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Home Health ICM Coordinator (Limited - 6 Months)

Home Health ICM Coordinator (Limited - 6 Months)

University of California - Los Angeles HealthLos Angeles, California, United States
16 hours ago
Job type
  • Full-time
Job description

Description

The Home Health ICM Coordinator plays a key role in supporting our Utilization Management team to ensure safe, high-quality, and cost-effective care for patients enrolled in UCLA Medicare Advantage and Intensive Case Management programs. Under the supervision of the RN Assistant Director, you will coordinate referrals, authorizations, and post-acute services, while helping patients and families navigate their care to reduce hospital readmissions and improve outcomes.

This is a non-clinical role focused on care coordination, oversight of home health services, and administrative support to ensure compliance with CMS guidelines and medical necessity criteria.

Key Responsibilities :

  • Coordinate and process urgent, routine, pre-service, and retro authorization requests.
  • Support ICM Case Managers in longitudinal care coordination and safe discharge planning.
  • Monitor hospital and skilled nursing facility (SNF) admissions and discharges; coordinate transitions of care.
  • Develop and implement non-clinical care plans with case management nurses (e.g., transportation, DME, post-acute services).
  • Conduct patient and provider outreach to support continuity of care and prevent avoidable hospitalizations.
  • Review and track claims, authorizations, and compliance with CMS regulations.
  • Maintain accurate records, prepare reports, and support quality improvement initiatives.
  • Provide coverage for other coordinators and assist with program operations as needed.

Note : Position may convert to Career.

Salary Range : $35.47 - $48.82 Hourly

Qualifications

  • Minimum of 2 years' experience working in a Managed Care Case Management and care coordination environment preferred.
  • High school diploma, GED or equivalent.
  • Experience processing Inpatient and ambulatory Managed Care referrals.
  • Vodavi phone system experience preferred.
  • Ability to operate a wide variety of office equipment, including computers, printers, copy machines, facsimile receiver / transmitter, scanners and mailing equipment.
  • Proficient computer skills including working knowledge of Microsoft Excel and Word.
  • Ability to multi-task, work with frequent interruptions and meet deadlines.
  • Must be detailed oriented, attentive, organized, and able to follow directions.
  • Ability to communicate thoughts and information clearly and succinctly in writing as well as verbally.
  • Ability to lift up to 25 pounds.
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    Health Coordinator • Los Angeles, California, United States

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