- CenterWell (Frankfort, KY)
- …UM Administration Coordinator - Phone Intake contributes to administration of utilization management . The UM Administration Coordinator performs varied ... on semi-routine assignments. Shift Hours - 8a - 5 The UM Administration Coordinator - Phone Intake provides non-clinical support for the policies and procedures… more
- ManpowerGroup (Rancho Cucamonga, CA)
- Our client, a leading healthcare organization, is seeking a Coordinator - Utilization Management Outpatient to join their team. As a Coordinator - ... service skills which will align successfully in the organization. **Job Title:** Coordinator - Utilization Management Outpatient **Location:** Rancho… more
- Hackensack Meridian Health (North Bergen, NJ)
- …mission to transform healthcare and serve as a leader of positive change. The **Care Coordinator , Utilization Management ** is a member of the healthcare team ... patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to manage length… more
- Evolent (Hartford, CT)
- …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
- Humana (Frankfort, KY)
- …first** The UM Administration Coordinator 2 contributes to administration of utilization management for Humana's KY Medicaid plan. The UM Administration ... Coordinator 2 performs varied activities and moderately complex administrative/operational/customer...service or customer service, telephone experience + Experience with Utilization Review and/or Prior Authorization. preferably within a managed… more
- Sanford Health (ND)
- …- $28.00 **Department Details** Opportunity to work remote **Job Summary** Monitors the utilization of resources, risk management and quality of care for ... multiple administrative duties including accurate record keeping and electronic data management when needed. Ability to work with growth and development needs… 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 Care program and facilitate authorization requests for eligible members. PRIMARY RESPONSIBILITIES: + Assists in the prior authorization of services and ongoing authorization requests +… more
- St. Luke's University Health Network (Lehighton, PA)
- …utilization management of psychiatric cases in the absence of the utilization management coordinator . PHYSICAL AND SENSORY REQUIREMENTS: Able to ... and the Manager regarding variances, aspects of patient care management . + Facilitates insurance authorization, pre-certification, and concurrent reviews for… 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: 05/13/25 to 05/26/25 Assistant Utilization Coordinator Summary: Under general supervision, an incumbent of… more
- WMCHealth (Valhalla, NY)
- Asst Utilization Coordinator - Appeals Company: Westchester Medical Center City/State: Valhalla, NY Category: Nursing/Nursing Management Department: Clinical ... Internal Applicant link Job Details: Internal Posting: 02/25/25 to 03/10/25 Assistant Utilization Coordinator Summary: Under general supervision, an incumbent of… more
- LifePoint Health (Louisburg, NC)
- …field* **Organization:** **Maria Parham Franklin* **Title:** *Registered Nurse Utilization Review Coordinator * **Location:** *NC-Louisburg* **Requisition ID:** ... Registered Nurse (RN) Utilization Review Job Type: Full Time | Day...days for patients. - Maintaining communication with the Case Management Department to facilitate timely discharge planning.. Reports to:… more
- Desert Parkway Behavioral Healthcare Hospital (Las Vegas, NV)
- …notes are documented, and the authorization detail is set up in Case Management . The information is subsequently verified in the payor websites where applicable. ... all days are authorized and identify denied days, coordinate with Director of Utilization Review and add to Denial Tracker when appropriate. Monitor and update file… more
- Northeast Alabama Regional Medical Center (Anniston, AL)
- Responsible for management and oversight of office functions for the department to include oversight of therapist schedules/appointments, management of ... Diploma; secondary education desired + Prefer 2 years' experience in a clinical setting; Knowledge of office management desired ; Advanced computer skills essential more
- DMS International (Lackland, TX)
- …Responsiveness to our customer's mission + DMS is currently seeking a Training Management Support Coordinator . The Training Management Support Coordinator ... Technical Training Command (NTTC) Lackland Joint Base, San Antonio, TX. The Training Management Support Coordinator must be familiar with applicable Navy rules,… more
- Houston Methodist (Houston, TX)
- … management support to the department staff to facilitate efficient utilization of resources including referrals management , communication and collaboration ... duties of a higher complexity in support of department operations. **The Care Coordinator for the Weight Management Insurance Team is responsible for obtaining… more
- CUNY (New York, NY)
- Facilities Coordinator Level 1 (Provisional) - Office of Space Management **GENERAL DUTIES** Studies, evaluates, and analyzes space utilization and ... facilities. - Assures that all plans produced are accurate based on management guidelines and other information provided. - Coordinates the work of… more
- Tenet Healthcare (Detroit, MI)
- …Mgt. Leaders relating to Case Management scope of services, including utilization management , transition management promoting appropriate length of stay, ... and safe and timely patient throughput. Will integrate national standards for utilization management supporting medical necessity and denials prevention. … 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 ... as a team member. **Qualifications** **Qualifications** **Required** + **One year** ** Utilization Review or Case Management experience.** **Licenses Required** +… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Job Title: Care Coordinator - Care Management (Suffolk)** Mount Sinai Health Partners (MSHP) is the management services organization ... a patient's health. In consultation with the patient's care team, the Care Coordinator provides health education related to symptom management and preventive… more
- CommonSpirit Health Mountain Region (Centennial, CO)
- …to help you flourish and leaders who care about your success. The Utilization Management Assistant receives, processes, facilitates and documents all payer ... required + An understanding of operations and functions of care coordination, utilization management , denials mitigation is preferred. + Demonstrated ability to… more