- HonorHealth (AZ)
- …Responsibilities Job Summary Under the direction of the Network Manager for Utilization Management , assists in the administration of Utilization ... peer to peer review with payer as directed. + Retrieves utilization management clinical requests and handles each appropriately according to department… 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
- Sanford Health (Sioux Falls, SD)
- …**Department Details** The Intake Coordinator position supports the Health Plan Utilization Management team and assists with members and provider calls ... pm, no weekends or holidays **Job Summary** The intake coordinator serves as a support to health plan teams...members. For individuals supporting clinical areas, additional duties are: Utilization management performs resource benefit policy … more
- Devereux Advanced Behavioral Health (Viera, FL)
- …our team where you can take your career to the next level. **Being the Utilization Review Coordinator at Devereux has its Advantages!** Devereux Florida is a ... environments with ongoing family involvement and support. As the Utilization Review Coordinator at Devereux Florida, you...work. We offer:** + **Paid time off** (24 days per year, increase with years of service); **Sick time**… 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
- Saint Francis Health System (Tulsa, OK)
- …not all inclusive nor does it prohibit the assignment of additional duties. Utilization Management - Laureate Campus Location: Tulsa, Oklahoma 74136 **EOE ... status - requires a minimum number of worked hours per month as needed by the department; limited benefit...Patient Care Committee for patient care reviews, and in Utilization Review Staff Committee, providing data and contributing to… more
- 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
- 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: Nov 1, 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
- Veterans Affairs, Veterans Health Administration (Tucson, AZ)
- Summary The Registered Nurse, Quality Management Coordinator will be responsible for providing leadership in the aspects of assessment, measurement, and process ... facility-wide accreditation and performance. Responsibilities The Registered Nurse, Quality Management Coordinator is a professional registered nurse who… 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
- Hackensack Meridian Health (Red Bank, 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
- University of Utah Health (Salt Lake City, UT)
- …communication skills. + Demonstrated knowledge of payers, payer systems, cost effective utilization management and InterQual criteria. + The ability to ... and as a team member. **Qualifications** **Qualifications** **Required** + One year Utilization Review or Case Management experience. **Licenses Required** +… more
- The Hertz Corporation (Estero, FL)
- **Job Description** _The Revenue Management Coordinator is primarily responsible for and the first executing layer within the Revenue Management ... communication methods._ **A Day in the Life:** The Revenue Management Coordinator will work closely with core...project work. The pay for this role is $23.00 per hour **What You'll Do:** + Execution of immediate… more
- Cedars-Sinai (Beverly Hills, CA)
- …reporting to the TPL carrier of all injured worker cases receiving case management services. + Ensures appropriate utilization of medical services within the ... Doing** The Case Manager is responsible for the case management of patient while hospitalized and upon discharge from...of care. Use evidence based review guidelines to conduct utilization review as is appropriate to match the payor… more
- Veterans Affairs, Veterans Health Administration (Fargo, ND)
- …The Fargo VA Health Care System is recruiting for 1 full-time Program Coordinator for the Rural Access for Network Growth Enhancement (RANGE) program. This position ... will be filled by a Social Worker (Program Coordinator ) or a Licensed Professional Mental Health Counselor (Program Coordinator ). This position is eligible for… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Care Coordinator , Quality Management Full Time, 80 Hours Per Pay Period, Day Shift About Us Covenant Medical Group employs or ... Bachelors degree in Nursing or related field. Apply/Share Job Title RN CARE COORDINATOR II ID 4375340 Facility Covenant Medical Management Department Name… more
- Elderwood (Amherst, NY)
- …The Managed Care Coordinator assists and supports the LPN/RN MDS Coordinator with case management responsibilities. The candidate is the primary liaison ... in interdisciplinary team meetings as needed by the MDS Coordinator . + Understands the organization's quality management ...Knowledge of Medicare and Medicaid Managed Care Policies and Utilization Review. Managed Care Coordinator Skills and… more
- Veterans Affairs, Veterans Health Administration (Prescott, AZ)
- …Incentives May be Authorized for Highly Qualified Candidates* The Social Work Program Coordinator serves as program coordinator at the GS-12 grade level and ... limited to the following: Provide supportive services and case management services to Veterans seeking SCI services and have...supporting the behavioral health needs of those in crisis. Coordinator will collaborate with the other members of the… more
- Veterans Affairs, Veterans Health Administration (Walla Walla, WA)
- …the least restrictive, most cost-effective manner, through use of outpatient utilization management criteria, clinical practice guidelines, clinical pathways and ... Medical Centers and the community based on eligibility criteria for community care per the National Directives. RCP Clinical Nurse Coordinator processes all… more