KPC Health: Operates a network of hospitals and diagnostic laboratories.
2+ YOEHigh school diploma or equivalent, minimum 2 years scheduling/authorization/referral experience in a healthcare setting, strong attention to detail and communication skills.
Care Partners At Home: Provides personalized in-home care for seniors and disabled individuals.
Authorization coordination or CalAIM-related experience, strong organization and communication skills, computer proficiency, valid driver's license, auto insurance, and ability to pass a federal background screen.
24 Hour Home Care: Provides professional in-home care for seniors and disabled individuals.
0+ YOEHigh school diploma/GED required (Associate preferred). 0–3 years admin/customer service experience. Proficiency with Microsoft Office (Word, Excel, Outlook). Strong communication, organization, and data-entry accuracy.
Microsoft Office, Microsoft Word, Microsoft Excel, Microsoft Outlook
Infusion For Health: Provides infusion therapy services for patients with chronic conditions.
2+ YOE2+ years prior authorization experience in infusion or pharmacy, knowledge of Medicare/Medicaid/managed care, intermediate Microsoft Excel and Word, ability to manage multiple priorities and resolve complex issues.
UCLA Health: Provides comprehensive hospital services and academic medical research.
Obtain insurance authorizations and referrals, coordinate with payors/providers/patients, manage front-desk tasks, use EMR, research CPT and ICD-10 codes, and communicate with clinical staff and patients.
LSMA Management: Provides comprehensive administrative and operational support for medical practices.
1+ YOECurrent California LVN license, 1+ year clinical experience, knowledge of utilization management, medical necessity criteria, ICD-10/CPT/HCPCS, strong communication, and proficiency with EMR and Microsoft Office.
Milliman Care Guidelines (MCG), InterQual, Microsoft Word, Microsoft Excel, Microsoft Outlook, Electronic Medical Records
The Oncology InstituteNASDAQ: TOI: Provides medical oncology, hematology, and clinical trial services.
4+ YOEAssociate’s degree (Bachelor’s preferred), 4+ years utilization management experience, bilingual English/Spanish, proficiency with EHR and medical billing software, strong communication, regulatory and data-analysis skills.
QuickCap, Electronic Health Records (EHR), medical billing software
Redlands Community Hospital: Provides comprehensive medical, surgical, and emergency healthcare services.
2+ YOEHigh school diploma preferred; 2 years hospital experience in utilization review, case management or business office preferred; managed care experience and medical terminology knowledge desirable.
CHA Hollywood Presbyterian Medical Center: Acute care hospital providing comprehensive medical and surgical services.
2+ YOE2 years billing experience in a healthcare facility, high school diploma/GED, ability to communicate effectively, must be able to work in a union environment, Los Angeles County Fire Card and Assault Response Competency required within 30 days.
Clinical Authorization Specialist (Hospital) - PreArrival - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
Los Angeles, California, United States
$25-$40/hrOnsiteFull Time
Keck Medicine of USC: Provides specialized medical care and research via university health system.
2+ YOEObtain medical authorizations, manage CPT/ICD coding, and liaise with payers; 2+ years hospital/medical office experience; high school diploma required; LVN preferred.
Clinical Authorization Specialist (Hospital) - PreArrival - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
Los Angeles, California, United States
$25-$40/hrOnsiteFull Time
University of Southern California: Private research university providing higher education and healthcare services.
2+ YOETwo years hospital/medical office/health insurer experience; strong time management, organizational, research, negotiation, and communication skills.
Health Information Specialist - Prior Authorization
Irvine, California, United States
$23-$24/hrOnsiteFull Time
Pacific Neuropsychiatric Specialists: Provides outpatient psychiatric and mental health care services.
Prior authorization and medical records experience preferred, strong written and oral communication, telephone and computer proficiency, ability to prioritize multiple tasks and work under stress.
Akido Labs: Operates an AI-powered medical network providing clinical care.
3+ YOEActive California LVN or RN license; 3-5+ years clinical UM review; prior authorization in managed care; knowledge of MCG criteria; EZCap experience preferred; California DMHC/CMS knowledge.
Pharmacy Technician - Prior Authorization - Medical Network - Hybrid
Los Angeles, California, United States
$25-$37/hrHybridFull Time
Cedars-Sinai: Provides academic medical care, specialized treatment, and biomedical research.
1+ YOECA pharmacy technician license, high school diploma/GED, ~1 year pharmacy or inpatient experience, prior authorization and UM experience preferred, ability to perform physical tasks and clinical data entry.
Oscar HealthNYSE: OSCR: Provides tech-enabled health insurance plans and telemedicine services.
6+ YOE6+ years in product management; 4+ years prioritization; 4+ years tech systems experience; 2+ years cross-domain initiatives; 2+ years problem solving; compliant with laws.
Allied Universal: Global provider of physical security and facility management services.
Provide access control, customer service, patrols, incident documentation; must meet age requirement, high school diploma or equivalent, pass background check and drug screen as required by law.
Allied Universal: Global provider of security guard and facility management services.
Provide access control, patrols, customer service; must be 18+ (21+ for armed), have HS diploma or equivalent, pass background check and drug screen, and meet applicable licensing requirements.