• Utilization & Disease Management

    CenterWell (Topeka, KS)
    …industry. The UM Administration Coordinator - Phone Intake contributes to administration of utilization management . The UM Administration ... Typically works on semi-routine assignments. Shift Hours - 8a - 5 The UM Administration Coordinator - Phone Intake provides non-clinical support for the policies… more
    CenterWell (06/10/25)
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  • UM Administration Coordinator

    Humana (Tallahassee, FL)
    …seeking a UM Administration Coordinator who will contribute to the administration of utilization management . The UM Administration Coordinator ... support duties that require independent initiative and judgment. The UM Administration Coordinator : + Provides non-clinical support for the policies… more
    Humana (06/14/25)
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  • Utilization Management

    Humana (Frankfort, KY)
    …us put 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 support assignments. Performs computations.… more
    Humana (06/11/25)
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  • Social Worker (Program Coordinator )

    Veterans Affairs, Veterans Health Administration (Bath, NY)
    Summary The Caregiver Support Program Coordinator for the Program of Comprehensive Assistance to Family Caregivers (PCAFC) is a Social Work Program Coordinator ... https://youtube.com/embed/U\_xC25QsN0w Total Rewards of a Allied Health Professional The Coordinator will function in support of caregivers, Veterans and family… more
    Veterans Affairs, Veterans Health Administration (06/13/25)
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  • Social Worker (General Caregiver Support Program…

    Veterans Affairs, Veterans Health Administration (Fresno, CA)
    …facility and the VA Central Office Caregiver Support Program initiatives. Coordinator administers information and analytical systems to evaluate and enhance the ... track service activities including visits, referrals, caregiver demographics, equipment utilization and caregiver and Veteran satisfaction. Develops implements and… more
    Veterans Affairs, Veterans Health Administration (06/04/25)
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  • Social Worker (Program Coordinator )

    Veterans Affairs, Veterans Health Administration (Hampton, VA)
    …is located with the Department of Veterans Affairs (VA) Veterans Health administration (VHA), VA Mid-Atlantic Health Care Network (VISN 6), Hampton Veterans Affairs ... (HVAMC), under the Social Work Service Line. The Program Coordinator of the Contract Nursing Home Program (CNH) oversees...in the program to enable tracking of service activities, utilization of services, and other functions. Functions as the… more
    Veterans Affairs, Veterans Health Administration (06/07/25)
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  • Social Worker (Program Coordinator )

    Veterans Affairs, Veterans Health Administration (Houston, TX)
    …Develops, implements and evaluates clinical guidelines and protocols to establish appropriate utilization of services. The Social Work Program Coordinator is ... the VA Transplantation programs/processes. The duties of the Social Worker (Program Coordinator ) include, but are not limited to the following: Administers and… more
    Veterans Affairs, Veterans Health Administration (06/13/25)
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  • Registered Nurse - Care Coordinator

    Veterans Affairs, Veterans Health Administration (Gainesville, FL)
    …achieve desired patient outcomes through day-to-day and/ or telephonic care coordination and management . The RN Care Coordinator functions in the Office of ... Georgia Veterans Health System (NF/SG VAHS) is recruiting for a Registered Nurse Care Coordinator to work in the Office of Community Care at the Malcom Randall VA… more
    Veterans Affairs, Veterans Health Administration (06/13/25)
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  • Registered Nurse - Community Care…

    Veterans Affairs, Veterans Health Administration (Shreveport, LA)
    …knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care ... standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Preferred Experience: Care coordination, case management , and utilization management . Physical… more
    Veterans Affairs, Veterans Health Administration (06/04/25)
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  • Social Worker Program Coordinator

    Veterans Affairs, Veterans Health Administration (Aurora, CO)
    Summary The Social Worker Program Coordinator is responsible for the oversight administratively and clinically of the Intensive Community Mental Health Recovery ... which are clearly communicated through the formal employee performance management system. Evaluate workers' performance; demonstrate and conduct work performance… more
    Veterans Affairs, Veterans Health Administration (06/04/25)
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  • Social Worker - Program Coordinator

