Utilization Management Inpatient Coordinator

Join to apply for the Utilization Management Inpatient Coordinator role at Preferred IPA of California

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Join to apply for the Utilization Management Inpatient Coordinator role at Preferred IPA of California

• Calling hospitals to verify if patients are still in the hospital or have discharged.
• Entering and processing hospital face sheets.
• Maintaining an updated census for assigned case manager.
• Issuing approval letters for admissions
• Reviewing hospital discharge orders received for completeness
• Forwarding orders to appropriate case manager for review and decision
• Issuing hard copy authorizations and making all arrangements for approved services (ie. DME, home health, consults, follow up visits, radiology, etc…)
• Understanding of basic medical terminology
• Organized, efficient and possess superior attention to detail
• Punctual, prepared and able to meet or beat deadlines
• Excellent written and verbal communication skills
• Medical office or hospital admitting / medical records department experience a plus
• For Transition of Care Coordinator position – Spanish Speaker is a plus

Job Description

ESSENTIAL DUTIES :

Minimum Requirements

EDUCATION / TRAINING

Language Skills

CONFIDENTIAL AND SENSITIVE INFORMATION :

Note that the information above is intended to describe the general nature and level of work being performed by employees, and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of the employer.

Company Description

Thrifty Management Services is the dedicated MSO for Preferred IPA of California, providing the best possible care management, care coordination, and claims processing services to Preferred IPA and their members. We work with the network's participating physicians to coordinate patient care when a referral is made to a specialist or hospital for diagnosis and treatment. We coordinate patient care across all aspects of the provider network. We provide high quality services to its participating physicians and superior health care to its members.

Thrifty Management Services is the dedicated MSO for Preferred IPA of California, providing the best possible care management, care coordination, and claims processing services to Preferred IPA and their members. We work with the network's participating physicians to coordinate patient care when a referral is made to a specialist or hospital for diagnosis and treatment. We coordinate patient care across all aspects of the provider network. We provide high quality services to its participating physicians and superior health care to its members.

Seniority level

Seniority level

Entry level

Employment type

Employment type

Full-time

Job function

Job function

Project Management and Information Technology

Industries

Medical Practices

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