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Clinical Support Coordinator Associate - 31002-1

Monterey Park, California 91755 | Contract

Job ID: 56310 Position: Customer Service Branch: Rancho Cordova

Utilization Management /Authorizations Coordinator
  • Serves as initial point of contact for providers and members in the medical management process by telephone or correspondence.
  • Assists in ensuring members are effectively and efficiently managed through the medical/disease management process as needs require.
  • Within extension of authority, assigns length of stay on acute inpatient admissions, as well as approves specific home health, DME.
  • Process authorization requests and facilitates referrals.
  • Assists with system letters, requests for information and data entry.
  • Provides administrative/clerical support to medical and disease management.

Responsibilities:
  • Entry level intake (faxed in auth' s, calls left on voicemail)
  • Select support for Case Manager such as mailings, surveys.
  • Data entry including authorization forms, high risk member information, verbal HIPPA authorizations, and SNF admissions
  • Specified template letters for CM
  • Create family files
  • Specified callbacks
  • Assist HMO with IPA mail authorization forms
  • Mail HIPAA forms to members
  • Support to Senior/Lead HCS
  • Responds to inquiry calls on a limited basis

 

Alana Klingman
Recruiter

Alana is a native Huntington Beach resident making the move to Sacramento just a few years ago. She comes with over 15 years of experience in full cycle healthcare recruiting and thoroughly enjoys every aspect of her job. Receiving a new client order and placing a qualified applicant is truly an excitement each and every time. Her goal at the end of every day is to leave a positive impression with everyone she works with including letting the candidates know that she is on their side. She strives to fill every client need that comes across her desk with a candidate that can call that place of business HOME. When she is not hard at work Recruiting, Alana spends her free time attending local family events, trying new eateries and perfecting DIY home projects she found on Pinterest.

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