• Utilization Management

    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 (04/06/24)
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  • Utilization Management

    Houston Behavioral Healthcare Hospital (Houston, TX)
    …together. Houston Behavioral Healthcare Hospital (HBHH) currently has an opening for Full-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
    Houston Behavioral Healthcare Hospital (04/13/24)
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  • Utilization Management

    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
    Universal Health Services (04/25/24)
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  • Utilization Management Care…

    Universal Health Services (Colorado Springs, CO)
    …POSITION WILL CONTINUE UNTIL THE POSITION IS FILLED. We have a Full Time Utilization Management Care Coordinator opportunity available, this position reports ... to the Director of Utilization Management . Schedules vary. About the Position: This position is responsible for providing initial, ongoing, and systematic … more
    Universal Health Services (04/13/24)
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  • Utilization Management

    Humana (Dublin, OH)
    …help us put health first** Humana Healthy Horizons in Ohio is seeking a Utilization Management Administration Coordinator 2 who contributes to administration ... of utilization management . The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support… more
    Humana (04/25/24)
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  • Utilization Management

    Humana (Oklahoma City, OK)
    **Become a part of our caring community and help us put health first** The Utilization Management (UM) Coordinator contributes to administration of UM. The ... UM Coordinator performs varied activities and moderately complex administrative, operational, and Enrollee support assignments. The individual in this role performs computations and typically works on semi-routine assignments.RESPONSIBILITIES: * Provides… more
    Humana (04/25/24)
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  • Utilization Review Coordinator

    Universal Health Services (Doylestown, PA)
    …is a Monday-Friday full-time position offering full-time benefits and competitive pay. The Utilization Management Coordinator is responsible for all ... of medical necessity and timely discharge planning. + Maintains data on utilization management activities and generates required reports, logs, and files… more
    Universal Health Services (03/29/24)
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  • Utilization Management

    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 (04/12/24)
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  • Utilization Management

    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
    Universal Health Services (04/12/24)
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  • Utilization Mgmt Coordinator

    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
    Dignity Health (04/21/24)
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  • Utilization Management Denial…

    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 (03/27/24)
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  • UM Coordinator

    Apex Health Solutions (Houston, TX)
    …Medical Management Supervisor: UM Supervisor/Manager, Medical Management The Utilization Management Coordinator represents the company by serving as ... Job Title: Coordinator , Utilization Management Department:...Assistance or similar associates degree preferred Previous experience in utilization management or healthcare operational or a… more
    Apex Health Solutions (04/05/24)
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  • UM Coordinator - RN

    Universal Health Services (Oakland Park, FL)
    …at https://ftlauderdalebehavioral.com We are pleased to announce the following available position: Utilization Management Coordinator - RN Denials & Appeals ... (Experience a must) The main duties of the UM Coordinator - RN are: to coordinate and monitor appropriate... - RN are: to coordinate and monitor appropriate utilization and documentation of services throughout the course of… more
    Universal Health Services (03/29/24)
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  • Utilization Management Intensive…

    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
    UCLA Health (04/10/24)
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  • UR Coordinator

    Universal Health Services (Madera, CA)
    …and administration. We are currently seeking a forward thinking and compassionate UTILIZATION MANAGEMENT (UM) COORDINATOR . Facilitates a continuum of service ... in an acute inpatient psychiatric setting as a treatment team member and/or utilization management , or a minimum of three years utilization management more
    Universal Health Services (03/29/24)
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  • UM Care Coordinator

    Centers Plan for Healthy Living (Jamaica, NY)
    …with the guidance and plans they need for healthy living. JOB SUMMARY: The Utilization Management Care Coordinator works within a multidisciplinary care team ... UM Care Coordinator 90-27 Sutphin Blvd, Jamaica, NY 11435, USA Req #1183 Monday, April 1, 2024 Centers Plan for Healthy Living's goal is to create the ultimate… more
    Centers Plan for Healthy Living (04/02/24)
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  • Resource Management Coordinator

    Moss Adams LLP (Yakima, WA)
    …teams, human resources and internal accounting to promote people development and maximize utilization . The Resource Management Coordinator will work to ... **Resource Management Coordinator ** **Description** At Moss Adams,...strategy and employer of choice initiatives. They monitor staff utilization , coordinate staff schedules and deploy team members. This… more
    Moss Adams LLP (04/19/24)
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  • Utilization Coordinator

    Universal Health Services (Conway, SC)
    …Health Hospital is hiring for a Part Time RN Utilization Review Coordinator . Utilization Review / Risk Management Lighthouse Behavioral Health Hospital ... UR Coordinator is also responsible for conducting utilization and quality management activities in accordance...and quality management activities in accordance with Utilization Review policies and procedures. The coordinator more
    Universal Health Services (04/22/24)
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  • Integrated Care Coordinator - SCRBH

    Spokane County (Spokane, WA)
    …Behavioral Health Administrative Services Organization Utilization Review Integrated Care Coordinator : + Performs utilization management , utilization ... practice standards for substance use disorder assessment and treatment. + Knowledge of utilization management of public behavioral health. + Knowledge of federal… more
    Spokane County (03/18/24)
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  • Concurrent Review Nurse-( Auditor)- Metro, East,…

    InnovaCare (San Juan, PR)
    …aberrant Inpatient days, documents, and codes and reports the data to the Utilization Management Inpatient Coordinator and Inpatient Nurses.13. Captures ... utilization data and forwards the information, daily, to the Utilization Management Inpatient Coordinator .14. Prepares and submits to the Health Services… more
    InnovaCare (04/17/24)
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