- Clever Care Health Plan (Huntington Beach, CA)
- …that celebrates diversity and innovation. Job Summary The HEDIS/Risk Outreach Coordinator is responsible for assisting with the deployment and implementation of ... medical records from offices and internal systems within the organization. The coordinator will also work closely with Stars, Risk, UM/CM, Provider Relations, Member… more
- JEFFERSON INDUSTRIES CORPORATION (West Jefferson, OH)
- …functions of the organization and suppliers to obtain optimum production and utilization of human resources, machines, and equipment. MANAGEMENT *Responsible for ... Job Details Level Management Job Location Jefferson Industries Corp - West...of our customers. We are actively seeking a Production Coordinator to join our Welding Department on 1st Shift… more
- GOODWILL KEYSTONE AREA (Montgomeryville, PA)
- …the desire to reflect the communities we serve. Summary Responsible for the management of a Goodwill store. Plan, coordinate, and direct the daily activities related ... donations during all business hours. Appropriate and consistent use of SAP Warehouse Management System (WMS) to accurately account for and track containers by type… more
- JEFFERSON INDUSTRIES CORPORATION (West Jefferson, OH)
- …satisfactory manner. Works on building relationships and collaborating with Stamping Department management to ensure proper utilization of lines and equipment. ... Job Details Level Management Job Location Jefferson Industries Corp - West...etc usage to maintain budgets in Stamping Department *Verify Coordinator and hourly associate time sheet, checking hours worked… more
- City of Danville (Durham, NC)
- …support and leadership to the 911 emergency communications center; serving as deputy coordinator of emergency management ; acting as liaison with other agencies, ... needed or working in any of the command functions with-in the incident management system; provides logistical support; ensures safety of responders and public; and… more
- One Hope United (Effingham, IL)
- …Placement Stabilization (IPS) Supervisor is responsible for the direction and management of effective clinical service delivery of services. Within the assigned ... develop their clinical skills. IPS supervisors will improve their management of new and existing staff via internal and...via an IPS onboarding process. *Ensures collaboration with IPS Coordinator and Case Aide to ensure that the required… more
- Houston Behavioral Healthcare Hospital (Houston, TX)
- …together. Houston Behavioral Healthcare Hospital (HBHH) currently has an opening for Part-time Utilization Management Coordinator . The Utilization ... Coordinator will report to the Director of Utilization Review and will be responsible to provide quality...Review and will be responsible to provide quality case management services to all patients and their families, to… more
- Hackensack Meridian Health (Edison, 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
- Saint Francis Health System (Tulsa, OK)
- …in the Patient Care Committee for patient care reviews, and in Utilization Review Staff Committee, providing data and contributing to improvement of internal ... Reviews eligibility and benefits of patients, matching the level of care utilization . Assures compliance with Managed Care Behavioral Health standards in the area… more
- Centers Plan for Healthy Living (Margate, FL)
- …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
- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- …Responsibilities Duties include, but not limited to: Provides direct supervision for Utilization Management and Inpatient Care Coordinator Nursing Staff. ... Summary The Utilization Management /Inpatient Care Coordination Nurse Manager demonstrates leadership expertise in regards inpatient care coordination and … more
- Humana (Schaumburg, IL)
- …first** The UM Administration Coordinator 2 contributes to administration of utilization management . The UM Administration Coordinator 2 performs varied ... Administration Coordinator 2 contributes to the administration of care management and provides non-clinical support to the assessment and evaluation of members'… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- … management initiatives and programs. + Oversees a staff of Hospital Reviewers/ Utilization Managers, Medical Management Coordinator RNs, Medical ... responsible for the strategic direction, leadership, and oversight of all medical management functions, including Utilization Management , and Quality… 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
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment # 250924-5613FP-001 Location East Hartford, CT Date Opened 9/30/2025 12:00:00 AM Salary ... - is accepting applications for a full-time Utilization Review Nurse Coordinator (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5613FP&R1=&R3=)… more
- Catholic Health Services (Melville, NY)
- … and Appeals Coordinator will perform activities to help facilitate utilization management and appeals functions to include coordination of specific process ... payment related activities. Position Responsibilities: + Prepares necessary documentation for utilization management and appeals processes, performs data … 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: 10/06/25 to 10/19/25 Assistant Utilization Coordinator Summary: Under general supervision, an incumbent of… 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: 08/1/25 to 08/14/25 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 ... Community discounts and more Equal Opportunity Employer Veterans/Disabled **Position** Utilization Coordinator - Homecare **Location** US:Florida:Largo:HomeCare Largo… more
- Penn Medicine (Philadelphia, PA)
- …hospice, community resources, transportation, and quality data collection and risk management referral. Responsibilities: + Utilization management ... to share this rewarding and **REMOTE RN** role! This role will focus primarily on utilization review which is why **we are seeking individuals who have between 3 to… more