- Trinity Health (Columbus, OH)
- …technology, financial analysis, audit, provider relations and more. **Position Purpose** The Utilization Management Intake Coordinator provides ... equipment items for members based on Medicare criteria. The Coordinator manages member data accuracy from intake ...authorizations. + Knowledge of managed care issues related to utilization management , HCFA regulations, plan benefits and… more
- Sanford Health (Sioux Falls, SD)
- …40.00 **Salary Range:** $16.00 - $25.50 **Department Details** The Intake Coordinator position supports the Health Plan Utilization Management team ... 5 pm, no weekends or holidays **Job Summary** The intake coordinator serves as a support to...Utilization management performs resource benefit policy management , triages inbound and outbound calls, processes intake… more
- Villa of Hope (Rochester, NY)
- Intake Coordinator -RN (LHTC) Full Time Rochester, NY, US Requisition ID: 1609 Apply Salary Range: $30.00 To $38.30 (USD) Hourly Intake Coordinator -RN ... Under the general direction of the Nurse Manager, the Intake Coordinator -RN is a Registered Nurse who...director of LHTC and administrative team, including billing and utilization review. + Triages potential admissions and when needed… more
- Highmark Health (Buffalo, NY)
- …the requested authorization. **ESSENTIAL RESPONSIBILITIES** + Obtain call task from Utilization Management platform, perform verbal outbound call task ... result within the platform. + Obtain triage task from Utilization Management platform and follow a detailed...set the urgency of the case creation for the Intake Coordinator . + Other duties as assigned… more
- Highmark Health (Buffalo, NY)
- …:** **JOB SUMMARY** This job captures all inbound phone inquires for utilization management review from providers and pharmacies. The incumbent assesses ... verifying benefit coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical review, status… more
- Highmark Health (Buffalo, NY)
- …Description :** **JOB SUMMARY** This job captures all inbound inquires for utilization management review from providers and pharmacies. The incumbent assesses ... member, and then creates the case (data entry) in Highmark's Utilization Management system for Prior Authorization clinical review. Ensures all accurate… more
- Integra Partners (Troy, MI)
- The Utilization Management (UM) Coordinator Supervisor oversees the day-to-day operations and performance of the UM Coordinator team. This position ... required; bachelor's degree preferred. + minimum of 2 years of experience in Utilization Management (UM), managed care, or healthcare operations, preferably in a… more
- University of Utah (Salt Lake City, UT)
- Details **Open Date** 10/24/2025 **Requisition Number** PRN43412B **Job Title** Coordinator , Administrative Program **Working Title** Basic Needs Case Coordinator ... them meet their basic needs. CCW - Seeks a Coordinator for the Basic Needs Collective who will have...primary responsibility for o 35% Student Support & Case Management o 25% Outreach & Education coordination and facilitation… more
- Penn Medicine (Philadelphia, PA)
- …Spruce Street Philadelphia, PA Summary: + Under minimal supervision, the Care Coordinator in Penn Signature Services (PSS) is responsible for providing the highest ... Global Medicine and The Pavilion at HUP). The Care Coordinator serves as the primary point of contact and...be provided to key stakeholders from the UPHS. -Perform intake assessments for domestic and international patients seeking care… more
- Brown University (Providence, RI)
- Job Description: The Reporting and Response Coordinator and Senior Title IX Officer serves as a key team member in the University's compliance with federal and state ... for Equity Compliance and Reporting, the Reporting and Response Coordinator and Senior Title IX Officer will report directly...to three (3) years of related experience in conducting intake of matters, overseeing the progress of matters, setting… more
- Mount Sinai Health System (New York, NY)
- …genetic counseling appointments - urgent vs. non-urgent, depending on their medical management requirements. + In cooperation with intake coordinators, prepare ... **Job Description** The Genetic Specialist Coordinator will report to the department clinical manager and will work with all department staff. Under the supervision… more
- Trinity Health (Berwyn, IL)
- …experienced Authorization Referral Coordinator . Reporting to the Manager of Utilization Management and working under general supervision, manages ... resources and quality of healthcare services through performing initial intake , support and processing of pre-certification requests for eligible members received… more
- Penn Medicine (Philadelphia, PA)
- …administrative functions for the CPUP HR Team. The CPUP HR Administrative Coordinator will independently support intake /support triage: . Responsible for ... Full Time** **Summary:** Working under moderate supervision, the Administrative Coordinator , CPUP HR is responsible for a broad range.... Assist employees and managers with access to and utilization of various talent management tools and… more
- YesCare Corp (Goshen, NY)
- …on inpatient claims. + **Coordination of Benefits (COB):** + Work closely with Intake Coordinators and custody staff to determine if other insurance coverage exists ... at intake or during sick calls for existing inmates. +...calls for existing inmates. + Collaborate with the COB Coordinator to search alternative coverage databases when current coverage… more
- Mercy Haven Inc. (Bayport, NY)
- …Long Island for three years, we invest in our employees' success. The Program Coordinator serves as the primary case management and program operations lead for ... medically appropriate services. POSITION RESPONSIBILTIES + Conduct comprehensive client intake assessments, eligibility screening, and triage including at site and… more
- The Salvation Army (Cincinnati, OH)
- …rotating 24 hour emergency response and emergency supervision, crisis intervention, intake and short-term case management . Responsibilities DUTIES:* Support ... Providing rotating 24 hour emergency response and comprehensive initial case management .o Assessment immediate needs and conduct intakes.o Coordination with the… more
- Outreach Development Corporation (Brentwood, NY)
- …documentation and reports in a timely manner. + Communicate with program management (Director, Clinical Coordinator , and/or House Manager and advisor) all ... nurse on site and serves as the health care coordinator . Job Scope + Conduct and/or monitor all medication...health assessments (including but not limited to a nursing intake /health history, tobacco use history and cessation plan and… more
- Outreach Development Corporation (Brentwood, NY)
- …documentation and reports in a timely manner. + Communicate with program management (Director, Clinical Coordinator , and/or House Manager and advisor) all ... nurse on site and serves as the health care coordinator . Job Scope: + Conduct and/or monitor all medication...health assessments (including but not limited to a nursing intake /health history, tobacco use history and cessation plan and… more
- Outreach Development Corporation (Brentwood, NY)
- …documentation and reports in a timely manner. + Communicate with program management (Director, Clinical Coordinator , and/or House Manager and advisor) all ... nurse on site and serves as the health care coordinator . Job Scope: + Conduct and/or monitor all medication...health assessments (including but not limited to a nursing intake /health history, tobacco use history and cessation plan and… more
- Veterans Affairs, Veterans Health Administration (Redding, CA)
- …of availability, utilization and scheduling, and staff productivity; Attends site management meetings and serves as a liaison with delegated authority as needed ... Health Care System. The COM works in close collaboration with the MH Management Team to facilitate the logistical and operational needs across MH programs at… more