- Hackensack Meridian Health (Hackensack, NJ)
- …to transform healthcare and serve as a leader of positive change. The ** Care Management , Care Coordinator , Utilization Management ** is a member ... of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …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... of members enrolled in our Managed Long Term Care program and facilitate authorization requests for eligible members.… more
- Humana (Dover, DE)
- …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
- CenterWell (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Utilization Management (UM) Administrative Coordinator 2 is responsible for providing ... and the ability to work efficiently in a fast-paced, high-volume environment. The Coordinator serves as a key liaison between providers and internal UM teams,… 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 ... by delivering quality services to those entrusted in our care . By embarking on a path with our community... Coordinator will report to the Director of Utilization Review and will be responsible to provide quality… 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 ... and payment related activities. Position Responsibilities: Prepares necessary documentation for utilization management and appeals processes, performs data … more
- Ascension Health (Georgetown, TX)
- …and salary range at the time of the offer._ **Responsibilities** As a Utilization Management Coordinator supporting our Ascension Insurance Utilization ... Days, 8:00am-5:00pm CST, Partially Remote, occasional weekends. + **Facility:** Ascension Care Management Insurance + **Location:** Seton Administrative Offices,… more
- Behavioral Center of Michigan (Warren, MI)
- …all state mandated regulations. Maintains compliancy with regulation changes affecting utilization management . Reviews patient recrods and evaluates patient ... Under general supervision, the Utilization Review Coordinator provides professional assessment,...and advises physicians and other departments of regulations affecting utilization management . Consults with Social Services Department… 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
- 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
- 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 ... EZ Cap, Word, Outlook, and data entry systems Previous experience in the health care field, such as hospital, medical group, health insurance, or other Risk Bearing… 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 ... and social supports required. + 1 year of previous utilization management or managed care ...: 10884 **Working Title** : Case Management Coordinator (Hybrid) - MNS Ambulatory Care … more
- Community Based Care of Brevard, Inc. (Rockledge, FL)
- Starting Salary: $45,000/year Position Summary: The Diversion Care Coordinator will be responsible for managing a caseload of families served in Non Judicial In ... served in North and Central Brevard County. The Diversion Care Coordinator will coordinate the delivery and...application for daily entry of case activity and the utilization management of service authorizations. 2+ years'… more
- The County of Los Angeles (Los Angeles, CA)
- …training is needed, and to make recommendations on potential areas for medical care evaluation studies. + Attends Utilization Review Committee meetings to inform ... community partner clinics. Every year, we deliver compassionate, life-saving care to over 600,000 unique patients across LA County....I:One year of experience performing the duties of a Utilization Review Nurse* or Medical Service Coordinator ,… more
- State of Indiana (Indianapolis, IN)
- …through access to high quality care and services. You serve as the utilization management subject-matter expert in health care delivery, develops ... of staff management and evaluation experience; clinical experience in managed care and accredited utilization management experience strongly preferred.… more
- PeaceHealth (Ketchikan, AK)
- **Description** **PeaceHealth is seeking a RN Care Coordinator Inpatient - Care Management for a Part Time, 0.80 FTE, Day position. The salary range for ... nursing experience in an acute care hospital and + Preferred: Utilization management /quality management experience **Credentials** + Required: Registered… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Care Coordinator , Quality Management Full Time, 80 Hours Per Pay Period, Day Shift Occasional travel as needed About Us Covenant ... degree in Nursing or related field. Apply/Share Job Title RN CARE COORDINATOR II ID 4246987 Facility Covenant Medical Management Department Name QUALITY … more
- Actalent (Santa Barbara, CA)
- …of several Health Services' operational units. These units may include Utilization Management , Case Management , Enhanced Care Management , Disease ... Job Title: Health Plan Nurse Coordinator - REMOTE POSITION Non-profit healthcare network is... of Utilization Management , Case Management , Disease Management , Population Health, Care… more
- Community Based Care of Brevard, Inc. (Orlando, FL)
- Salary: $52,000/year Position Summary: The Post Adoption Care Coordinator is responsible for demonstrating strong communication and fostering positive ... the needs of families, which may include evenings/weekends. The care coordinator will actively participate in, and...application for daily entry of case activity and the utilization management of service authorizations. 2+ years… more
- Elevance Health (Asheville, NC)
- **CFSP Care Management Coordinator - Asheville, Sylva, Franklin, Bryson City** **Sign-on Bonus: $2500** **We are currently seeking people in the following ... all children and families thrive in safe, stable, and nurturing homes._ The **CFSP Care Management Coordinator - Asheville, Sylva, Franklin, Bryson City** is… more
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