- 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 (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
- 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
- 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
- CommonSpirit Health Mountain Region (West Jordan, UT)
- …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
- University of Miami (Boca Raton, FL)
- …tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Clinical Research Coordinator 1 The University of Miami/UHealth ... an exciting opportunity for a Full Time Clinical Research Coordinator 1 to work at the UHealth Medical Campus....studies in Neurology. + Assist the PIs in developing UM protocols for submission to IRB, including but not… more
- University of Miami (Miami, FL)
- …tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Clinical Research Coordinator 1 The University of Miami/UHealth ... an exciting opportunity for a Full Time Clinical Research Coordinator 1 to work at the UHealth Medical Campus....operational failures occur. + Assist the PIs in developing UM protocols for submission to IRB, including but not… more
- Community Based Care of Brevard, Inc. (Rockledge, FL)
- …stable families with the goal of preventing further involvement with the system of care and keeping families intact. The C ar eCoordinatorm ai nt ai nsinform ati ... service coordination in order to meet client needs. 2. Care Planning Resources: Access 3rd party, Medicaid and community...actions have support of the group. 5. Service Utilization UM /Wrap: Manages the daily service utilization log and submits… more
- University of Miami (Miami, FL)
- …Department of SCCC has an exciting opportunity for a Full Time Clinical Research Coordinator 1 for the UHealth medical campus in Miami, FL. CORE JOB SUMMARY The ... Clinical Research Coordinator 1 (A) serves as an entry-level clinical research...federal regulations, and sponsor requirements and as required per UM policy. + Participates in quarterly peer-review, quality control… more
