Home Health ICM Coordinator (Limited - 6 Months) na UCLA Health

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 Candidatar-se agora