New

UM Clinical Intake Coordinator RN

TEKsystems
$51.00 / hr
life insurance, sick time, 401(k), retirement plan
United States, California, Bakersfield
Feb 24, 2026
About the Role We're looking for a compassionate and detailoriented RN to join our Utilization Management team as a Clinical Intake Coordinator. In this role, you'll support the coordination of care for our members by reviewing service requests, ensuring medical necessity, and partnering with internal and external healthcare professionals. This is an excellent opportunity for an RN who enjoys a balance of clinical judgment, administrative coordination, and meaningful communication with providers and internal teams. What You'll Do * Serve as a key point of communication with contracted providers and internal staff to ensure timely coordination of care and clear interpretation of policies and procedures. * Partner with Member Services and Provider Relations to resolve qualityofcare issues and grievances efficiently. * Review DME, home health, and outpatient service requests using clinical guidelines and MediCal criteria to determine medical necessity. * Identify and refer cases related to quality of care, coordination of benefits, and thirdparty liability when needed. * Maintain uptodate knowledge of covered benefits across all health programs. * Collaborate with internal programs such as Case Management, Transitions of Care, Major Organ Transplant, Community Support Services, and Enhanced Care Management by routing cases appropriately. * Identify authorization challenges and escalate concerns to the UM Outpatient Clinical Supervisor. * Review and coordinate requests for nonparticipating provider services, consulting with the Medical Director to ensure members are connected with eligible innetwork options. * Prepare, proofread, and send accurate member and provider denial letters. * Assess medical appropriateness and medical necessity within mandated turnaround times using established criteria. * Refer cases that do not meet clinical criteria to the Medical Director for final determination. * Stay current with California Children's Services (CCS) guidelines and program benefits. * Perform additional duties as needed to support departmental operations. What We're Looking For * Active RN license in the state of California. * Strong clinical judgment with the ability to interpret clinical guidelines and benefit criteria. * Excellent communication skills - both written and verbal. * Ability to multitask, stay organized, and work efficiently in a fastpaced environment. * Experience in managed care or utilization management is a plus. Job Type & Location This is a Contract to Hire position based out of Bakersfield, CA. Pay and BenefitsThe pay range for this position is $51.00 - $51.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee Assistance Program * Time Off/Leave (PTO, Vacation or Sick Leave) Workplace TypeThis is a fully onsite position in Bakersfield,CA. Application DeadlineThis position is anticipated to close on Mar 9, 2026. h4>About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.