- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role BHPS provides Utilization Review services to its clients. The UM Denials Coordinator supports the Utilization Management function by reviewing ... obtain additional information, or resolve discrepancies prior to letter release. The UM Denials Coordinator reports to the Clinical Services team and… 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 ... problems facing today's healthcare with our flexible and cutting-edge third-party administration services. Our unique perspective stems from decades of health plan… more
- University of Miami (Coral Gables, FL)
- …and Teamwork (DIRECCT) we strive to create an environment where everyone contributes to making UM a great place to work. We are one of the largest private employers ... interaction with each other and our stakeholders. General Overview: The Development Coordinator serves as a Development and Alumni Relations (DAR) team point of… more
- University of Michigan (Ann Arbor, MI)
- Community Outreach Coordinator (TERM-LIMITED) Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as the ... and Rehabilitation (PM&R) seeks a qualified candidate for the position of Community Outreach Coordinator to join our team. This role will support the work of the… more
- University of Miami (Miami, FL)
- …Eye Institute, has an exciting full time job opportunity for a Clinical Research Coordinator 2 in Miami, Florida. The Clinical Research Coordinator 2 (A) serves ... regulations. + Maintains study binders and filings according to protocol requirements, UM and department policy. + Distributes study drug materials according to… more
- University of Miami (Miami, FL)
- …Additionally, the Simulation Nurse Educator will work collaboratively with the administration , faculty, and staff of University of Miami Gordon Center, as ... 15,000 learners per year. Training programs include curricula developed by the UM Gordon Center, and other organizations, such as the American Heart Association,… more
- University of Michigan (Ann Arbor, MI)
- …includes supervision of 3 full-time case managers and 1 full-time community concerns coordinator and a variable number of visiting staff members and graduate student ... Program, including direct supervision of one full-time Community Concerns Coordinator + Maintain strong collaborative and consultative relationships with Michigan… more
- University of Maryland, Baltimore (Baltimore, MD)
- …Tutors to join the Office of Students (formerly Student Affairs) in the Dean's Administration . Peer tutors are selected on the basis of academic skill, competence in ... * Must be enrolled as a current student at UM School of Pharmacy. * Excellent communication and interpersonal...may report concerns or questions to the Title IX Coordinator . Read the UMB Notice of Non-Discrimination for more… more
- Highmark Health (Pittsburgh, PA)
- …and patient access procedures. Responsibilities include the coordination and administration of effective and efficient processing for pharmacy benefits prior ... + Prior Authorization & Utilization Management: Reviews pharmacy utilization management ( UM ) coverage requests for both pharmacy and medical benefits and prepares… more
- University of Miami (Miami, FL)
- …operates with the goal of ensuring that the collection of data and administration of studies are performed efficiently and in compliance with applicable guidelines. ... and assures compliance with outside monitoring + Responsible for up-to-date knowledge of UM systems associated with research management + Work closely with PI and… more
- Tenet Healthcare (Detroit, MI)
- …staff and ancillary departments related to covered services and administration of benefits and compliance The individual's responsibilities include the ... payors with an authorization process Closes open cases on the incomplete UM Census Completes the Medicare Certification Checklist on applicable admissions Discusses… more
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