program coordinator 1 - Cypress, United States - Randstad

    Randstad
    Randstad Cypress, United States

    4 weeks ago

    Default job background
    Description
    program coordinator 1.

    • cypress , california (remote)
    • posted march 28, 2024

    job details
    summary

    • $ $23 per hour
    • temporary
    • bachelor degree
    • category management occupations
    • referenceAB_4502078
    job details

    Randstad is seeking Qualified Healtchare professionals for a Remote Program Coordinator (Authorization Review Representative) position we currenlty have avaulable with a Fortune 500 Healthcare Provider locatewd in California.

    For immediate consideration please email all resumes to
    Remote - Candidates MUST LIVE IN CALIFORNIA

    salary:
    $ $23 per hour


    shift:
    First

    work hours: 8 AM - 5 PM

    education:
    Bachelors

    Responsibilities


    • Initiate authorization requests for output or input services in keeping with the prior authorization list. Research claims inquiry specific to the department and responsibility.
    • Perform tasks necessary to promote member compliance such as verifying appointments, obtaining lab results. Assess and monitor inpatient census.
    • Screen for eligibility and benefits. Identify members without a PCP and refer to Member Services. Screen members by priority for case management (CM) assessment. Perform transition of care duties to include but not limited to, contact the member's attending physician, member or medical power of attorney, other medical providers (home health agencies, equipment vendors) for information pertaining to special needs.
    • Coordinate services with community based organizations. Attend marketing and outreach meetings as directed to represent the plan. Produces and mails routine CM letters and program educational material.
    • Data enter assessments and authorizations into the system.
    Skills

    • Coordination
    • Excel
    • Program Management
    Qualifications

    • Years of experience: 2 years
    • Experience level:
    Experienced

    Randstad is a world leader in matching great people with great companies.

    Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company.

    Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.

    Equal Opportunity Employer:

    Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

    At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants.

    If you require a reasonable accommodation to make your application or interview experience a great one, please contact

    Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc.

    In addition, Randstad offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).

    Applications accepted on ongoing basis until filled.

    Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance.

    We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.


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