• Actalent (Redlands, CA)
    UM Coordinator The Utilization Management (UM) Coordinator is responsible for executing all aspects of the referral process. The UM Coordinator ... environment. Experience with Independent Physician Associations (IPAs), Managed Care, and Utilization Management . High school diploma or GED required. Preferred… more
    Upward (07/28/25)
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  • Kaiser Permanente (Sacramento, CA)
    …assigned areas. Essential Responsibilities: Assists in the coordination of the quality management / utilization management department activities. Acts as a ... consultant for appropriate departments on quality management , utilization management and risk management activities. Assists with quality management more
    Upward (07/20/25)
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  • Unknown (Lake Charles, LA)
    …purchasing decisions; Contributes to business growth. Technical Proficiency Spa Management Software Proficiency; POS System Operation; CRM Utilization ; ... spa in Lake Charles, LA, is seeking a highly motivated and client-focused Wellness Coordinator to be the welcoming face of our spa. This crucial role combines… more
    Upward (07/24/25)
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  • CVS Health (Tempe, AZ)
    …and procuring community resources and durable medical supplies. The Care Coordinator tracks population disease management practices, commits to recognize ... Retail Health Coordinator At CVS Health, we're building a world...arrange community support, and track and coordinate patient care utilization . This position demands superb communication skills and leadership… more
    Upward (07/30/25)
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  • UnitedHealth Group (Puyallup, WA)
    …(as indicated) according to CMS criteria When H&C Transitions is delegated for utilization management , review referral requests that cannot be approved for ... the business Keep current on federal and state regulatory policies related to utilization management and care coordination (CMS guidelines, Health Plan policies,… more
    Upward (07/25/25)
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  • Elevance Health (Hialeah, FL)
    …associates, and may be involved in process improvement initiatives. Submits utilization /authorization requests to utilization management with documentation ... Anticipated End Date: 2025-08-11 Position Title: LTSS Service Coordinator - Case Manager Job Description: LTSS Service Coordinator (Bilingual in Spanish/English)… more
    Upward (07/15/25)
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  • HC&N Healthcare Solutions (Miller Place, NY)
    MDS Coordinator A nursing home is currently looking for a highly experienced MDS Coordinator to join their team of dedicated professionals. Responsible for ... services with physicians, families, third party payers and facility staff. MDS Coordinator Essential Job Functions Oversees accurate and thorough completion of the… more
    Upward (07/15/25)
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  • Reddy Ice Holdings, Inc. (Dallas, TX)
    …Shift Job Description POSITION PURPOSE The role of the Customer Care Coordinator is to develop customer relationships to increase customer loyalty and interact ... with customers in an efficient and professional manner. The Customer Care Coordinator is responsible for answering incoming calls from customers, answering inquiries… more
    Upward (07/27/25)
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  • RCM Health Care Services (New York, NY)
    Job Description RN Coordinator of Care - CHHA Registered Nurse, Field based position covering Lower Manhattan or Brooklyn $100,000 - $115,000 and $15,000 Sign on ... Bonus + Amazing Benefits! RN Coordinator of Care Nurse will take on 5 visits...and professional caregivers. Your excellent communication, documentation and time management capabilities will be essential to your success. To… more
    Upward (07/23/25)
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  • OptiMindHealth (Reading, MA)
    Physician Liaison / Outreach Coordinator Position Requirement: Part-Time FLSA Status: Non-Exempt Location: Reading , MA Join a leading clinician-led behavioral ... and efficiency. This position is an entry level Physician Liaison / Outreach Coordinator role. Preferred candidates will possess a B2B Sales background with a strong… more
    Upward (07/05/25)
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  • CommuniCare Family of Companies (Martinsburg, WV)
    RN Mobile MDS Coordinator , Registered Nurse CommuniCare Health Services is currently looking to fill the key position of Mobile MDS Coordinator , RN for its ... Multi-facility MDS experience or Senior MDS experience preferred. The Mobile MDS Coordinator will be detail-oriented and a great team worker. He/she must be… more
    Upward (07/18/25)
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  • Tustin Temporary Emergency Shelter / Orange County Rescue… (Santa Ana, CA)
    Description The Hurtt Family Health Clinic is looking for a full-time Referral Coordinator to join the Patient Services team and provide eligibility and intake ... duties (not inclusive of job description) as requested by the management team within the scope of knowledge/ability. Requirements What You'll Bring:… more
    Upward (07/26/25)
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  • Allen Distribution (Newville, PA)
    Job Type Full-time Description Job Title: Warehouse Coordinator /Shipping Clerk Department: Operations Reports To: Distribution Manager Position Type: Full Time ... daily activities of a warehouse or account, including labor scheduling, and proper utilization of space and equipment as directed by Distribution Manager. Values and… more
    Upward (07/17/25)
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  • Bluestone Physician Services (Hugo, MN)
    …care teams to ensure health care quality measures are met and use utilization management tools to meet value-based goals Supporting members during transitions ... 2021-2024! Position Overview: Join our team as a Care Coordinator where you will work with the SNBC (Special...with the geriatric or certified disabled population in case management /care coordination, Home Care, Group Homes, Nursing Homes, TCU… more
    Upward (07/26/25)
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  • FC Compassus LLC (Corpus Christi, TX)
    Company: Compassus Position Summary The Volunteer Coordinator is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and ... among all departments, and all external stakeholders. The Volunteer Coordinator directly supervises volunteers. S/he is responsible for interviewing, hiring,… more
    Upward (07/11/25)
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  • Kaiser Permanente (Portland, OR)
    …HealthConnect. Knowledge of Medicaid/Medicare programs and regulations. Knowledge of quality management and utilization management principles. Professional ... ensure a clear medical treatment plan is documented. Provide care coordination and management services for members with identified needs within the scope of the… more
    Upward (07/29/25)
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  • UnitedHealth Group (El Paso, TX)
    …care plan and referrals provided. Participate in Interdisciplinary team meetings and Utilization Management rounds and provide information to assist with safe ... financial outcomes and member satisfaction while managing the plan of care. Service Coordinator Level 2 is responsible for overall management of member's case… more
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  • HC&N Healthcare Solutions (Miami, FL)
    MDS Coordinator - RN A skilled nursing facility is looking for a talented and hard-working MDS Coordinator to join our ever-growing team. Job description ... varied payers including Medicare, Managed Care and Medicaid Facilitates the Care Management Process engaging the resident, IDT and family in timely identification… more
    Upward (07/23/25)
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  • The Jane Pauley Community Health Center, Inc (Indianapolis, IN)
    …care setting preferred. 2-5 years' experience in chronic disease management , case management , utilization management , and adult acute care preferred 1 ... our patients and employees Job Summary - Patient Care Coordinator , RN: The Patient Care Coordinator , RN... supports the promotion of health, disease prevention and management , teaching and education, developing nursing care plans, and… more
    Upward (07/23/25)
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  • Ardent Health Services (Albuquerque, NM)
    …at least one year physician office experience (adult / family medicine). Quality Improvement, Case Management , Utilization Review, Risk Mgt./Safety experience ... day shift, full-time, Community Outreach Programs Registered Nurse (RN) Population Health Coordinator in Albuquerque, NM. Why Join Us? Thrive in a People-First… more
    Upward (07/28/25)
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