- ManpowerGroup (Rancho Cucamonga, CA)
- Our client, a leading healthcare organization, is seeking a Coordinator - Utilization Management Outpatient to join their team. As a Coordinator - ... service skills which will align successfully in the organization. **Job Title:** Coordinator - Utilization Management Outpatient **Location:** Rancho… more
- Humana (Frankfort, KY)
- …health first** The UM Administration Coordinator contributes to administration of utilization management for Humana's KY Medicaid plan. The UM Administration ... Coordinator 2 performs varied activities and moderately complex administrative/operational/customer...service or customer service, telephone experience + Experience with Utilization Review and/or Prior Authorization. preferably within a managed… more
- Sharp HealthCare (San Diego, CA)
- …Care Coordinator , under the direct supervision of the Supervisor, Utilization Management Care Coordinators, prepares referral requests for outpatient ... care, as it related to the position.Bring to attention of the Supervisor, Utilization Management Care Coordinators, and UM Manager, areas of UM non-compliance… more
- CenterWell (Topeka, KS)
- …UM Administration Coordinator - Phone Intake contributes to administration of utilization management . The UM Administration Coordinator performs varied ... on semi-routine assignments. Shift Hours - 8a - 5 The UM Administration Coordinator - Phone Intake provides non-clinical support for the policies and procedures… more
- Dignity Health (Bakersfield, CA)
- …is work from home** **within California** **.** **Position Summary:** The role of the Utilization Management (UM) Coordinator is to execute all aspects of ... and cost effectiveness of medical care through strict adherence to all Utilization Management (UM) Policies and procedures promptly, efficiently and accurately.… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …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
- Trinity Health (Fresno, CA)
- …Day Shift **Description:** This position is responsible for assisting the Care Coordinator with utilization review management and discharge planning ... (AHA) Healthcare Provider CPR card is required. 7. Experience with case management , utilization review, and/or discharge planning processes is preferred. **Our… more
- WMCHealth (Valhalla, NY)
- Asst Utilization Coordinator - Appeals Company: Westchester Medical Center City/State: Valhalla, NY Category: Nursing/Nursing Management Department: Clinical ... Internal Applicant link Job Details: Internal Posting: 02/25/25 to 03/10/25 Assistant Utilization Coordinator Summary: Under general supervision, an incumbent of… more
- BayCare Health System (Largo, FL)
- …of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Coordinator (Homecare) responsibilities include:** + Coordinates ... bonus + Community discounts and more Equal Opportunity Employer Veterans/Disabled **Position** Utilization Coordinator **Location** Largo | Clinical | PRN **Req… more
- Scottish Rite for Children (Dallas, TX)
- …+ Maintain effective communication with patient care team members related to utilization management + Verify medical necessity of all Inpatients using ... giving children back their childhood! Job Posting Title: Case Manager and Utilization Review Coordinator Location: Dallas - Hospital Additional Posting Details:… more
- LifePoint Health (Louisburg, NC)
- …field* **Organization:** **Maria Parham Franklin* **Title:** *Registered Nurse Utilization Review Coordinator * **Location:** *NC-Louisburg* **Requisition ID:** ... Registered Nurse (RN) Utilization Review Job Type: Full Time | Day...days for patients. - Maintaining communication with the Case Management Department to facilitate timely discharge planning.. Reports to:… more
- The County of Los Angeles (Los Angeles, CA)
- …SELECTION REQUIREMENTS: OPTION I:One year of experience performing the duties of a Utilization Review Nurse* or Medical Service Coordinator , CCS.** -OR- OPTION ... UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply... Review Nurse is an RN that has Case Management experience whose primary charge is to ensure that… more
- DMS International (Lackland, TX)
- …Responsiveness to our customer's mission + DMS is currently seeking a Training Management Support Coordinator . The Training Management Support Coordinator ... Technical Training Command (NTTC) Lackland Joint Base, San Antonio, TX. The Training Management Support Coordinator must be familiar with applicable Navy rules,… more
- Houston Methodist (Houston, TX)
- … management support to the department staff to facilitate efficient utilization of resources including referrals management , communication and collaboration ... duties of a higher complexity in support of department operations. **The Care Coordinator for the Weight Management Insurance Team is responsible for obtaining… more
- CUNY (New York, NY)
- Facilities Coordinator Level 1 (Provisional) - Office of Space Management **GENERAL DUTIES** Studies, evaluates, and analyzes space utilization and ... facilities. - Assures that all plans produced are accurate based on management guidelines and other information provided. - Coordinates the work of… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …requests. + Reviews cases referred by the prior-authorization non-clinical medical management coordinator and pre-certification technician staff according to ... and goals. + Clearly and succinctly documents necessary and/or required information in Utilization Management system. + Monitors and complies with all state,… more
- University of Utah Health (Salt Lake City, UT)
- …communication skills. + Demonstrated knowledge of payers, payer systems, cost effective utilization management and InterQual criteria. + The ability to ... as a team member. **Qualifications** **Qualifications** **Required** + **One year** ** Utilization Review or Case Management experience.** **Licenses Required** +… more
- Beth Israel Lahey Health (Burlington, MA)
- …of three years of medical/surgical nursing care experience. -Two years of Case Management or Utilization Management experience desirable. - Demonstrated ... to ensure a timely process. Registered Nurses (RNs) with utilization review experience, case management experience, and...patient discharge. 14) Works with the Post Acute Care Coordinator to facilitate timely patient access to post acute… more
- Fairview Health Services (Minneapolis, MN)
- …our clinical services, bringing the very newest ideas in patient care. The Patient Care Management Coordinator will be working on the Acute Rehab Center and the ... position is eligible for benefits. **About this Position:** This Patient Care Management Coordinator provides comprehensive care coordination of patients as… more
- CommonSpirit Health Mountain Region (Centennial, CO)
- …to help you flourish and leaders who care about your success. The Utilization Management Assistant receives, processes, facilitates and documents all payer ... required + An understanding of operations and functions of care coordination, utilization management , denials mitigation is preferred. + Demonstrated ability to… more
Related Job Searches:
Care Coordinator Utilization Management,
Coordinator,
Coordinator Intake Utilization Management,
Management,
Management Coordinator,
RN Utilization Management Coordinator,
Utilization,
Utilization Management,
Utilization Management Administration Coordinator,
Utilization Management Coordinator Full