Caloptima
Caloptima

60 Caloptima Utilization Management Coordinator Jobs Hiring Near You

Responsibilities Black Bear Lodge Utilization Management Coordinator Foundations Recovery Network (FRN) is the premier provider of integrated treatment for co-occurring addiction and mental health ...

Responsibilities Black Bear Lodge Utilization Management Coordinator Foundations Recovery Network (FRN) is the premier provider of integrated treatment for co-occurring addiction and mental health ...

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Caloptima Jobs Information

Do workers at CalOptima get paid breaks?

Yes. Most people get paid breaks.
79% of people say they get paid breaks.
Based on data from 14 people who took the Breakroom Quiz between May 2025 and May 2026.

Does CalOptima pay people when they’re sick?

Yes. Most people get paid when they’re sick.
79% of people say they would get paid if they were sick but scheduled to work.
Based on data from 14 people who took the Breakroom Quiz between May 2025 and May 2026.

At CalOptima, are sick days and vacation days separate paid time off?

Sick days and vacation days are used from the same paid time off.
100% of people say they have to use vacation days when they’re out sick.
Based on data from 11 people who took the Breakroom Quiz between May 2025 and April 2026.

Is the health insurance from CalOptima affordable enough for their workers?

Most people say the health insurance costs are okay.
100% of people say the health insurance costs are okay
Based on data from 12 people who took the Breakroom Quiz between May 2025 and April 2026.

Do people get paid time off at CalOptima?

Most people get paid time off work.
92% of people say they get paid time off.
Based on data from 12 people who took the Breakroom Quiz between May 2025 and April 2026.

Do workers at CalOptima worry about hours?

Most people don’t worry about getting enough hours.
100% of people report they don’t worry about getting enough hours.
Based on data from 7 people who took the Breakroom Quiz between May 2025 and April 2026.

Do CalOptima workers get to choose the shifts they work?

Most people get to choose which shifts they work.
80% report that they have enough control over which shifts they work.
Based on data from 5 people who took the Breakroom Quiz between May 2025 and April 2026.

How easy is it for CalOptima workers to change shifts?

Most people find it easy to change shifts.
100% of people report that it’s easy to change shifts if they need to.
Based on data from 5 people who took the Breakroom Quiz between May 2025 and April 2026.

How easy is it to get time off at CalOptima?

Most people find it easy to get time off.
100% of people report it’s easy to get time off.
Based on data from 10 people who took the Breakroom Quiz between May 2025 and April 2026.

Do CalOptima managers change schedules at the last minute?

Most managers don’t change people’s schedules at the last minute.
100% of people say their manager doesn’t change their shift schedule at the last minute.
Based on data from 6 people who took the Breakroom Quiz between May 2025 and April 2026.

Do jobs at CalOptima spill into time workers aren’t paid for?

Rarely. The job doesn't usually spill into unpaid time.
33% of people report that their job takes up time that they don’t get paid for.
Based on data from 6 people who took the Breakroom Quiz between May 2025 and April 2026.

How easy is it to take sick days at CalOptima?

Most people find it easy to take sick days.
92% of people report that it’s easy to take time off if they are sick.
Based on data from 13 people who took the Breakroom Quiz between May 2025 and May 2026.

Is working at CalOptima good if you’re a parent or caregiver?

Most parents and caregivers say this is a good place to work.
80% of people who care for a child or other relative report this is a good place to work.
Based on data from 5 people who took the Breakroom Quiz between May 2025 and April 2026.

Do people at CalOptima feel treated with respect by their managers?

Most people feel treated with respect by their managers.
86% of people say they’re treated with respect by their managers.
Based on data from 14 people who took the Breakroom Quiz between May 2025 and May 2026.

Do people at CalOptima get to take their breaks without interruption?

Most people get breaks without interruption.
93% of people report that they get to take their breaks without interruption.
Based on data from 14 people who took the Breakroom Quiz between May 2025 and May 2026.

Is it stressful to work at CalOptima?

Most people feel stressed out here.
73% of people say they often feel stressed out at work.
Based on data from 15 people who took the Breakroom Quiz between May 2025 and May 2026.

Do people at CalOptima enjoy their jobs?

Most people enjoy their job.
71% of people report they enjoy their job.
Based on data from 14 people who took the Breakroom Quiz between May 2025 and May 2026.

Do people at CalOptima recommend working with their team?

Only some people recommend working with their team.
47% of people report that they wouldn’t recommend working with their immediate team to a friend.
Based on data from 15 people who took the Breakroom Quiz between May 2025 and May 2026.

Do people get enough training when they start at CalOptima?

Some people didn’t get enough training when they started.
43% of people report they didn’t get enough training when they started working here.
Based on data from 14 people who took the Breakroom Quiz between May 2025 and May 2026.

Do people get support to advance at CalOptima?

Most people are given support to advance their career here.
In the last year, 80% of people report being given support to advance their career here.
Based on data from 15 people who took the Breakroom Quiz between May 2025 and May 2026.

Do people think CalOptima’s headquarters understands what’s happening where they work?

Some people think headquarters doesn’t understand what’s happening where they work.
58% of people think that this employer’s headquarters or owners don’t have a good understanding of what’s really happening where they work.
Based on data from 12 people who took the Breakroom Quiz between May 2025 and April 2026.

Do workers feel well informed about how CalOptima is doing?

Most people feel well informed about how the company is doing.
93% of people feel that they are kept well informed about how the company is doing as a whole.
Based on data from 15 people who took the Breakroom Quiz between May 2025 and May 2026.

Utilization Management Coordinator

West Michigan Community Mental Health System

Ludington, MI • On-site

Full-time

Posted 27 days ago


Job description

The Utilization Management Coordinator is responsible for performing retrospective monitoring and audit functions relative to WMCMH utilization management processes/systems. The Utilization Management Coordinator will monitor and audit the effectiveness of the WMCMH Utilization Management processes/systems, provide data to support organizational utilization decision-making, facilitate the WMCMH Utilization Management Committee and be an active participant in the Lakeshore Regional Entity UM ROAT and other regional and state UM workgroups/committees as appropriate.

The Utilization Management Coordinator will be housed on the Operations Team and will work very closely with other members of the organization.

JOB DUTIES:

  1. Utilization Management – Through retrospective review and use of both strong QI principles and strong data aggregation and analysis skills, the Utilization Management Coordinator will:
    • Perform monitoring and audit functions (objective examination) relative to utilization management and/or effectiveness of WM utilization management (i.e., size and composition and accessibility of WM network; appropriateness of authorization bundles; compliance with WM authorization decision guidelines; ensure presence of golden thread; ensure consistent and compliant authorization decisions and supporting documentation, etc.).
    • In response to monitoring and audit functions, facilitate the development and monitoring of performance improvement plans as appropriate.
    • Provide/Aggregate data to support the need for new programs and/or discontinuing programs that are ineffective or inefficient.
    • Provide/Aggregate data to support the need for incorporating new or discontinuing the use of evidence-based practices.
    • Provide/Aggregate data to support maintenance/updates to authorization decision guidelines.
    • Facilitate the WMCMH Utilization Management Committee
    • Participate in the Lakeshore Regional Entity UM ROAT and other state/regional UM workgroups as appropriate.
  1. Back-Up Coverage - Provide limited, short-term/backup coverage for other Operations or organizational Coordinators as needed.