• Liberty Health (Wilmington, NC)
    …in the healthcare industry. Join us! We are currently seeking an experienced: UTILIZATION MANAGEMENT ADMINISTRATIVE COORDINATOR Full Time, Days SUMMARY: ... Attend and contribute to all internal Utilization Management meetings Ability to be an interactive UM...of the UM RNs or Direct of Utilization Management . Assist the department with the… more
    Upward (07/11/25)
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  • D-H Lebanon-MHMH (New London, NH)
    …days of admission. Initiates discharge planning process. *Maintains communication with UM coordinator regarding assessments, outcomes, and projected lengths of ... stressful situations Good organizational and problem-solving skills Clinical Pathways, utilization management , and discharge planning knowledge preferred.… more
    Upward (07/23/25)
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  • Talent Connect Now (San Diego, CA)
    …the delivery of participant care (resources), clinical outcomes, performance improvement, and Utilization Management ( UM ). Designs and conducts quality ... Director's role. Proactively develops a collaborative working relationship with the Quality Coordinator and contributes to the development of the QAPI plan. Oversees… more
    Upward (07/19/25)
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  • UM Coordinator

    Actalent (Redlands, CA)
    Job Title: UM CoordinatorJob Description The Utilization Management ( UM ) Coordinator is responsible for executing all aspects of the referral ... process. The UM Coordinator collaborates with clinical team members...Experience with Independent Physician Associations (IPAs), Managed Care, and Utilization Management . + High school diploma or… more
    Actalent (07/23/25)
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  • UM Coordinator

    Centers Plan for Healthy Living (Margate, FL)
    …with the guidance and plans they need for healthy living. JOB SUMMARY: The Utilization Management Care Coordinator works within a multidisciplinary care team ... to assist with the care of members enrolled in our Managed Long Term Care program and facilitate authorization requests for eligible members. PRIMARY RESPONSIBILITIES: + Assists in the prior authorization of services and ongoing authorization requests +… more
    Centers Plan for Healthy Living (07/15/25)
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  • Utilization Management

    Rady Children's Hospital San Diego (San Diego, CA)
    JOB SUMMARY: Under the supervision of the Utilization Management ( UM ) Operations Supervisor, the UM Coordinator I's primary job function is to ... the provider call center lines), and appropriately processing required UM notifications (letters, faxes, etc.). MINIMUM QUALIFICATIONS: HS Diploma,GED,or Equivalent… more
    Rady Children's Hospital San Diego (07/18/25)
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  • Case Management Coordinator - MNS…

    Cedars-Sinai (Beverly Hills, CA)
    …**A Little More About What You Will be Doing** The Case Management Coordinator provides support to the utilization review process. The coordinator works ... collaboratively with all team members of Utilization Management , Patient and Provider Services, Claims Department and other...preferred. **Req ID** : 10884 **Working Title** : Case Management Coordinator - MNS Ambulatory Care … more
    Cedars-Sinai (07/18/25)
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  • Registered Nurse- Utilization

    Veterans Affairs, Veterans Health Administration (Memphis, TN)
    Summary The Utilization Management ( UM ) Inpatient Care Coordinator is a professional registered nurse who is responsible and accountable for indirect ... the Lt. Col. Luke Weathers, Jr. VA Medical Center. Responsibilities Registered Nurse- Utilization Management Inpatient Care Coordinator (UMICC) facilitates… more
    Veterans Affairs, Veterans Health Administration (07/21/25)
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  • Care Coordinator RN

    Catholic Health Initiatives (Schuyler, NE)
    …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... effectively with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs integrate. +… more
    Catholic Health Initiatives (07/05/25)
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  • RN Care Coordinator

    Virginia Mason Franciscan Health (Seattle, WA)
    …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and ... **Responsibilities** The Care Coordinator RN is responsible for overseeing the progression...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management more
    Virginia Mason Franciscan Health (07/19/25)
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  • RN Care Coordinator

    Dignity Health (Long Beach, CA)
    …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... **Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management more
    Dignity Health (07/23/25)
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  • RN Care Coordinator

    Dignity Health (Long Beach, CA)
    …emphasis will be on care coordination communication and collaboration with utilization management nursing physicians ancillary departments insurers and post ... **Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management more
    Dignity Health (07/18/25)
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  • RN Care Coordinator

    Dignity Health (Glendale, CA)
    …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... **Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management more
    Dignity Health (06/20/25)
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  • RN Care Coordinator

    Dignity Health (Los Angeles, CA)
    …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... 10% of salary for this position. The RN Care Coordinator is responsible for overseeing the progression of care...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management more
    Dignity Health (06/07/25)
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  • RN Care Coordinator

    Dignity Health (Chandler, AZ)
    …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... the Hospital. **Job Summary / Purpose** The RN Care Coordinator is responsible for overseeing the progression of care...+ Collaborate effectively with multiple stakeholders + Understand how utilization management and case management more
    Dignity Health (06/27/25)
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  • Care Coordinator RN

    Virginia Mason Franciscan Health (Silverdale, WA)
    …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... **Responsibilities** SIGN ON BONUS AVAILABLE! **JOB SUMMARY / PURPOSE** The Care Coordinator RN is responsible for overseeing the progression of care and discharge… more
    Virginia Mason Franciscan Health (07/13/25)
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  • Care Coordinator RN

    Virginia Mason Franciscan Health (Gig Harbor, WA)
    …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... **Responsibilities** **JOB SUMMARY / PURPOSE** The Care Coordinator RN is responsible for overseeing the progression of care and discharge planning for identified… more
    Virginia Mason Franciscan Health (07/08/25)
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  • RN Care Coordinator

    Dignity Health (Phoenix, AZ)
    …problem-solving skills. + Collaborate effectively with multiple stakeholders + Understand how utilization management and case management programs integrate. ... to achieve high levels of patient satisfaction. The Care Coordinator consistently conducts the utilization review process...hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1 year… more
    Dignity Health (05/31/25)
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  • Care Coordinator RN

    Dignity Health (Merced, CA)
    …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... effectively with multiple stakeholders + Professional communication skills + Understand how utilization management and case management programs integrate. +… more
    Dignity Health (06/12/25)
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  • RN Care Coordinator

    Corewell Health (Royal Oak, MI)
    …of care and cost effectiveness through the integration and functions of utilization management , and/or care coordination, discharge planning, and appropriate ... Responsible for managing a case load of patients that includes facilitating utilization management , and/or care coordination during the patient's stay, planning… more
    Corewell Health (06/27/25)
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