- High school diploma, GED or equivalent required
- Two or more years of experience managing staff in a healthcare environment
- Two or more years of managed care or health plan experience preferred
- Experience processing ambulatory commercial, Medicare Fee for Service, and Medicare Advantage prior authorizations desired
- Knowledge of the HMO referral process, eligibility verification, and health plan benefit interpretation a plus
- Excellent critical thinking, organizational, and problem-resolution skills required
- Ability to work effectively across functional areas of the company.
- Computer proficiency with Microsoft Excel and Word
- Ability to multi-task and work with frequent interruptions
- Strong communication skills
- Ability to work well with ambiguity and stressful situations
- Ability to maintain confidentiality of patient and business records
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Finance Supervisor/Manager
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Pyramid Consulting, Inc Los Angeles, CA, United StatesImmediate need for a talented RN- Nurse Manager/Supervisor. This is a 03+ Monthscontract opportunity with long-term potential and is located in Los Angeles, CA (Onsite). Please review the job description below and contact me ASAP if you are interested. · Job ID: · Pay Range: $ ...
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Media Marketing Supervisor/Manager
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Supervisor, Blood Management
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Business Management Supervisor
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Regal Executive Search Los Angeles, United StatesJob Description · Business Management Supervisor · Responsibilities: · Work directly with clients to manage their business functions and provide them with · effective, efficient solutions · Financial reporting functions including monthly cash flows, contract analysis, and · sup ...
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NKSFB Los Angeles, United StatesJob Description · Job Description Salary: $80,000 - $135,000 · NKSFB, LLC is the largest business management firm in the country, with more than 650 employees working from seven offices in the Los Angeles and New York City area. We work alongside the world's top artists in music ...
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Portfolio Supervisor/ Manager
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Property Mangement Personnel Los Angeles, United StatesJob Description · Job DescriptionWell-established boutique property management company needs a experienced Portfolio/ Multi-site Manger. The Portfolio Manager/ Supervisor is responsible for the daily operations and performance of a portfolio of multi-family properties, approximat ...
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Supervisor - Business Management
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NKSFB Los Angeles, United StatesJob Description · Job DescriptionSalary: $80,000 - $135,000 · NKSFB, LLC is the largest business management firm in the country, with more than 650 employees working from seven offices in the Los Angeles and New York City area. We work alongside the world's top artists in music, ...
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Digital Management Supervisor
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Digital Media Marketing Supervisor/Manager
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Royalty Audit Supervisor/Manager
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Consultative Search Group Los Angeles, United StatesJob Description · Job Description · Job Title: Audit Supervisor/Manager · Reports To: Audit Director · FLSA Status: Exempt · Department: Audit – Music Industry · Your Role: · Excellent opportunity for an audit professional with music industry experience. Our client is seeking ...
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Supervisor, Utilization Management RN
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RN Supervisor, Utilization Management
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Freelance Digital Management Supervisor
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Mar Vista Country Villa Healthcare & Wellness Centre Los Angeles, United StatesMar Vista Country Villa Healthcare & Wellness Centre - Dietary Services Supervisor/Certified Dietary Manager - Principal Responsibilities · CLINICAL · Ensures the timely preparation and delivery of nutritious and attractive meals, and supplements to all residents according to phy ...
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Manager/ Supervisor
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BBC Group Ca LLC Los Angeles, United StatesJob Description · Job Description · A busy Pizzeria in Los Angeles is looking to hire a · manager/supervisor. · The company is opening more locations, and Applicants have an opportunity to grow within the company. Applicants should have extensive work experience in a pizzeria ...
Utilization Management Supervisor - Los Angeles, United States - University of California
Description
Take on an important leadership role within an award-winning health system. Help improve patient experiences and operational efficiency as part of a world-class healthcare team. Take your career in an exciting new direction. You can do all this and more at UCLA Health.As a key leader within our Medicare Advantage team, you will be responsible for assisting with the day-to-day management of the UM department and coordinators.
This will involve coordinating staff schedules to efficiently handle incoming referrals and phone call volume. You will develop workflows, desktop procedures, forms, training materials, and protocols for achieving team objectives and key performance indicators. You will hire and train non-clinical coordinator staff as well as manage and monitor their production and quality performance. This position involves researching and resolving simple and complex patient/provider issues related to the authorization and claims process. You will also conduct performance evaluations, counsel employees, and take disciplinary action as necessary.Salary Range: 61, ,400 Annually
Note:
This posted position is 1 of 2 positions available for hire. All applicants will apply through this requisition and if selected will be hired into one of the available positions.
Qualifications We're seeking a self-motivated, team-focused, deadline-driven, detail-oriented leader with:
UCLA Health is a world-renowned health system with four award-winning hospitals and more than 260 community clinics throughout Southern California.
We're also home to the world-class medical research and clinical education capabilities of the David Geffen School of Medicine. Through the efforts of our outstanding people, we have become Los Angeles' trusted provider of exceptional, compassionate patient care. If you're looking to experience greater challenge and fulfillment in your career, you can at UCLA Health.#J-18808-Ljbffr