- Universal Health Services (Chicago, IL)
- …JOB SUMMARY: Responsible for all denial and appeal activities for the Utilization Management department, including Expedited Appeals , Standard ... to appeals . Maintains all records/data pertaining to the Utilization Management Program. Actively participates in Utilization Management /Medical… more
- Elevance Health (Gary, IN)
- …(such as LTSS/IDD), behavioral health or physical health needs. + Submits utilization /authorization requests to utilization management with documentation ... to, potential for high-risk complications). + Engages the primary service coordinator and other clinical healthcare management and interdisciplinary teams… more
- Elevance Health (Merrillville, IN)
- …associates, and may be involved in process improvement initiatives. + Submits utilization /authorization requests to utilization management with documentation ... per week in-person with patients, members or providers. The **LTSS SERVICE COORDINATOR ** is responsible for conducting service coordination functions for a defined… more
- Rush University Medical Center (Chicago, IL)
- …managers, community providers, payers and internal/external agencies to provide case management support services related to effective utilization of services ... Provides designated support for functions including payer approval / certification communication, denial appeals , and / or level of care management processes. *… more