- Healthfirst (NY)
- The Support Coordinator is responsible for assisting the care/case managers with non-clinical activities such as creating cases and events; providing telephonic ... and Individual Health Care Plans on behalf of the care/case managers. The Support Coordinator is assigned to a specific clinical team (such as Care Management,… more
- AdventHealth (Altamonte Springs, FL)
- …the Utilization Management team with Emergency, Observation and Inpatient visits. The UM Coordinator is responsible for processing and documenting clinical ... Whole Person Wellbeing Resources . Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about...from payors via fax (Vyne), email or phone. The UM Coordinator is responsible for collaborating with… 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
- Universal Health Services (Oakland Park, FL)
- … - RN Denials & Appeals (Experience a must) The main duties of the UM Coordinator - RN are: to coordinate and monitor appropriate utilization and documentation ... inpatient and outpatient programs and coordinate authorization with third-party payors. UM Coordinators also review cases for appropriateness of admission, continued… 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 ... regulatory standards and operating procedures. Also, this employee provides preservation support for local, regional, and national recoveries. CORE JOB FUNCTIONS +… 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 ... regulatory standards and operating procedures. Also, this employee provides preservation support for local, regional, and national recoveries CORE JOB FUNCTIONS +… more
- Universal Health Services (Orlando, FL)
- …Position Summary The Utilization Review Coordinator performs admission and concurrent review ... UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation… more
- Universal Health Services (Doylestown, PA)
- Responsibilities Foundations Behavioral Health is currently hiring a full-time Utilization Review Coordinator to support our UM Department in Doylestown, PA. ... response to denial of initial or continued stay certification. + Internally, the UM Coordinator will interface with hospital management, staff, and patients. +… 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
- Providence (Orange, CA)
- …required by specific area of hire and populations served. Medical Staff Administrative Support - Supports the QM/ UM Director, Medical Director, Associate Medical ... with Director. + Maintains policy and procedures for Medical Staff and UM /QM Department. Quality Management Responsibility + Participate in the SJHMG Harper Award… 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… more
- University of Miami (Miami, FL)
- … Coordinator 1 to work in Miami, FL. The Clinical Research Coordinator provides professional level support for research clinical studies involving human ... and update and maintenance of documentation. Moreover, the Clinical Research Coordinator develops, verifies, and implements procedures to accomplish research goals.… more
- Ventura County (Ventura, CA)
- Referral Coordinator I/II - Bilingual Required Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4350471) Apply Referral Coordinator I/II - ... + Benefits + Questions Description THE POSITION: The referral coordinator is an integral part of the care team,...the loop after appointment. + Collaborates with Medical Management, UM and health plans to resolve issues with pending… more
- Actalent (Santa Barbara, CA)
- …copy of RN License to khabitz @actalentservices.com** Description: The Health Plan Nurse Coordinator (HPNC) is a Registered Nurse who is assigned to one of several ... Mental/Behavioral Health services. These sub-specialized programs require the RN to perform UM or CM activities for a specific member population. Bilingual in… more
- University of Michigan (Ann Arbor, MI)
- …Medicine CRC Career Ladder (https://research.medicine.umich.edu/our-units/clinical-trials- support -office/clinical-research- coordinator -career-ladder) . This ... quality control efforts (eg, review of consents for signatures) 20% **Regulatory Coordinator Responsibilities** (May work with regulatory support to collect… more
- University of Michigan (Ann Arbor, MI)
- EDUCATIONAL NURSE COORDINATOR -Offsite MPU Educational Nurse Coordinator Apply Now **Summary** Provide focused and episodic care for outpatient and inpatient ... unit practices. To provide comprehensive professional nursing (80%) and educational support (20%). Complete needs assessments to identify gaps, create and implement… more
- LA Care Health Plan (Los Angeles, CA)
- Enhanced Care Management Coordinator II Job Category: Administrative, HR, Business Professionals Department: Care Management Location: Los Angeles, CA, US, 90017 ... County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose....that purpose. Job Summary The Enhanced Care Management (ECM) Coordinator II provides a broad range of project and… more
- Bassett Healthcare (Cooperstown, NY)
- …level of care (ICU, Med/Surg, etc.). Works collaboratively with unit staff and support team (Complex C3, etc.) to progress each patient's care towards discharge. ... status and level of care matches order. Collaborates with UM Nurse to assure that all payor and status...on discharge needs/barriers for all patients; initiates intervention by UM Nurse as needed. Identifies need for patient to… more
- Catholic Health Initiatives (Chattanooga, TN)
- …Southeast Tennessee and North Georgia. We offer the following benefits to support you and your family: On-site childcare with extended hours Care@Work premium ... account for additional support with children pets dependent adults and household needs...shift and night shift opportunities **Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of care… more
- University of Miami (Coral Gables, FL)
- …. The Miami Herbert Business School has an exciting opportunity for a Sr. Program Coordinator to work at the Coral Gables Campus. JOB SUMMARY The Senior Program ... Coordinator oversees and coordinates the day-to-day operations of career-related...and maintain strategic and collaborative working relationship with other UM units, especially Toppel Career Center and the MHBS… more