- Hackensack Meridian Health (Hackensack, 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
- 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
- Ascension Health (Georgetown, TX)
- …and salary range at the time of the offer._ **Responsibilities** As a Utilization Management Coordinator supporting our Ascension Insurance Utilization ... degree or above preferred + 2+ years of Health Insurance Utilization Management coordination experience + 2+ years of Medical Referrals and Preauthorization… 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
- 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
- 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
- Evolent (Trenton, NJ)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management ** at Evolent will serve as a ... regulatory requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly… more
- TEKsystems (Charlotte, NC)
- Job Title: Patient Service Coordinator - Data Entry Remote Department: Utilization Management We are seeking a detail-oriented and compassionate Patient ... Service Coordinator to join the Utilization Management (UM) team. This role primarily involves entering authorization requests from providers into our… 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
- Humana (Springfield, IL)
- …first** The UM Administration Coordinator 1 contributes to administration of utilization management . The UM Administration Coordinator 1 performs basic ... UM Administration Coordinator 1 contributes to administration of utilization management . The UM Administration Coordinator 1 performs basic… more
- CenterWell (Cheyenne, WY)
- …first** The UM Administration Coordinator 1 contributes to administration of utilization management . The UM Administration Coordinator 1 performs basic ... and patterned assignments. A pharmacy authorization specialist or UM Administration Coordinator 1 provides non-clinical support for policies and procedures ensuring… 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
- 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
- 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
- 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
- State of Indiana (Indianapolis, IN)
- Utilization Management Manager Date Posted: Aug 22, 2025 Requisition ID: 462259 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career ... social services, health care and their communities. Role Overview: The role of Utilization Management Manager oversees the integration of utilization review,… more
- Actalent (Santa Barbara, CA)
- … Coordinator - REMOTE POSITION Non-profit healthcare network is looking for a utilization management registered nurse to join their team on a contract basis! ... to work a 3-month contract + Medi-Cal Experience + Utilization Management WHAT'S IN IT FOR YOU:...leading healthcare organization Job Description The Health Plan Nurse Coordinator (HPNC) is a Registered Nurse assigned to one… more
- Cedars-Sinai (Beverly Hills, CA)
- **Job Description** 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...beyond. **Req ID** : 11487 **Working Title** : Case Management Coordinator - Inpatient Specialty Program **Department**… 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
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