- Universal Health Services (Sacramento, CA)
- Responsibilities Sierra Vista Hospital is seeking a full-time Utilization Management Coordinator (MSW, MFT, MA, RN) for the Utilization Management ... expertise to those suffering from emotional, behavioral and addiction problems. The Utilization Management Coordinator (MSW, MFT, MA, RN) is responsible for… more
- Universal Health Services (Houston, TX)
- Responsibilities Utilization Management Coordinator -PRN Opportunity West Oaks Hospital has provided psychiatric care to the Houston area and surrounding ... https://westoakshospital.com/ West Oaks Hospital is seeking a dynamic and talented Utilization Management Coordinator PRN to join our team of compassionate,… more
- Universal Health Services (Dover, DE)
- …what we do! Dover Behavioral Health system is seeking qualified candidates for our Utilization Management Coordinator - Full-Time position. In this role, you ... and/or hospital experience Preferred: + One (1) year experience as a Utilization Management Coordinator at a long-term care facility About our parent… more
- Universal Health Services (Louisville, CO)
- …services. centennialpeaks.com Centennial Peaks Hospital is seeking a dynamic and talented Utilization Management Coordinator join our team of compassionate, ... dedicated professionals. The UM coordinator evaluates patient medical records to determine severity of...stay and level of care. They will also coordinate utilization review activities with other departments to ensure authorization… more
- Tenderheart Health Outcomes (Austin, TX)
- Utilization Management Coordinator - Bilingual Job ID 27730979 Work Hybrid Yes Location Austin, TX 78744 Other Location Description For nearly two decades, ... been improving the lives of those we serve with high-quality incontinence care management . We start with each individual patient by actively listening to their… more
- Universal Health Services (Philadelphia, PA)
- …specialized co-occurring psychiatric and chemical dependency treatment. We are currently seeking a Utilization Management (UM) Coordinator to join our team. ... Utilization Management (UM) Coordinator Position Fairmount Behavioral Health System is... Position Fairmount Behavioral Health System is seeking a Utilization Management (UM) Coordinator to… more
- Humana (Oklahoma City, OK)
- **Become a part of our caring community and help us put health first** 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… more
- Dignity Health (Rancho Cordova, CA)
- …**Responsibilities** **Position Summary:** Under the direction of Utilization Management (UM) leadership, the UM Coordinator processes prior authorization ... referral creation, formation, data entry and ensure UM notification. The UM Coordinator is responsible for referral outcome notification via letter collation and… more
- Hackensack Meridian Health (Hackensack, NJ)
- …healthcare and serve as a leader of positive change. The Case Management Care Coordinator , Utilization Management is a member of the healthcare team and ... patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to manage length… more
- Hackensack Meridian Health (Perth Amboy, NJ)
- …healthcare and serve as a leader of positive change. The Care Management , Care Coordinator , Utilization Management is a member of the healthcare team and ... patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to manage length… more
- Hackensack Meridian Health (Edison, NJ)
- **Overview** The Care Management , Care Coordinator , Utilization Management is a member of the healthcare team and is responsible for coordinating, ... patient?s treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to manage length… more
- Universal Health Services (Doylestown, PA)
- …is a Monday-Friday full-time position offering full-time benefits and competitive pay. The Utilization Management Coordinator is responsible for all ... of medical necessity and timely discharge planning. + Maintains data on utilization management activities and generates required reports, logs, and files… more
- Universal Health Services (Chicago, IL)
- …continued treatment based on payer's criteria and in accordance with the hospital wide Utilization Management Plan. Serves as liaison to 3rd and 4th party ... physician reviews with payers as required. Maintains all records/data pertaining to the Utilization Management Program. Actively participates in Utilization … more
- Universal Health Services (Chicago, IL)
- …based on payer's criteria and in accordance with the hospital wide Utilization Management Plan. Coordinates with the Business Office, Admissions Department ... and Utilization Management Department. Obtains billing and insurance information, verification of benefits, communicates problematic benefit verification with… more
- Dignity Health (Northridge, CA)
- …than 400 care centers. Visit dignityhealth.org/northridgehospital for more information. The RN Utilization Management Coordinator (UMC) is responsible for ... setting required. + Current CA Registered Nurse (RN) license + Prior Utilization Management experience in a clinical or insurance setting required. + Previous… more
- Universal Health Services (Highlands Ranch, CO)
- …care, partial hospitalization, and intensive outpatient programs. www.highlandsbhs.com The Utilization Review Coordinator possesses knowledge of psychiatric ... diagnosis and the ability to articulate those indicators professionally. The UM Coordinator manages medical necessity by evaluating the patient medical records to… more
- Universal Health Services (Chicago, IL)
- …JOB SUMMARY: Responsible for all denial and appeal activities for the Utilization Management department, including Expedited Appeals, Standard Appeals, External ... to resolve issues related to appeals. Maintains all records/data pertaining to the Utilization Management Program. Actively participates in Utilization … 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 ... specialists and other members of the health care team regarding care management strategies, identifying strategies to maximize continuity of care across the… more
- UCLA Health (Los Angeles, CA)
- …Take on a high-impact role within a world-class health organization. Help drive the continued delivery of exceptional patient care. Take your career to the next ... level. You can do all this and more at UCLA Health. In this key position, you will be the primary point of contact for receiving and resolving member denials. You will review denials for accuracy, confirming the receipt of necessary documentation to support… more
- Providence (Torrance, CA)
- …Under the supervision of Regional Director of Care Management , the Utilization Management Coordinator is responsible for providing support to ... functions and activities identified during the initial and ongoing assessment and management of patients. The UM Coordinator coordinates with multiple… more