- 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 (Albany, NY)
- …a part of our caring community and help us put health first** The UM Administration Coordinator contributes to administration of utilization management. The ... UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer...care or services for members. The Home Solutions UM Team is hiring for a UM … more
- Catholic Health Services (Melville, NY)
- …and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network ... we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes - to every patient,… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Division of Hospital Medicine & Utilization Management ( UM ) Project Coordinator plays a key role in supporting various departments within UM ... programs. Experience or strong interest in data analytics, specifically with health care and revenue cycle focus. Background in project management. Work Days:… more
- Bassett Healthcare (Cooperstown, NY)
- …and support team ( UM , MSW, SW, etc) to progress each patient's care towards discharge + Supports regional capacity management activities and assures reports on ... plans to optimize ROI + Serves as a consultant, coordinator and educator for the care coordination team related to issues of appropriate placement, patient… more
- Ellis Medicine (Schenectady, NY)
- …or send for insurance denials or quality improvement organization appeals. + Assists UM Coordinator with data entry of insurance authorizations and denials. + ... Management Nurse to facilitate patient discharge plans, support coordination of care activities, and assist in utilization management activities under the direction… more