- Centers Plan for Healthy Living (Margate, FL)
- UM Coordinator 5297 W Copans Rd, Margate, FL 33063, USA Req #1209 Monday, April 29, 2024 Centers Plan for Healthy Living's goal is to create the ultimate ... 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… more
- Kepro (Richmond, VA)
- …being a vital partner for health solutions in the public sector. Acentra seeks a UM Reviewer & Appeals Coordinator RN/LCSW (Remote within Virginia) to join our ... a blended role as a clinical reviewer and appeals coordinator . In the clinical reviewer role - you will...and coordinating the clinical appeals process with our client. UM Clinical Reviewer: + Using clinical knowledge and nursing… more
- Humana (Evansville, IN)
- …a part of our caring community and help us put health first** The UM Administration Medicaid Claims Coordinator 2 contributes to the administration of clinical ... claims review for Humana's KY Medicaid plan. The UM Administration Coordinator 2 performs varied activities and moderately complex… 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 ... and graduate students in more than 350 majors and programs. Visit welcome.miami.edu/about- um to learn more about our points of pride. The University ranks… 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 ... and graduate students in more than 350 majors and programs. Visit welcome.miami.edu/about- um to learn more about our points of pride. The University ranks… more
- Universal Health Services (Orlando, FL)
- …Position Summary The Utilization Review Coordinator performs admission and concurrent review ... of patients. Assures optimum quality of patient care in the most cost-effective manner. Works closely with the Physicians and the Social Services department to ensure quality of documentation of patient care. Completes Medicare B-Tag audits. Job… more
- Dignity Health (Rancho Cordova, CA)
- …and service. **Responsibilities** **Position Summary:** Under the direction of Utilization Management ( UM ) leadership, the UM Coordinator processes prior ... process to include referral creation, formation, data entry and ensure UM notification. The UM Coordinator is responsible for referral outcome notification… more
- Universal Health Services (Highlands Ranch, CO)
- …clinical diagnosis and the ability to articulate those indicators professionally. The UM Coordinator manages medical necessity by evaluating the patient medical ... departments to ensure reimbursement for services provided by the hospital. The UM Coordinator leads physician daily treatment team meetings, manages… more
- Universal Health Services (Doylestown, PA)
- …response to denial of initial or continued stay certification. + Internally, the UM Coordinator will interface with hospital management, staff, and patients. + ... Externally, the UM Coordinator will interface with licensing and accrediting agencies, managed care companies, family members, and healthcare treatment agencies.… more
- Universal Health Services (Philadelphia, PA)
- …psychiatric and chemical dependency treatment. We are currently seeking a Utilization Management ( UM ) Coordinator to join our team. Utilization Management ( UM ... Position Fairmount Behavioral Health System is seeking a Utilization Management ( UM ) Coordinator to reviews patient medical records to determine severity… more
- Humana (Oklahoma City, OK)
- …The Utilization Management ( UM ) Coordinator contributes to administration of UM . The UM Coordinator performs varied activities and moderately complex ... administrative, operational, and Enrollee support assignments. The individual in this role performs computations and typically works on semi-routine assignments.RESPONSIBILITIES: * Provides nonclinical support for the policies and procedures, ensuring best and… more
- Universal Health Services (Louisville, CO)
- …Management Coordinator join our team of compassionate, dedicated professionals. The UM coordinator evaluates patient medical records to determine severity of ... patient's illness and the appropriateness of level of care. The UM coordinator serves as liaison for patients and the facility with insurance companies,… more
- Providence (Torrance, CA)
- …during the initial and ongoing assessment and management of patients. The UM Coordinator coordinates with multiple disciplines regarding inpatient notification ... the supervision of Regional Director of Care Management, the Utilization Management Coordinator is responsible for providing support to the Care Management team who… more
- St. Bernard's Medical Center (Jonesboro, AR)
- …reimbursement and denial process. Works with infusion center to prevent denials. Assists UM Coordinator with denials and appeals. Close out each tracked denial ... (overturned or recouped). Overall works to increase revenue capture related to infusion center. Facility resource for denials/appeal process and regulatory compliance as it relates to the infusion center. Must manage competing priorities, multi-task with… more
- University of Miami (Coral Gables, FL)
- …related experience. Bachelor's degree preferred. Position requires significant experience with UM purchasing systems. The Senior Program Coordinator should have ... Affairs, has a great opportunity for a Senior Program Coordinator to work at the Coral Gables Campus. The...travel is properly booked and reimbursed in accordance with UM protocols. In some cases, this includes domestic or… more
- Providence (Orange, CA)
- …and populations served. Medical Staff Administrative Support - Supports the QM/ UM Director, Medical Director, Associate Medical Director, U/M Medical Director, and ... + Maintains policy and procedures for Medical Staff and UM /QM Department. Quality Management Responsibility + Participate in the...Participate in the SJHMG Harper Award preparation and assist QM/ UM Director and Harper team in the development and… more
- University of Miami (Miami, FL)
- …. The Department of Otolaryngology is currently seeking a full time Clinical Research Coordinator 1 to work in Miami, FL. The Clinical Research Coordinator ... and update and maintenance of documentation. Moreover, the Clinical Research Coordinator develops, verifies, and implements procedures to accomplish research goals.… more
- University of Michigan (Ann Arbor, MI)
- Clinical Research Coordinator Intermediate Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as the ... the Department of Obstetrics and Gynecology seeks an experienced Clinical Research Coordinator to join our fast-growing obstetrics research team. The ideal candidate… more
- University of Miami (Miami, FL)
- …. The Department of Pathology is currently seeking a full time Clinical Research Coordinator 2 to work in Miami, FL. The Clinical Research Coordinator 2 ... regulations. + Maintains study binders and filings according to protocol requirements, UM and department policy. + Distributes study drug materials according to… more
- University of Michigan (Ann Arbor, MI)
- Clinical Research Coordinator Associate/Technician Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached ... within the Department of Obstetrics and Gynecology seeks a Clinical Research Coordinator to join our fast-growing obstetrics research team. The ideal candidate will… more