Job Title

General Information Press space or enter keys to toggle section visibility Work Location: Los Angeles, CA, USA Onsite or Remote Flexible Hybrid Work Schedule Monday - Friday, 8:00am - 5:00pm PST Posted Date 11/13/2025 Salary Range: $35.47 - 48.82 Hourly Employment Type 2 - Staff: Career Duration Indefinite Job # 27484 Primary Duties and Responsibilities Press space or enter keys to toggle section visibility The Home Health ICM Coordinator plays a key role in supporting our Utilization Management team to ensure safe, high-quality, and cost-effective care for patients enrolled in UCLA Medicare Advantage and Intensive Case Management programs. Under the supervision of the RN Assistant Director, you will coordinate referrals, authorizations, and post-acute services, while helping patients and families navigate their care to reduce hospital readmissions and improve outcomes. This is a non-clinical role focused on care coordination, oversight of home health services, and administrative support to ensure compliance with CMS guidelines and medical necessity criteria. Key Responsibilities: * Coordinate and process urgent, routine, pre-service, and retro authorization requests. * Support ICM Case Managers in longitudinal care coordination and safe discharge planning. * Monitor hospital and skilled nursing facility (SNF) admissions and discharges; coordinate transitions of care. * Develop and implement non-clinical care plans with case management nurses (e.g., transportation, DME, post-acute services). * Conduct patient and provider outreach to support continuity of care and prevent avoidable hospitalizations. * Review and track claims, authorizations, and compliance with CMS regulations. * Maintain accurate records, prepare reports, and support quality improvement initiatives. * Provide coverage for other coordinators and assist with program operations as needed. Salary Range: $35.47 - $48.82 Hourly Job Qualifications Press space or enter keys to toggle section visibility * Minimum of 2 years' experience working in a Managed Care Case Management and care coordination environment preferred. * High school diploma, GED or equivalent. * Experience processing Inpatient and ambulatory Managed Care referrals. * Vodavi phone system experience preferred. * Ability to operate a wide variety of office equipment, including computers, printers, copy machines, facsimile receiver/transmitter, scanners and mailing equipment. * Proficient computer skills including working knowledge of Microsoft Excel and Word. * Ability to multi-task, work with frequent interruptions and meet deadlines. * Must be detailed oriented, attentive, organized, and able to follow directions. * Ability to communicate thoughts and information clearly and succinctly in writing as well as verbally. * Ability to lift up to 25 pounds. As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer.