- BroadPath Healthcare Solutions (Tucson, AZ)
- …of Texas or compact license + 3+ years Nursing experience + 1+ years Utilization Management and Appeals experience + Excellent verbal, written and computer ... **Overview** BroadPath is seeking a highly motivated and results-driven ** UM RN Appeals Coordinator .** This role collaborates with clinical review staff, medical… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …and regulatory requirements, and ensures these requirements are accurately followed and Utilization Management ( UM ) decision determinations and timeliness ... registered nurse (REQUIRED) + Three (3) years of clinical experience (REQUIRED) + Utilization Management experience + Experience working in the health plan… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …and regulatory requirements, and ensures these requirements are accurately followed and Utilization Management ( UM ) decision determinations and timeliness ... law **(Required)** + Three (3) years of clinical experience ( **Required)** + Utilization Management experience (Preferred) + Experience working in the health… more
- Penn State Health (Hershey, PA)
- … Utilization Management Nurse or Specialist, the Utilization Management Coordinator supports the UM process by obtaining authorizations, reviewing ... or outlaw discrimination._ **Union:** Non Bargained **Position** UM Coordinator - Utilization Management **Location** US:PA: Hershey | Clerical and… more
- Humana (Olympia, WA)
- …of our caring community and help us put health first** The UM ( Utilization Management ) Administration Coordinator 2 contributes to administration of ... utilization management . We focus on living out our values daily...electronic medical record and documentation programs + Experience with Utilization Review and/or Prior Authorization, preferably within a managed… more
- Humana (Concord, NH)
- …first** The UM Administration Coordinator contributes to administration of utilization management . The UM Administration Coordinator 2 performs ... assignments. Job Description **Achieve your best at Humana. Join Us!** The UM Administration Coordinator provides non-clinical support for the policies and… 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
- Integra Partners (Troy, MI)
- The UM Coordinator assists and supports the clinical team ( UM Nurses/Medical Director) with administrative and non-clinical tasks related to processing ... Utilization Management prior authorization sand appeals. JOB...Maintaining expected timelines EXPERIENCE: + 1 year as a UM Coordinator in a managed care payer… 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 ... and their receipt of necessary services and appropriate discharge planning. UM Coordinators participate in treatment teams, communicating with providers the details… more
- Corewell Health (Grand Rapids, MI)
- …hospital in the state of Michigan. Manage all components of referral management , admission waiting list, insurance prior authorizations, continuous stay reviews and ... appeals. Additional support to the UM functions of the Corewell Health South Behavioral Health...other members of the health care team regarding care management strategies, identifying strategies to maximize continuity of care… more
- CenterWell (Austin, TX)
- …help us put health first** Utilization Management Administration Coordinator II , non-clinical, supports the UM operations by performing administrative ... UM program. Key Responsibilities of a Non-Clinical UM Coordinator : + **Intake and Notification:** Handling...and effective communication while handling the administrative side of utilization management . **Use your skills to make… more
- Providence (Torrance, CA)
- …Under the supervision of Regional Director of Care Management , the Utilization Management Coordinator is responsible for providing support to ... team functions and activities identified during the initial and ongoing assessment and management of patients. The UM Coordinator coordinates with multiple… more
- Catholic Health Initiatives (Plainview, NE)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... effectively with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs integrate. +… more
- Dignity Health (Long Beach, CA)
- …emphasis will be on care coordination communication and collaboration with utilization management nursing physicians ancillary departments insurers and post ... **Job Summary and Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management … more
- Dignity Health (Sacramento, CA)
- …emphasis will be on care coordination, communication, and collaboration with utilization management , nursing, physicians, ancillary departments, insurers, and ... effectively with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs integrate. +… more
- Dignity Health (Long Beach, CA)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... 10% of salary for this position. The RN Care Coordinator is responsible for overseeing the progression of care...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management … more
- Dignity Health (Los Angeles, CA)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... 10% of salary for this position. The RN Care Coordinator is responsible for overseeing the progression of care...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management … more
- Dignity Health (Glendale, CA)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... **Job Summary and Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management … more
- Virginia Mason Franciscan Health (Silverdale, WA)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... **Job Summary and Responsibilities** **JOB SUMMARY / PURPOSE** The Care Coordinator RN is responsible for overseeing the progression of care and discharge planning… more
- Cedars-Sinai (Beverly Hills, CA)
- …fuels innovation. **A Little More About What You Will be Doing** The RN Care Coordinator is responsible for the case management of patient while hospitalized and ... TPL carrier of all injured worker cases receiving case management services. + Ensures appropriate utilization of...(Medical Surgical/Tele/ICU) with 2 or more year of care management experience ( UM or DC Planning). +… more
