- Humana (Oklahoma City, OK)
- …first** The UM Administration Coordinator 2 contributes to administration of utilization management . The UM Administration Coordinator 2 performs ... and computational tasks working on semi-routine and patterned assignments. The UM Administration Coordinator 2 provides non-clinical support, following… 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
- Integra Partners (Troy, MI)
- The UM Coordinator assists and supports the clinical team ( UM Nurses/Medical Director) with administrative and non-clinical tasks related to processing ... Utilization Management prior authorizations and appeals. Rate...appeals. Rate of Pay: $19.00/hour JOB QUALIFICATIONS: KNOWLEDGE/SKILLS/ABILITIES The UM Coordinator 's responsibilities include but are not… more
- Veterans Affairs, Veterans Health Administration (Los Angeles, CA)
- …System (VAGLAHS) is seeking to hire experienced Registered Nurses to work in our Utilization Management ( UM ) Program. Incumbents are expected to perform ... Demonstrates ability to perform a wide range of Utilization Management /Quality Management /Performance Improvement ( UM /QM/PI) activities that impact… more
- Actalent (Santa Barbara, CA)
- …Health Plan Nurse Coordinator Non-profit healthcare network is looking for a utilization management registered nurse to join their team on a contract basis! ... REQUIREMENTS: + CA RN license + Medi-Cal Experience + Utilization Management WHAT'S IN IT FOR YOU:...Services management team in the implementation and management of UM /CM/DM/PH activities + Actively participate… more
- Trinity Health (Columbus, OH)
- … UM Program and at the direction of the Sr. Director of Medical Management . + Coordinates with the utilization review, case management , discharge planning ... on case-specific issues. + Coordinates with Claims, Member Services, Grievance Coordinator and other operational departments regarding case management issues.… more
- Tenet Healthcare (Detroit, MI)
- …national standards for case management scope of services including: Utilization Management services supporting medical necessity and denial prevention ... potentially avoidable days Other duties as assigned. POSITION SPECIFIC RESPONSIBILITIES: Utilization Management Balances clinical and financial requirements and… more
- 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
- 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 (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 (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 (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 (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
- Virginia Mason Franciscan Health (Tacoma, 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 (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
- 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 (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
- 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
- Dignity Health (Sacramento, CA)
- …while striving to achieve high levels of patient satisfaction. The RN Care Coordinator consistently conducts the utilization review process and the discharge ... **Responsibilities** **Position Summary:** The RN Care Coordinator is responsible for assessing, planning, facilitating and...hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1 year… more
- CommonSpirit Health Mountain Region (Lakewood, CO)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... leaders who care about your success. The RN Care Coordinator is responsible for overseeing the progression of care...hospital clinical experience or a Master's degree in Case Management or Nursing field in lieu of acute experience.… more
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