Remote Outpatient UM Coordinator - Patient Care Optimizer

MedPOINT Management; Los Angeles (CA); Hybrid; USD 80,000 - 100,000; Full time

Benefits offered by this job

401(k)

401(k) matching

Company parties

Dental insurance

Free food & snacks

Health insurance

Paid time off

Parental leave

Savings bank

Training & development

Vision insurance

Wellness resources

Job summary

MedPOINT Management is looking for an Outpatient UM Coordinator in Sherman Oaks, CA. The role involves reviewing outpatient treatment plans, coordinating with healthcare providers, and ensuring compliance with clinical guidelines. Candidates should have an active RN license or relevant certification and at least 2 years of related experience. Strong communication skills and proficiency in electronic health records are essential. This position offers flexible work from home options and a supportive environment that values professional growth.

Qualifications

• 2+ years of experience in outpatient utilization management or related field.
• Strong knowledge of medical terminology, insurance processes, and clinical guidelines.
• Proficient in EHR systems and Microsoft Office Suite.
• Detail-oriented with strong organizational and time-management skills.

Responsibilities

• Review outpatient treatment plans for medical necessity and compliance.
• Coordinate with healthcare providers for authorizations and care transitions.
• Utilize clinical guidelines to determine appropriate levels of care.
• Document and track authorization requests and outcomes.
• Communicate effectively with patients, providers, and insurance companies.
• Monitor outpatient utilization and quality metrics.

Skills

Medical terminology

Insurance processes

Clinical guidelines

Communication skills

Interpersonal skills

EHR systems

Microsoft Office Suite

Organizational skills

Time-management skills

Patient-centered care

Education

Active RN license or relevant clinical certification

Job description

MedPOINT Management is looking for an Outpatient UM Coordinator in Sherman Oaks, CA. The role involves reviewing outpatient treatment plans, coordinating with healthcare providers, and ensuring compliance with clinical guidelines. Candidates should have an active RN license or relevant certification and at least 2 years of related experience. Strong communication skills and proficiency in electronic health records are essential. This position offers flexible work from home options and a supportive environment that values professional growth.