- Humana (Springfield, IL)
- …a part of our caring community and help us put health first** The UM Administration Coordinator 1 contributes to administration of utilization management. The ... UM Administration Coordinator 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned… more
- CenterWell (Cheyenne, WY)
- …a part of our caring community and help us put health first** The UM Administration Coordinator 1 contributes to administration of utilization management. The ... UM Administration Coordinator 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned… more
- University of Miami (Miami, FL)
- …time Recovery Coordinator 1 to work in Miami, FL. The Recovery Coordinator 1 ( UM LAORA) assists in the recovery, packaging, preservation and transportation ... of cadaveric organs to be used in surgical transplants. The incumbent also helps to ensures organ recovery activities are in accordance with all applicable regulatory standards and operating procedures. Also, this employee provides preservation support for… more
- Centers Plan for Healthy Living (Margate, FL)
- …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 + Assists in completing… more
- Evolent (Trenton, NJ)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management** at Evolent will serve as a point of contact ... requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly to the Manager,… 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 ... the provider call center lines), and appropriately processing required UM notifications (letters, faxes, etc.). MINIMUM QUALIFICATIONS: HS Diploma,GED,or Equivalent… more
- Dragonfly Health (Mesa, AZ)
- …**Essential Functions** **_Note:_** _The essential duties and primary accountabilities below are intended to describe the general content of and_ _requirements of ... this position and are not intended to be an exhaustive statement of duties. Incumbents may perform all or_ _most of the primary accountabilities listed below. Specific tasks, responsibilities or competencies may be documented in the incumbent's performance… more
- CenterWell (Tallahassee, FL)
- …caring community and help us put health first** The Utilization Management ( UM ) Administrative Coordinator 2 is responsible for providing high-quality support ... inquiries in accordance with organizational policies and regulatory guidelines. The UM Administration Coordinator 2 provides non-clinical support for the… more
- Humana (Dover, DE)
- …a part of our caring community and help us put health first** The UM Administration Coordinator contributes to administration of utilization management. The ... UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations.… more
- University of Miami (Coral Gables, FL)
- …and guests speakers to recruiting to promote the U Network to prospective recruits. Coordinator of the UM Women's Football Clinic + Organize efforts for a ... wives on their event participation. + Facilitate catering for event. + Coordinator for UM Footballs Wives Annual Football Trip + Plan and execute details for… more
- Ellis Medicine (Schenectady, NY)
- …or send for insurance denials or quality improvement organization appeals. + Assists UM Coordinator with data entry of insurance authorizations and denials. + ... Denial Management Activities + Assists Denial Management staff with clerical support; including facilitating MD to MD reviews. + Performs audit activities under the supervision of the Director of Case Management and Social Work Services. Ellis Medicine is… more
- Dartmouth Health (New London, NH)
- …days of admission. Initiates discharge planning process. Maintains communication with UM coordinator regarding assessments, outcomes, and projected lengths of ... stay. Serves as a resource to the healthcare team, communicating with the physician, consultants, and all members of the healthcare team. Participates with the physician/multidisciplinary to review the plan and progress of care, to evaluate the effectiveness… more
- University of Miami (Miami, FL)
- …tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Clinical Research Coordinator 1 The University of Miami/UHealth ... an exciting opportunity for a Full Time Clinical Research Coordinator 1 to work at the UHealth Medical Campus....operational failures occur. + Assist the PIs in developing UM protocols for submission to IRB, including but not… more
- University of Miami (Miami, FL)
- …the University of Miami/UHealth is currently seeking a full time Organ Allocation Coordinator 1. The Organ Allocation Coordinator 1 (OAC) coordinates the ... safety assessment and improvement for donation and transplantation. The Organ Allocation Coordinator 1 (OAC) may act as the primary liaison with the transplant… more
- University of Miami (Miami, FL)
- …Department of SCCC has an exciting opportunity for a Full Time Clinical Research Coordinator 1 for the UHealth medical campus in Miami, FL. CORE JOB SUMMARY The ... Clinical Research Coordinator 1 (A) serves as an entry-level clinical research...federal regulations, and sponsor requirements and as required per UM policy. + Participates in quarterly peer-review, quality control… more
- TEKsystems (Charlotte, NC)
- …Utilization Management We are seeking a detail-oriented and compassionate Patient Service Coordinator to join the Utilization Management ( UM ) team. This role ... medical management system and handling incoming calls to the UM department. The ideal candidate will be a collaborative...+ Answer and direct incoming phone calls to the UM department. + Collaborate with healthcare professionals and community… 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 ... Department and other Care Coordination Department staff. In addition, the coordinator assists in identifying, tracking and coordinating services for patients when… 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 ... Department and other Care Coordination Department staff. In addition, the coordinator assists in identifying, tracking and coordinating services for patients when… more
- University of Miami (Miami, FL)
- …. This position is fully onsite in Miami, FL. The Clinical Research Coordinator 2 serves as a mid-level clinical research professional that assists in the ... monitoring, and evaluating of specific clinical research studies. The Clinical Research Coordinator 2 will work within the Division of Digestive Health and Liver… more
- Catholic Health Services (Melville, NY)
- …Top Workplace! Job Details Position Summary: The Utilization and Appeals Coordinator will perform activities to help facilitate utilization management and appeals ... processes, performs data management and coordinates communication between members of the UM and Appeals teams to ensure timely follow through. Reviews providers'… more
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