- Sedgwick Government Solutions (Dallas, TX)
- Job Details Utilization Management Coordinator Remote (Strong Internal) 2025-1450 Dallas, TX, USA Medical Services Full Time Description ** Utilization ... Management Coordinator (Strong Internal)- Remote ** **Overview** Are you looking to make a difference...+ Collaborates as an integral member of the WTC-NPN utilization team and the broader case management … more
- Penn Medicine (Philadelphia, PA)
- …hospice, community resources, transportation, and quality data collection and risk management referral. Responsibilities: + Utilization management ... work? We are excited to share this rewarding and ** REMOTE RN** role! This role will focus primarily on... RN** role! This role will focus primarily on utilization review which is why **we are seeking individuals… more
- Henry Ford Health System (Warren, MI)
- …required. + Bachelor of Science Nursing required OR four (4) years Case Management / Appeal/ Utilization Management experience in lieu of bachelor's degree. ... Under minimal supervision, reviews and screens the appropriateness of services, the utilization of hospital resources and the quality of patient care rendered.… more
- Humana (Concord, NH)
- …health first** The UM Administration Coordinator contributes to administration of utilization management . The UM Administration Coordinator 2 performs ... Description **Achieve your best at Humana. Join Us!** The UM Administration Coordinator provides non-clinical support for the policies and procedures ensuring best… more
- Providence (OR)
- …of Care Planning, Discharge Planning, Coordination of Outpatient Care) + Utilization Management Experience (EX. Concurrent Review, Prior Authorization, Medical ... them.** **Providence Health Plan is calling a Clinical Program Coordinator RN, Medicare / Medicaid who will:** + Provide.../ Medicaid who will:** + Provide care coordination, case management and care management services to Providence… more
- US Foods (Livermore, CA)
- …as hybrid meaning the work is a combination of approximately 90 percent remote /virtual and 10 percent onsite at distribution center offices located anywhere in the ... office approximately 1 time per month or occasionally for training. The Account Coordinator (AC) is part of US Foods' team-based selling strategy to drive profitable… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** **Description:** EPIC Application Coordinator - Hospital Billing Certified -Resolute Hospital Billing Administration ... Billing Charging Administration Certification -Charge Router Certification Position is remote based** **POSITION PURPOSE** Responsible for providing primary support… more
- CareFirst (Baltimore, MD)
- …by handling non-clinical tasks related to preauthorization functions, inpatient care, utilization review, care coordination and/or quality of care, enabling clinical ... and/or other customers including benefit verification, authorization creation and management , claims inquiries and/or case documentation. Assists with member follow… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** **Description:** **_* Remote opportunity_** **_* Epic Beacon Certified preferred_** **_Hourly pay range: $44.56-$66.87_** ... that support organizational objectives Consults with providers, clinicians, executives and management at all levels in order to provide support for decisions,… more
- Humana (Lincoln, NE)
- …a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are...room, trauma units, etc. + Experience as an MDS Coordinator or discharge planner in an acute care setting… more
- Ryder System (Alpharetta, GA)
- …on proper card usage, expense reporting, and policy compliance + Prepares management reports on program utilization , spending trends, and compliance metrics ... **Job Description** : The Card Administrator is responsible for the comprehensive management and oversight of the company's purchasing card (P-Card) and travel card… more
- Community Health Systems (Las Cruces, NM)
- As a AMR Coordinator at Mountainview Regional Medical Group you'll join a team and be a part of a culture that's dedicated to providing top quality care to our ... and student loan assistance for eligible roles. **Job Summary** The AMR Coordinator Clinics provides AMR education and development that promotes efficient … more
- Virtua Health (Pennsauken, NJ)
- …Weekly Hours: 12 Additional Locations: Job Information: Job Summary: The RN Bed Management Coordinator plays a critical role in optimizing patient flow ... Philadelphia for pediatrics. Location: Pennsauken - 6991 North Park Dr. Remote Type: On-Site Employment Type: Employee Employment Classification: Regular Time Type:… more
- Oregon State University (Baker City, OR)
- Position Details Position Information Department Open Campus (TEE) Position Title Coordinator -Outreach Program Job Title Open Campus Coordinator Appointment Type ... Job Location Baker City Benefits Eligible Part-Time, benefits eligible Remote or Hybrid option? Job Summary The Division of...of Extension and Engagement is seeking an Open Campus Coordinator . This is a part-time (0.75 FTE ), 12-month,… more
- Master Halco (Dallas, TX)
- …products is seeking** **an experienced Bar Code Technology System & Change Management Coordinator ** **.** **Position Summary** **The Bar Code Technology System ... & Change Management Coordinator ** must be able to collaborate...utilization efficiency are key components for this position. Remote position. Extensive travel is required at up to… more
- Actalent (Santa Barbara, CA)
- Remote Utilization Management RN Leading...of those in need is now looking for a REMOTE Health Plan Nurse Coordinator to join their ... heling hand, alpha resource center, parents helping parents, etc. knowledge of Utilization Management process/ turnaround times. + Familiar with mandated… more
- Community Health Systems (Roswell, NM)
- **Benefits** As a AMR Coordinator at Eastern New Mexico Medical Group you'll join a team and be a part of a culture that's dedicated to providing top quality care to ... and student loan assistance for eligible roles. **Job Summary** The AMR Coordinator is responsible for the education, development, and optimization of the Ambulatory… more
- Elevance Health (KS)
- …(such as LTSS/IDD), behavioral health or physical health needs. + Submits utilization /authorization requests to utilization management with documentation ... **LTSS Concierge Coordinator ** **Location: This position is fully remote...potential for high-risk complications). + Engages the primary service coordinator and other clinical healthcare management and… more
- Humana (Indianapolis, IN)
- …first** The UM Administration Coordinator 2 contributes to administration of utilization management . The UM Administration Coordinator 2 performs varied ... Horizons in Indiana is seeking Authorization Team Members to support the Utilization Management (UM) Process by managing authorization requests, coordinating… more
- Dartmouth Health (Lebanon, NH)
- Overview The Department of Neurology is looking for an experienced Clinical Research Coordinator to help with managing current and new clinical trials. The person ... role will be involved in startup, patient visits, regulatory activities, and overall management of a robust portfolio of clinical trials. The Clinical Research … more