{"id":5047,"date":"2026-04-28T05:28:50","date_gmt":"2026-04-28T05:28:50","guid":{"rendered":"https:\/\/jobs.eightelevengroup.com\/jobs\/job\/a1wcv000000vm3zeas-utilization-management-um-referral-specialist-sacramento-california\/"},"modified":"2026-04-28T09:09:17","modified_gmt":"2026-04-28T09:09:17","slug":"a1wcv000000vm3zeas-utilization-management-um-referral-specialist-sacramento-california","status":"publish","type":"job_listing","link":"https:\/\/jobs.eightelevengroup.com\/jobs\/job\/a1wcv000000vm3zeas-utilization-management-um-referral-specialist-sacramento-california\/","title":{"rendered":"Utilization Management (UM) Referral Specialist"},"content":{"rendered":"<h4 id=\"myCustomID\"><strong><a href=\"https:\/\/jobs.eightelevengroup.com\/apply-now\/?job_title=Utilization Management (UM) Referral Specialist&#038;job_id=a1Wcv000000Vm3ZEAS\">Apply Now<\/a><\/strong><\/h4>\n<p><strong><a href=\"https:\/\/jobs.eightelevengroup.com\"><< Return to Search Results<\/a><\/strong><\/p>\n<p>Client Job Description:<\/p>\n<p>Processes referral requests for patients to ensure timely, accurate determinations. Works within the scope of practice to complete or forward requests as appropriate to Managed Care physicians and\/or nurses as per the Utilization Management (UM) protocols. Maintains required turnaround times for referral completion. Assists providers and patients with questions about referral status. Participates in developing and implementing improvements to the referral process and workflows.<\/p>\n<p>These Principal Accountabilities, Requirements, and Qualifications are not exhaustive but merely describe the current job. Management reserves the right to revise the job description or require other tasks when circumstances change (for example, emergencies, staff changes, workload, or technical developments).<\/p>\n<p><\/p>\n<p>JOB ACCOUNTABILITIES:<\/p>\n<p>Processes referrals per standard work and refers others to nurses and\/or MDs as necessary.<\/p>\n<p>Maintains accuracy with attention to detail in each referral.<\/p>\n<p>Monitors daily \u201cpending\u201d referrals to ensure timeliness standards are met and customer service is maximized.<\/p>\n<p>Reports anticipated problems to the supervisor and\/or other stakeholders.<\/p>\n<p>Documents updated status in referrals per standard work.<\/p>\n<p>Provides necessary medical information to obtain final determinations when required.<\/p>\n<p>Processes referrals per health plan contracts and requirements.<\/p>\n<p>Documents determinations in referral as per standard work.<\/p>\n<p><\/p>\n<p>EDUCATION: HS Diploma or equivalent education\/experience<\/p>\n<p><\/p>\n<p>SKILLS AND KNOWLEDGE: Medical terminology, Current Procedural Terminology (CPT)\/Healthcare Common Procedure Coding System (HCPCS)\/International Classification of Diseases (ICD)-9 coding knowledge. Competency in using MS Office Excel and Word, and other Managed Care programs. Ability to identify, understand, and solve problems related to claims and referrals. Communication skills, including an understanding of medical concepts, the ability to organize thoughts, and the ability to communicate issues concisely and effectively. Proven ability to quickly adjust to changing projects and priorities and to multitask. Organizational skills.<\/p>\n<p>Utilization Management (UM) Referral Specialist Sacramento, California<\/p>\n<p>For over 16 years, Medasource has established and maintained relationships that are designed to meet your IT staffing needs. Whether it\u2019s contract, contract-to-hire, or permanent placement work, we customise our search based upon your company\u2019s unique initiatives, culture and technologies. With our national team of recruiters placed at 21 major hubs around the nation Medasource finds the people best-suited for your business. When you work with us, we work with you. That\u2019s the Medasource promise.<\/p>\n<p><i>Medasource is an equal opportunity employer that does not discriminate on the basis of actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth, lactation and related medical conditions), gender identity or gender expression, sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws and ordinances.<\/i><\/p>\n<p dir=\"auto\" align=\"left\"><span style=\"text-decoration: underline;\"><strong>Benefits &#038; Perks:<\/strong><\/span><\/p>\n<p dir=\"auto\" align=\"left\"><em><strong>Medasource<\/strong> offers competitive medical, dental, vision, Health Savings Account, Dependent Care FSA, and supplemental coverage with plans that can fit each employee\u2019s needs. We offer a 401k plan that includes a company match and is fully vested after you become eligible, paid time off, sick time, and paid company holidays. We also offer an Employee Assistance Program (EAP) that provides services like virtual counseling, financial services, legal services, life coaching, etc.<\/em><\/p>\n<p dir=\"auto\" align=\"left\"><span style=\"text-decoration: underline;\"><strong>Pay Disclaimer:<\/strong><\/span><\/p>\n<p dir=\"auto\" align=\"left\"><em>The pay range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to) responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law.<\/em><\/p>\n<p class=\"custom-white\">a1Wcv000000Vm3ZEAS<\/p>\n<h4 id=\"otherId\"><strong><a href=\"https:\/\/jobs.eightelevengroup.com\/apply-now\/?job_title=Utilization Management (UM) Referral Specialist&#038;job_id=a1Wcv000000Vm3ZEAS\">Apply Now<\/a><\/strong><\/h4>\n","protected":false},"author":0,"featured_media":220,"template":"","meta":{"inline_featured_image":false,"_promoted":"","_job_location":"Sacramento, California","_application":"applications@staffingfuture.com","_company_name":"Medasource","_company_website":"","_company_tagline":"","_company_twitter":"","_company_video":"","_filled":0,"_featured":0,"_remote_position":0,"_job_salary":"","_job_salary_currency":"","_job_salary_unit":""},"job-types":[8],"class_list":{"0":"post-5047","1":"job_listing","2":"type-job_listing","3":"status-publish","4":"has-post-thumbnail","5":"hentry","7":"job-type-contract"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Utilization Management (UM) Referral Specialist, Sacramento California<\/title>\n<meta name=\"description\" content=\"Utilization Management (UM) Referral Specialist, Sacramento California\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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