Job Description

General Information

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Work Location: Los Angeles, CA, USA
Onsite or Remote
Flexible Hybrid
Work Schedule
Monday - Friday, 8:00am - 5:00pm PST
Posted Date
03/17/2026
Salary Range $35.47 - 48.82 Hourly
Employment Type
2 - Staff: Career
Duration
Indefinite
Job #
29388

Primary Duties and Responsibilities

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The ICM Social Work Coordinator supports Intensive Case Management (ICM) Social Workers and Nurses by providing non-clinical care coordination, referral and authorization processing, and service navigation for patients with moderate to high psychosocial and behavioral health needs. This role focuses on timely access to services, safe discharge planning, and prevention of unnecessary emergency department visits and hospital readmissions, particularly for high-risk and Medicare Advantage populations.

Key Responsibilities

• Coordinate and process urgent, routine, pre-service, and retro authorization requests in compliance with UCLA Medical Group, CMS, and health plan guidelines
• Prepare and manage referrals, review pending claims, and support approval or denial determinations
• Provide non-clinical care coordination for ICM-enrolled and high-risk patients across inpatient, SNF, outpatient, and post-acute settings
• Monitor hospital and SNF admissions and discharges; conduct post-discharge outreach and screenings
• Coordinate transitions of care, including transportation, DME, home health, and post-acute services
• Collaborate closely with ICM nurses, social workers, providers, hospitals, SNFs, and external programs
• Maintain accurate documentation and tracking within the electronic medical record and referral systems
• Support quality improvement, data collection, and program operations as needed

Salary Range: $35.47 - $48.82/Hour

Job Qualifications

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Required:

• High school diploma, GED or equivalent
• Experience processing Inpatient and ambulatory Managed Care referrals
• Ability to multi-task, work with frequent interruptions, and meet deadlines. Must be detailed, oriented, attentive, organized, and able to follow directions
• Proficient computer skills including working knowledge of Microsoft Excel and Word
• Ability to communicate thoughts and information clearly and succinctly in writing as well as verbally
• Ability to operate a wide variety of office equipment, including computers, printers, copy machines, facsimile receiver/transmitter, scanners and mailing equipment

Preferred:

• Minimum of 2 years’ experience working in a Managed Care Case Management and care coordination environment

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.