- Merck & Co. (Rahway, NJ)
- …the individual is responsible to-manage/oversee a team of CTCs(Clinical Trial Coordinator ).As line manager the role is critical to continuously develop future ... expense reports, time-off requests-and provide proper oversight of CTC's productivity/ utilization .Provide input for capacity planning, including reporting of current… more
- Dana-Farber Cancer Institute (Boston, MA)
- …for the planning, implementation and evaluation of clinical operations and personnel management of the assigned patient care unit. He/she acts as a liaison ... quality patient experience while maximizing provider time and space utilization . The Nurse Director uses extensive theoretical, evidence-based, and experiential… more
- Universal Health Services (Sacramento, CA)
- Responsibilities Sierra Vista Hospital is seeking a full-time Utilization Management Coordinator (MSW, MFT, MA, RN) for the Utilization Management ... expertise to those suffering from emotional, behavioral and addiction problems. The Utilization Management Coordinator (MSW, MFT, MA, RN) is responsible for… more
- Universal Health Services (Houston, TX)
- Responsibilities Utilization Management Coordinator -PRN Opportunity West Oaks Hospital has provided psychiatric care to the Houston area and surrounding ... https://westoakshospital.com/ West Oaks Hospital is seeking a dynamic and talented Utilization Management Coordinator PRN to join our team of compassionate,… more
- Universal Health Services (Dover, DE)
- …what we do! Dover Behavioral Health system is seeking qualified candidates for our Utilization Management Coordinator - Full-Time position. In this role, you ... and/or hospital experience Preferred: + One (1) year experience as a Utilization Management Coordinator at a long-term care facility About our parent… more
- Universal Health Services (Louisville, CO)
- …services. centennialpeaks.com Centennial Peaks Hospital is seeking a dynamic and talented Utilization Management Coordinator join our team of compassionate, ... dedicated professionals. The UM coordinator evaluates patient medical records to determine severity of...stay and level of care. They will also coordinate utilization review activities with other departments to ensure authorization… more
- Tenderheart Health Outcomes (Austin, TX)
- Utilization Management Coordinator - Bilingual Job ID 27730979 Work Hybrid Yes Location Austin, TX 78744 Other Location Description For nearly two decades, ... been improving the lives of those we serve with high-quality incontinence care management . We start with each individual patient by actively listening to their… more
- Universal Health Services (Philadelphia, PA)
- …specialized co-occurring psychiatric and chemical dependency treatment. We are currently seeking a Utilization Management (UM) Coordinator to join our team. ... Utilization Management (UM) Coordinator Position Fairmount Behavioral Health System is... Position Fairmount Behavioral Health System is seeking a Utilization Management (UM) Coordinator to… more
- Dignity Health (Rancho Cordova, CA)
- …**Responsibilities** **Position Summary:** Under the direction of Utilization Management (UM) leadership, the UM Coordinator processes prior authorization ... referral creation, formation, data entry and ensure UM notification. The UM Coordinator is responsible for referral outcome notification via letter collation and… more
- Hackensack Meridian Health (Hackensack, NJ)
- …healthcare and serve as a leader of positive change. The Case 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
- Hackensack Meridian Health (Neptune, 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
- Hackensack Meridian Health (Perth Amboy, NJ)
- …healthcare 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
- Hackensack Meridian Health (Edison, NJ)
- **Overview** The Care Management , Care Coordinator , Utilization Management is a member of the healthcare team and is responsible for coordinating, ... patient?s treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to manage length… more
- Hackensack Meridian Health (Manahawkin, NJ)
- …and post-acute services. **Responsibilities** A day in the life of a Care Coordinator , Utilization Management at Hackensack Meridian Health includes: + ... serve as a leader of positive change. The Care Coordinator , Care Management is a member of...skills + Familiar with hospital resources, community resources, and utilization management **Licenses and Certifications Required:** +… more
- Universal Health Services (Chicago, IL)
- …continued treatment based on payer's criteria and in accordance with the hospital wide Utilization Management Plan. Serves as liaison to 3rd and 4th party ... physician reviews with payers as required. Maintains all records/data pertaining to the Utilization Management Program. Actively participates in Utilization … more
- Universal Health Services (Chicago, IL)
- …based on payer's criteria and in accordance with the hospital wide Utilization Management Plan. Coordinates with the Business Office, Admissions Department ... and Utilization Management Department. Obtains billing and insurance information, verification of benefits, communicates problematic benefit verification with… more
- Dignity Health (Northridge, CA)
- …than 400 care centers. Visit dignityhealth.org/northridgehospital for more information. The RN Utilization Management Coordinator (UMC) is responsible for ... setting required. + Current CA Registered Nurse (RN) license + Prior Utilization Management experience in a clinical or insurance setting required. + Previous… more
- Universal Health Services (Chicago, IL)
- …JOB SUMMARY: Responsible for all denial and appeal activities for the Utilization Management department, including Expedited Appeals, Standard Appeals, External ... to resolve issues related to appeals. Maintains all records/data pertaining to the Utilization Management Program. Actively participates in Utilization … more
- UCLA Health (Los Angeles, CA)
- …Take on a high-impact role within a world-class health organization. Help drive the continued delivery of exceptional patient care. Take your career to the next ... level. You can do all this and more at UCLA Health. In this key position, you will be the primary point of contact for receiving and resolving member denials. You will review denials for accuracy, confirming the receipt of necessary documentation to support… more
- UCLA Health (Los Angeles, CA)
- …Under the direction and supervision of the RN Assistant Director, the Case Management Coordinator is responsible for patient high risk care coordination ... the next level of reviewer in review, and health plan contracts. The Case Management Coordinator will also be responsible for: + Preparation and maintenance of… more
