Medical Management Coordinator, utilization Management - FT/Days
MemorialCare Health System
Location: Fountain Valley, California
Admin / Clerical
Internal Number: MEM005427
The Medical Management Coordinator is a key leadership support position designed to provide, manage, and document continuous compliance and regulatory activities within the department. This individual will be responsible for the ongoing monitoring and analysis of medical management performance, to assist in the design and implementation of improvement initiatives within utilization management.
Essential Functions and Responsibilities of the Job
Responsible for the on-going training of the UM staff, in partnership with the UM Supervisor and Director.
Designs, implements and ensures completion of educational materials and attestations for staff as directed to meet regulatory compliance.
Manages P&Ps within the MemorialCare Policy Management (MPM) system and works closely with the Director to ensure P&Ps meet federal and state regulatory requirements.
Organizes and maintains filing systems and archival records within the shared drives.
Schedules and prepares for UM delegation audits
Assists in the preparation of UM Committee meetings, which may include creating agenda, preparing presentation, and taking minutes. Obtains all the necessary signatures to stay in compliance.
Communicates effectively with a professional attitude
Follows company policies, procedures and directives.