- Hackensack Meridian Health (Neptune City, 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
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Under the supervision of the Utilization Management (UM) Operations Supervisor, the UM Coordinator I's primary job function is to support UM ... operations by performing any non-clinical tasks. This includes, but is not limited to, initial authorization processing, (data entry, eligibility verification, benefits verification, and requesting required supporting documents from submitting provider… more
- Corewell Health (Southfield, MI)
- …+ Preferred Bachelor's Degree in nursing or related field. + Hospital utilization review/ utilization management experience. Preferred + Clinical appeals ... Location SITE - Beaumont Service Center - 26901 Beaumont Blvd Department Name Utilization Management - CH East Employment Type Part time Shift Day (United States… more
- Actalent (Santa Barbara, CA)
- …, medical management and health services team members in the implementation and management of Utilization Management , Case Management , Disease ... Health care, Medicare, Managed care, Medical management , Case management , Utilization management , Claim Top Skills Details Data entry,Concurrent… more
- Actalent (Redlands, CA)
- Job Title: UM CoordinatorJob Description The Utilization Management (UM) Coordinator is responsible for executing all aspects of the referral process. The UM ... Coordinator collaborates with clinical team members to evaluate the...Experience with Independent Physician Associations (IPAs), Managed Care, and Utilization Management . + High school diploma or… more
- Hackensack Meridian Health (Brick, NJ)
- …expert computer skills. + Familiar with hospital resources, community resources, and utilization management . + Excellent written and verbal communication skills. ... healthcare and serve as a leader of positive change. The **Care Coordinator , Care Management ** is a member of the healthcare team and is responsible for… 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
- CenterWell (Tallahassee, FL)
- …first** The UM Administration Coordinator 2 contributes to administration of utilization management . The UM Administration Coordinator 2 performs varied ... Performs computations. Typically works on semi-routine assignments. The UM Administration Coordinator 2 provides non-clinical support for the policies and procedures… more
- NTT DATA North America (Decatur, IL)
- …when executed as part of an overall sourcing strategy. NTT DATA currently seeks a Utilization Management Coordinator to join our team for a remote position. ... of extension and direct hire Pay Rate $22-$23/hr **Position Summary:** The Utilization Management Coordinator reports to the Director of Claims. This… more
- St. Luke's University Health Network (Easton, 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
- 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: 07/1/25 to 07/14/25 Assistant Utilization Coordinator Summary: Under general supervision, an incumbent of… more
- Trinity Health (Athens, GA)
- **Employment Type:** Part time **Shift:** **Description:** The Utilization Review (UR) Coordinator works, in collaboration with a multidisciplinary team that ... an efficient and cost-effective manner that ensures quality outcomes. UR Coordinator utilizes established guidelines to support appropriate level of care throughout… more
- BayCare Health System (Largo, FL)
- …of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Coordinator (Homecare) responsibilities include:** + Coordinates ... bonus + Community discounts and more Equal Opportunity Employer Veterans/Disabled **Position** Utilization Coordinator **Location** Largo | Clinical | PRN **Req… more
- LifePoint Health (Louisburg, NC)
- …field* **Organization:** **Maria Parham Franklin* **Title:** *Registered Nurse Utilization Review Coordinator * **Location:** *NC-Louisburg* **Requisition ID:** ... Registered Nurse (RN) Utilization Review Job Type: Full Time | Day...days for patients. - Maintaining communication with the Case Management Department to facilitate timely discharge planning.. Reports to:… more
- Compass Group, North America (Mclean, VA)
- …a team committed to excellence and premier hospitality. As the Space Utilization Coordinator , you'll oversee meeting space reservations, ensuring optimal use ... or complex events. + Track and report declined/canceled meetings and space utilization trends. + Suggest creative solutions for space optimization. + Maintain… more
- The County of Los Angeles (Los Angeles, CA)
- …SELECTION REQUIREMENTS: OPTION I:One year of experience performing the duties of a Utilization Review Nurse* or Medical Service Coordinator , CCS.** -OR- OPTION ... UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply... Review Nurse is an RN that has Case Management experience whose primary charge is to ensure that… more
- Cedars-Sinai (Beverly Hills, CA)
- …**A Little More About What You Will be Doing** The Case Management Coordinator provides support to the utilization review process. The coordinator works ... collaboratively with all team members of Utilization Management , Patient and Provider Services, Claims Department and other...preferred. **Req ID** : 10884 **Working Title** : Case Management Coordinator (Hybrid) - MNS Ambulatory Care… more
- DMS International (Lackland, TX)
- …Responsiveness to our customer's mission + DMS is currently seeking a Training Management Support Coordinator . The Training Management Support Coordinator ... Technical Training Command (NTTC) Lackland Joint Base, San Antonio, TX. The Training Management Support Coordinator must be familiar with applicable Navy rules,… more
- Houston Methodist (Houston, TX)
- … management support to the department staff to facilitate efficient utilization of resources including referrals management , communication and collaboration ... duties of a higher complexity in support of department operations. **The Care Coordinator for the Weight Management Insurance Team is responsible for obtaining… more
- Beth Israel Lahey Health (Burlington, MA)
- …of three years of medical/surgical nursing care experience. -Two years of Case Management or Utilization Management experience desirable. - Demonstrated ... to ensure a timely process. Registered Nurses (RNs) with utilization review experience, case management experience, and...patient discharge. 14) Works with the Post Acute Care Coordinator to facilitate timely patient access to post acute… more