Remember when you said you wanted to make a difference? Here is your chance.

Case Management Coordinator - MNS Ambulatory Care Management
Job Description
Join Cedars-Sinai!
Cedars-Sinai has been named to the Honor Roll for the ninth consecutive year and tied for #1 in California and Los Angeles in U.S. News & World Report’s “Best Hospitals 2024-25” rankings, as well as placed among the very best in 11 specialties nationwide.
Align yourself with an organization that has a reputation for excellence! Cedars-Sinai was awarded the National Research Corporation’s Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Company’s Workplace of the Year. This recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. Join us! Discover why U.S. News & World Report has named us one of America’s Best Hospitals.
Why work here?
Beyond outstanding employee benefits including health and dental insurance, vacation, and a 403(b) we take pride in hiring the best employees. Our accomplished staff reflects the culturally and ethnically diverse community we serve. They are proof of our dedication to creating a dynamic, inclusive environment that fuels innovation.
A Little More About What You Will be Doing
The Case Management Coordinator provides support to the utilization review process. The coordinator works collaboratively with all team members of Utilization Management, Patient and Provider Services, Claims Department and other Care Coordination Department staff. In addition, the coordinator assists in identifying, tracking and coordinating services for patients when needed. The position requires good written and communication skills and the ability to interact with Medical Directors, Providers, CSMNS members, Medical Group and IPA's to ensure the delivery of high quality, cost effective healthcare and aligned with all state and federal regulations and guidelines.
Job duties and responsibilities:
- Enters data and processes referral authorization requests, to include appropriate coding and quantities.
- Answers incoming calls from Providers, IPAs, Medical Groups and other internal and external calls and assists on the queues as needed.
- Monitors the Fax Inbox and appropriately distributes incoming faxes. Ensures that internal compliance security measures are met.
- Verifies member eligibility before processing authorizations.
- Contacts facilities identified by the UM Nurses/Manager/Director/Medical Director to research any issues (i.e. contract, discharges, services provided).
- Identifies non-contracted providers and requests Letter-of-Agreements when requested.
- Requests support documentation from IPAs / Medical Groups as requested by the UM Nurses, Medical Directors, or Management.
- Processes Extensions and Denial Letters, when needed.
- Prepares Utilization Review Reports as necessary.
- Assists the Case/Care Managers in coordinating and arranging services for members.
- Provides assistance to the Claims Department, when requested.
- Documents all patient specific information in appropriate information systems.
- Assists in verifying health plan benefits and coordinating ambulatory services.
- Monitors the turn around timeframes for referrals.
- Responds to variations in daily workload by evaluating task priorities according to department.
Qualifications
Education:
- High School Diploma or GED required
Experience:
- 1 year of healthcare experience, a general knowledge of medical terminology and experience with community resources and social supports required.
- 1 year of previous utilization management or managed care experience; word processing spreadsheet skills also preferred.
Req ID : 10884
Working Title : Case Management Coordinator - MNS Ambulatory Care Management
Department : MNS Ambulatory Care Mgmt
Business Entity : Cedars-Sinai Medical Center
Job Category : Patient Services
Job Specialty : Case Management
Overtime Status : NONEXEMPT
Primary Shift : Day
Shift Duration : 8 hour
Base Pay : $23.47 - $35.21
Fraud Alert
Please be aware of attempts to take advantage of people seeking jobs at Cedars‑Sinai through fraudulent websites and email domains. Learn more.
Diversity and Inclusion at Cedars-Sinai
We are caretakers and innovators committed to the pursuit of equitable healthcare. But health equity is not possible without representation. Our commitment to diversity goes beyond demographics or checking boxes. Our people must reflect the diverse identities, experiences and geographies of the communities and patients we serve – because that’s what our patients, colleagues and communities deserve Quality Care and Research—For All, By All.
Our compensation philosophy
We offer competitive total compensation that includes pay, benefits, and other recognition programs for our employees. The base pay range shown above takes into account the wide range of factors that are considered in making compensation decisions, including knowledge/skills; relevant experience and training; education/certifications/licensure; and other business and organizational factors. This base pay range does not include our comprehensive benefits package and any incentive payments that may be applicable to this role. Pay Transparency Non-Discrimination Provision (PDF).
Cedars-Sinai is an Equal Employment Opportunity employer.
Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law. If you need a reasonable accommodation for any part of the employment process, please contact us by email at Applicant_Accommodation@cshs.org and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this email address.
Cedars-Sinai will consider for employment qualified applicants with criminal histories, in accordance with the Los Angeles Fair Chance Initiative for Hiring.
At Cedars-Sinai, we are dedicated to the safety, health and wellbeing of our patients and employees. This includes protecting our patients from communicable diseases, such as influenza (flu). For this reason, we require that all new employees receive a flu vaccine based on the seasonal availability of flu vaccine (typically during September through April each year) as a condition of employment, and annually thereafter as a condition of continued employment, subject to medical exemption or religious accommodation. For the same reason, you may also be required to receive other vaccines as a condition of employment. Cedars-Sinai reserves the right to make modifications to its required list of vaccines as required by law and/or policy.
Related content
Jobs for you
- Research Associate I - Chute Lab - Division of Hematology & Cellular Therapy 11001 Academic / Research Los Angeles, California
- LVN (Per Diem) - Primary Care - Los Feliz 9895 Nursing Los Angeles, California
- LVN - Cardiology - Los Angeles - $3,000 Sign On Bonus 10944 Nursing Los Angeles, California