Utilization Management Coordinator Job at AppleOne, Rancho Cucamonga, CA

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  • AppleOne
  • Rancho Cucamonga, CA

Job Description


Schedule: 10:00 PM – 8:30 AM (Graveyard Shift)
Training: Onsite for 3 to 4 weeks before transitioning to remote
Location: Remote (after training)

Are you looking to make a meaningful impact in healthcare from the comfort of your home? We’re seeking a bilingual UM Coordinator – Inpatient & Specialty to join our fast-paced team, supporting timely care and medical service approvals for patients under commercial insurance plans.

This is a remote graveyard position perfect for someone detail-oriented, dependable, and ready to grow in the healthcare field.

What You’ll Be Doing:

Process inpatient and specialty medical authorization requests with speed and accuracy

Verify patient eligibility and coverage under commercial insurance

Apply your knowledge of ICD-10, CPT codes, and medical terminology to review requests

Work closely with nurses, case managers, and providers to ensure complete and timely documentation

Perform accurate data entry and maintain compliance with managed care guidelines

Communicate professionally in English and Spanish with patients and healthcare providers

What We’re Looking For:

Bilingual in English and Spanish (spoken and written)

Minimum of 2 years of data entry experience, preferably in healthcare

Familiar with commercial insurance plans, UM procedures, and medical necessity guidelines

Background in Managed Care (HMO, PPO) or physician office settings strongly preferred

Strong attention to detail, organization, and follow-through

Why You’ll Love It Here:

Fully remote after training

Work that directly supports patient care and access

Collaborative, mission-driven team

Night owl schedule perfect for quiet, focused work

A stepping stone to a growing career in healthcare and case management

Ready to make a difference while working from home?

Equal Opportunity Employer / Disabled / Protected Veterans

The Know Your Rights poster is available here:

The pay transparency policy is available here:

For temporary assignments lasting 13 weeks or longer, AppleOne is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.

We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.

AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.

We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

Additional Skills

(none specified)

Job Tags

Temporary work, Remote job, Night shift,

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