- Clever Care Health Plan (Huntington Beach, CA)
- …organization. The coordinator will also work closely with Stars, Risk, UM /CM, Provider Relations, Member Services and other Clever teams to schedule appointments ... Advantage plans with an incredible 112% year-over-year membership growth. Who Are We? Clever Care was created to meet the unique needs of the diverse communities we… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …guidance and plans they need for healthy living. JOB SUMMARY: The Utilization Management Care Coordinator works within a multidisciplinary care team to ... of members enrolled in our Managed Long Term Care program and facilitate authorization requests for eligible members....in completing authorization updates as needed based on the care plan of the member + Coordinates with providers… more
- Humana (Indianapolis, IN)
- … UM Administration Coordinator 2 role is critical in supporting the UM team and care coordinators by handling authorization processing, allowing them to ... caring community and help us put health first** The UM Administration Coordinator 2 contributes to administration...Team Member will work closely with members providers, internal UM staff, and care coordinators to ensure… more
- Humana (Schaumburg, IL)
- …computations. Typically works on semi-routine assignments. The UM Administration Coordinator 2 contributes to the administration of care management and ... caring community and help us put health first** The UM Administration Coordinator 2 contributes to administration... care and wellbeing of members. + The UM Administration Coordinator performs computations and varied… more
- Humana (Frankfort, KY)
- …a part of our caring community and help us put health first** The UM Administration Coordinator 2 contributes to administration of utilization management for ... Humana's KY Medicaid plan. The UM Administration Coordinator 2 performs varied activities...policies and procedures ensuring best and most appropriate treatment, care or services for members + Decisions are typically… more
- Fallon Health (Worcester, MA)
- …a company that cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon ... Health delivers equitable, high-quality, coordinated care and is continually rated among the nation's top health plans for member experience, service, and clinical… more
- University of Miami (Miami, FL)
- …time Recovery Coordinator 1 to work in Miami, FL. The Recovery Coordinator 1 ( UM LAORA) assists in the recovery, packaging, preservation and transportation ... of donor recovery. + Works with LAORA staff to ensure the optimal medical care of the donor, facilitates timely progress to recovery, and resolves any disagreements… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role The UM Coordinator is responsible for coordinating all aspects of the prior authorization process, including member eligibility and benefit ... providers, and facilities to determine requests for type of care . + Maintain accurate documentation within the clinical record...Mission Transform the health plan experience - how health care is accessed and delivered - by bringing outstanding… more
- Pomona Valley Hospital Medical Center (Pomona, CA)
- …and post-discharge vendors to ensure safe, timely, and efficient transitions of care . This coordination not only supports optimal patient outcomes but also helps ... planning, current knowledge/use of evidence-based admission criteria tools like Milliman Care Guidelines, knowledge of common disease processes, health care … more
- Humana (Concord, NH)
- …a part of our caring community and help us put health first** The UM Administration Coordinator contributes to administration of utilization management. The ... UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer...care or services for members. The Home Solutions UM Team is hiring for a UM … more
- Community Based Care of Brevard, Inc. (Rockledge, FL)
- Starting Salary: $45,000/year Position Summary: The Diversion Care Coordinator will be responsible for managing a caseload of families served in Non Judicial In ... served in North and Central Brevard County. The Diversion Care Coordinator will coordinate the delivery and...plan outlining family needs, goals and services. Service Utilization UM /Wrap: This is strongly recommended in order to manage… more
- Sedgwick Government Solutions (Dallas, TX)
- …patient health assessment, or other related healthcare support to assist our Members? The UM Coordinator assists the UM team by facilitating the intake ... experience in a healthcare environment as support to the UM team. + Maintains privacy, as per Program guidelines,...+ Understands the organization's quality management program and the care coordinator 's role within that program, with… more
- CommonSpirit Health Mountain Region (Westminster, CO)
- …to help you flourish and leaders who care about your success. The RN Care Coordinator is responsible for overseeing the progression of care and discharge ... planning for identified patients requiring these services. The RN Care Coordinator performs this role to meet the individual's health needs while promoting… more
- Dignity Health (Sacramento, CA)
- **Job Summary and Responsibilities** **Job Summary:** The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning ... for identified patients requiring these services. The RN Care Coordinator performs this role to meet...Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred **Where You'll Work** Built-in 1973, Dignity… more
- Dignity Health (Los Angeles, CA)
- …candidates a sign-on bonus not to exceed 10% of salary for this position. The RN Care Coordinator is responsible for overseeing the progression of care and ... planning for identified patients requiring these services. The RN Care Coordinator performs this role to meet...Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred + Knowledge of managed care… more
- Dignity Health (Long Beach, CA)
- **Job Summary and Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning for identified ... patients requiring these services. The RN Care Coordinator performs this role to meet...Certified Case Manager (CCM) Accredited Case Manager (ACM-RN) or UM Certification preferred + Knowledge of managed care… more
- Dignity Health (Merced, CA)
- **Job Summary and Responsibilities** **Position Summary** The RN Care Coordinator is responsible for overseeing the progression of care and discharge ... planning for identified patients requiring these services. The RN Care Coordinator performs this role to meet...Case Manager (CCM), + Accredited Case Management (ACM-RN), or UM Certification preferred Please be advised that this location… more
- Dignity Health (Long Beach, CA)
- **Job Summary and Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning for identified ... patients requiring these services. The RN Care Coordinator performs this role to meet...Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred + Knowledge of managed care… more
- Dignity Health (Glendale, CA)
- **Job Summary and Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning for identified ... patients requiring these services. The RN Care Coordinator performs this role to meet...Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred + Knowledge of managed care… more
- Dignity Health (Chandler, AZ)
- …dedicated to furthering the mission of the Hospital. **Job Summary / Purpose** The RN Care Coordinator is responsible for overseeing the progression of care ... planning for identified patients requiring these services. The RN Care Coordinator performs this role to meet...Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification Training: + Knowledge of managed care… more