    Veterans Affairs, Veterans Health Administration (Cheyenne, WY)
    …The VA Cheyenne Health Care System is hiring for one Social Work Program Coordinator for the Geriatric Extended Care (GEC) Program at the Cheyenne VA Medical Center. ... Professional The Geriatrics and Extended Care (GEC) Social Work Program Coordinator will have primary administrative and clinical responsibility for assigned GEC… more
    Veterans Affairs, Veterans Health Administration (06/12/25)
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  • Social Worker (Program Coordinator )

    Veterans Affairs, Veterans Health Administration (Reno, NV)
    …efficacy of the program. Collects, analyzes and reports program data to local management , VISN Intimate Partner Violence Assistance Program Coordinator Lead and ... to track service activities including visits, referrals, demographics, equipment utilization and Veteran satisfaction. Participates in direct Veteran, family,… more
    Veterans Affairs, Veterans Health Administration (06/06/25)
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  • Benefits Administration Coordinator

    HUB International (Wilmington, MA)
    …unique, regional culture. We currently have an opportunity for a **Benefits Administration Coordinator ** . **Overview** : Responsible for monitoring the ... global insurance broker, providing a broad array of property, casualty, risk management , life and health, employee benefits, investment and wealth management more
    HUB International (06/13/25)
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  • RN Clinical Nurse Coordinator Community…

    Veterans Affairs, Veterans Health Administration (Manchester, NH)
    …knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care ... Summary This Registered Nurse- Clinical Nurse Coordinator position is located in the Office of...the continuum of care, patient and family education, Veteran self- management after discharge, and supporting factors that impact customer… more
    Veterans Affairs, Veterans Health Administration (05/31/25)
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  • Registered Nurse - Community Care…

    Veterans Affairs, Veterans Health Administration (East Orange, NJ)
    …knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care ... Summary The Community Care (CC) Coordinator Registered Nurse (RN) is responsible for executing...regulations, and Veterans Health Administration (VHA) standards and guidelines. Responsibilities Duties include, but… more
    Veterans Affairs, Veterans Health Administration (06/13/25)
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  • UM Administration Coordinator 2

    Humana (Louisville, KY)
    …live within a commutable distance to the in office location.** The **UM Administration Coordinator 2** performs in a support role providing clerical fulfillment ... for medical management team(s). Functions include: reviewing, scanning and rerouting in-office...managed care organization to include TRICARE + Experience with Utilization Review and/or Prior Authorization + Experience in claims… more
    Humana (06/12/25)
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  • Registered Nurse - Transfer Coordinator

    Veterans Affairs, Veterans Health Administration (Lexington, KY)
    Summary The Registered Nurse Transfer coordinator is directly responsible for the facilitation and monitoring of the community hospital referrals to the VA facility, ... for collaborating with other staff for appropriate oversight and management of emergency care received through community hospitals. Responsibilities Duties… more
    Veterans Affairs, Veterans Health Administration (06/07/25)
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  • Registered Nurse - Community Care Clinical…

    Veterans Affairs, Veterans Health Administration (Sioux Falls, SD)
    …CC authorization program. Apply knowledge of CC federal regulations, Veterans Health Administration (VHA) guidelines, utilization management , and clinical ... System (SFVAHCS) Community Care (CC) Registered Nurse (RN) Clinical Coordinator independently manages Veterans' episodic care with community providers. This… more
    Veterans Affairs, Veterans Health Administration (06/12/25)
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  • Registered Nurse- Community Care…

    Veterans Affairs, Veterans Health Administration (Shreveport, LA)
    …knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care ... the for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care. Administers medications… more
    Veterans Affairs, Veterans Health Administration (06/13/25)
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  • Registered Nurse-CLC Resident Assessment…

    Veterans Affairs, Veterans Health Administration (Richmond, VA)
    … and CLC compare. Responsible for downloading, validating, and distributing quality management and Resource Utilization Group (RUG) reports and distributing them ... Summary The CLC Resident Assessment Coordinator (RAC) directly responsible and accountable to the...for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care… more
    Veterans Affairs, Veterans Health Administration (06/13/25)
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