovative solutions. Our clients appreciate our commitment to quality service, while our employees thrive in a supportive and collaborative work environment that fosters professional growth.

This is a remote position.

About the Company

M

MedPOINT Management

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