Job Information
Providence Senior Utilization Management Assistant - Nursing Admin in Santa Rosa, California
Description
Under the supervision of Manager, Utilization Management the Coordinator is responsible for providing support to the Care Management team who coordinates care. This position works closely as a healthcare team member and performs complex tasks related to the overall team functions and activities identified during the initial and ongoing assessment and management of patients.
The UM Coordinator coordinates with multiple disciplines regarding inpatient notification of an admission and/or patient transfer. Performs insurance verification with focus on authorizations. Collaborates with physicians, hospital staff, insurance companies, and patient/family. Acts as liaison to facilitate and manage appropriate and timely transfers and authorizations.
Providence caregivers are not simply valued – they’re invaluable. Join our team at Santa Rosa Memorial Hospital and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Required qualifications:
5 years Hospital, clinical setting or healthcare related field required.
3 years Demonstrated outstanding customer service experience.
3 years Clerical and computer experience
3 years Knowledge of insurance billing and managed care
Preferred qualifications:
Coursework/Training: Some college level course work or High School Diploma or GED equivalent or some college level course work preferred particularly Medical Terminology or Medical Assistance coursework.
Coursework/Training: Medical Terminology or Medical Assistant or equivalent education/experience.
Coursework/Training: CHAA or equivalent education/experience.
CHAA (If in California) within 6 months (180 days) of hire.
3 years EPIC Case Management and ADT Patient Access
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
About Providence
At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
About the Team
The Sisters of Providence and Sisters of St. Joseph of Orange have deep roots in California, bringing health care and education to communities from the redwood forests to the beach shores of Orange county - and everywhere in between. In Northern California, Providence provides health care services to Eureka, Redwood, Petaluma, Napa and Santa Rosa.
Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Requsition ID: 317460
Company: Providence Jobs
Job Category: Health Information Management
Job Function: Revenue Cycle
Job Schedule: Part time
Job Shift: Evening
Career Track: Admin Support
Department: 7820 NURSING ADMIN
Address: CA Santa Rosa 1165 Montgomery Dr
Work Location: Santa Rosa Memorial Hospital
Workplace Type: Remote
Pay Range: $25.72 - $40.13
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.