Utilization Management Coordinator

Akido•Chino, CA

1d•$25 - $31

About The Position

Akido builds AI-powered doctors . Akido is the first AI-native care provider, combining cutting-edge technology with a nationwide medical network to address America’s physician shortage and make exceptional healthcare universal. Its AI empowers doctors to deliver faster, more accurate, and more compassionate care. Serving 500K+ patients across California, Rhode Island, and New York, Akido offers primary and specialty care in 26 specialties—from serving unhoused communities in Los Angeles to ride-share drivers in New York. Founded in 2015 (YC W15), Akido is expanding its risk-bearing care models and scaling ScopeAI, its breakthrough clinical AI platform. Read more about Akido’s $60M Series B . More info at Akidolabs.com . The Opportunity The UM Coordinator will support the Utilization Management function of multiple IPAs in the Inland Valley area to proactively monitor utilization of services for patients. This is an exciting opportunity to be a part of a growing organization, helping to build processes and be part of a team expanding access to exceptional healthcare.

Requirements

Minimum 3 years of experience in a clinical setting, preferably in the Utilization Management
Required Education: High school diploma or equivalent.
Excellent analytical, organizational, and time-management skills.
Strong communication and collaboration skills across clinical and administrative teams.
Comfortability with learning new technology
Ability to oversee multiple departments simultaneously while ensuring compliance and accuracy.

Nice To Haves

Preferred Education: Associate's, Bachelor's, or Master’s degree in Social Work , Behavioral or Mental Health, Nursing, or a related health field.

Responsibilities

Manage r e ferral requests received from various systems
Conduct initial review of authorization requests to verify correct data entry, provider contract status, and completenes s
Process and approve a proportion of authorization requests according to pre-defined criteria, including citing of sources.
Conduct quality reviews for medical necessity and services provided.
Review and escalate appropriate referrals to the Medical Director or an RN for review.
Monitor workflow queues to ensure timely processing of all referrals
Keep key templates up to date according to changing health plan requirements
Provide ongoing support and training for staff on documentation or charting requirements, continued stay criteria and medical necessity updates.