- Hackensack Meridian Health (Holmdel, NJ)
- …and serve as a leader of positive change. The **Care Management , Care Coordinator , Utilization Management ** is a member of the healthcare team and ... patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to manage length… more
- Integra Partners (Troy, MI)
- …Nurses/Medical Director) with administrative and non-clinical tasks related to processing Utilization Management prior authorizations and appeals. Rate of Pay: ... The UM Coordinator assists and supports the clinical team (UM...allowable quantities or limits. + Strong organizational and time management skills with the ability to prioritize and track… 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
- Humana (Oklahoma City, OK)
- …first** The UM Administration Coordinator 2 contributes to administration of utilization management . The UM Administration Coordinator 2 performs basic ... working on semi-routine and patterned assignments. The UM Administration Coordinator 2 provides non-clinical support, following established policies and procedures… more
- St. Luke's University Health Network (Allentown, PA)
- …utilization management of psychiatric cases in the absence of the utilization management coordinator . PHYSICAL AND SENSORY REQUIREMENTS: Able to ... and the Manager regarding variances, aspects of patient care management . + Facilitates insurance authorization, pre-certification, and concurrent reviews for… more
- Fairview Health Services (Edina, MN)
- …service coordination and referral, transition management , utilization management and quality assurance. The care coordinator promotes holistic, high ... Convenes interdisciplinary team members, as needed, for complex case management + Consults with FVP Nurse Care Coordinator... management + Consults with FVP Nurse Care Coordinator for members with complex health care needs +… more
- Fairview Health Services (Edina, MN)
- …service coordination and referral, transition management , utilization management and quality assurance. The care coordinator promotes holistic, high ... Overview** **Fairview is looking for a Nurse (RN) Care Coordinator to join our team!** **Bring Your Possibilities to...Partners (FVP) provides high intensity care coordination and case management for seniors and other at-risk populations living in… more
- WMCHealth (Valhalla, NY)
- Asst Utilization Coordinator Company: Westchester Medical Center City/State: Valhalla, NY Category: Nursing/Nursing Management Department: Clinical Care ... Internal Applicant link Job Details: Internal Posting: 07/1/25 to 07/14/25 Assistant Utilization Coordinator Summary: Under general supervision, an incumbent of… more
- BayCare Health System (Largo, FL)
- …of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Coordinator (Homecare) responsibilities include:** + Coordinates ... bonus + Community discounts and more Equal Opportunity Employer Veterans/Disabled **Position** Utilization Coordinator **Location** Largo | Clinical | PRN **Req… more
- LifePoint Health (Louisburg, NC)
- …field* **Organization:** **Maria Parham Franklin* **Title:** *Registered Nurse Utilization Review Coordinator * **Location:** *NC-Louisburg* **Requisition ID:** ... Registered Nurse (RN) Utilization Review Job Type: Full Time | Day...days for patients. - Maintaining communication with the Case Management Department to facilitate timely discharge planning.. Reports to:… more
- Compass Group, North America (Mclean, VA)
- …a team committed to excellence and premier hospitality. As the Space Utilization Coordinator , you'll oversee meeting space reservations, ensuring optimal use ... or complex events. + Track and report declined/canceled meetings and space utilization trends. + Suggest creative solutions for space optimization. + Maintain… more
- The County of Los Angeles (Los Angeles, CA)
- …SELECTION REQUIREMENTS: OPTION I:One year of experience performing the duties of a Utilization Review Nurse* or Medical Service Coordinator , CCS.** -OR- OPTION ... UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply... Review Nurse is an RN that has Case Management experience whose primary charge is to ensure that… more
- Veterans Affairs, Veterans Health Administration (Los Angeles, CA)
- …(VAGLAHS) is seeking to hire experienced Registered Nurses to work in our Utilization Management (UM) Program. Incumbents are expected to perform assessing, ... the following: Demonstrates ability to perform a wide range of Utilization Management /Quality Management /Performance Improvement (UM/QM/PI) activities that… more
- DMS International (Lackland, TX)
- …Responsiveness to our customer's mission + DMS is currently seeking a Training Management Support Coordinator . The Training Management Support Coordinator ... Technical Training Command (NTTC) Lackland Joint Base, San Antonio, TX. The Training Management Support Coordinator must be familiar with applicable Navy rules,… more
- Houston Methodist (Houston, TX)
- … management support to the department staff to facilitate efficient utilization of resources including referrals management , communication and collaboration ... duties of a higher complexity in support of department operations. **The Care Coordinator for the Weight Management Insurance Team is responsible for obtaining… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- …resources; and develops strategies to identify, maintain, correct, and enhance utilization practices within PTRP. 7. Program Coordinator develops, selects, ... application. Former EDRP participants ineligible. Responsibilities 1. The Program Coordinator administers planning processes and provides authoritative recommendations to… more
- Fairview Health Services (Minneapolis, MN)
- …our clinical services, bringing the very newest ideas in patient care. The Patient Care Management Coordinator will be working on the Acute Rehab Center and the ... position is eligible for benefits. **About this Position:** This Patient Care Management Coordinator provides comprehensive care coordination of patients as… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- …EDRP participants ineligible . Responsibilities Functions: 1. The Program Coordinator administers planning processes and provides authoritative recommendations to ... economically; directs and/or assists medical center staff in administrative research, management analyses, and development of reports pertaining to program plans and… more
- Beth Israel Lahey Health (Burlington, MA)
- …of three years of medical/surgical nursing care experience. -Two years of Case Management or Utilization Management experience desirable. - Demonstrated ... to ensure a timely process. Registered Nurses (RNs) with utilization review experience, case management experience, and...patient discharge. 14) Works with the Post Acute Care Coordinator to facilitate timely patient access to post acute… more
- St. Peters Health (Helena, MT)
- The Utilization Management Nurse reports directly to Utilization Review RN Coordinator . The UR Nurse supports the UR RN Coordinator in providing ... utilized effectively and efficiently and engages the UR RN Coordinator with improvement ideas when deviations of best practice...serves as a collaborative and supportive liaison and educator to providers and staff around utilization management … more