- ManpowerGroup (Columbia, SC)
- **Title:** ** Managed Care Coordinator UM II** **Location: Columbia SC (Onsite)** **Duration: 3 months** **Pay Range : $31/hr (On W2)** We are looking for ... a " ** Managed Care Coordinator UM II** "to join one of our Fortune 500 clients. **Note:-** + Training will be onsite & Remote after training **Job… more
- Humana (Madison, WI)
- …+ Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization **Work-At-Home Requirements** To ensure Home or ... a part of our caring community and help us put health first** The UM Administration Coordinator 2 contributes to administration of utilization management. The … more
- Centers Plan for Healthy Living (Staten Island, NY)
- UM Care Coordinator 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #11764 Monday, September 9, 2024 Centers Plan for Healthy Living's goal is to create ... guidance and plans they need for healthy living. JOB SUMMARY: The Utilization Management Care Coordinator works within a multidisciplinary care team to… more
- Healthfirst (NY)
- …Russian, French, Creole, Mandarin, Cantonese. + Knowledge of medical terminology + Experience in managed care or other area of the healthcare industry working in ... providers relating to authorization updates, questions/issues such as coordinating care , DME outreach, scheduling appointments, and screen assessments to identify… more
- Children's Hospital & Research Center Oakland (Oakland, CA)
- …relates to Hospital Admissions, including extensive understanding of MediCal, California Children's Services, Managed Care , MediCal Managed Care and ... **Position Summary:** The primary role of the Supervisor, Financial Counseling and UM is to supervise the Utilization Management and Financial Counselors activities… more
- ManpowerGroup (Columbia, SC)
- **Title: Coordinator , Managed Care I** **Location: Columbia SC** **Duration: 06 Month's Contract** **Pay Range $25.00 to $31.00/hr.** We are looking for a " ... Coordinator , Managed Care I" to...Coordinator , Managed Care I" to join one of...Must Have Behavioral Health Experience + Previous Utilization Management ( UM ) or Case Management (CM) experience + Training will… more
- Dignity Health (Northridge, CA)
- …Accredited Case Manager (ACM-RN), or UM Certification preferred. + Knowledge of managed care and payer environment preferred. + LA City Fire Card required ... Visit dignityhealth.org/northridgehospital (https://www.dignityhealth.org/socal/locations/northridgehospital) for more information. RN Case Manager ( Care Coordinator ) Case Manager Northridge Hospital Medical… more
- Catholic Health Initiatives (Omaha, NE)
- **Overview** The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning for identified patients requiring these ... services. The RN Care Coordinator performs this role to meet...Able to apply clinical guidelines to ensure progression of care . + Knowledge of managed care… more
- Dignity Health (San Bernardino, CA)
- …Accredited Case Manager (ACM-RN) or UM Certification preferred + Knowledge of managed care and payer environment preferred. **Pay Range** $51.98 - $67.83 ... systems. Visit https://www.dignityhealth.org/socal/locations/stbernardinemedical for more information. **Responsibilities** The RN Care Coordinator is responsible for overseeing the… more
- Dignity Health (San Bernardino, CA)
- …https://www.dignityhealth.org/socal/locations/stbernardinemedical for more information. **Responsibilities** The RN Care Coordinator is responsible for ... planning for identified patients requiring these services. The RN Care Coordinator performs this role to meet...Able to apply clinical guidelines to ensure progression of care . + Knowledge of managed care… more
- Catholic Health Initiatives (Chattanooga, TN)
- …eligible full time day shift and night shift opportunities **Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of care ... planning for identified patients requiring these services. The RN Care Coordinator performs this role to meet...Able to apply clinical guidelines to ensure progression of care . + Knowledge of managed care… more
- Virginia Mason Franciscan Health (Seattle, WA)
- …vacation, adoption assistance, annual bonus eligibility, and more! **Responsibilities** The Care Coordinator RN is responsible for overseeing the progression ... discharge planning for identified patients requiring these services. The Care Coordinator RN performs this role to...Able to apply clinical guidelines to ensure progression of care . + Knowledge of managed care… more
- Dignity Health (Long Beach, CA)
- …Accredited Case Manager (ACM-RN), or UM Certification preferred + Knowledge of managed care and payer environment preferred. **Pay Range** $53.01 - $66.19 ... both inside our hospitals and out in the community. **Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of care and… more
- Dignity Health (Los Angeles, CA)
- …Accredited Case Manager (ACM-RN), or UM Certification preferred + Knowledge of managed care and payer environment preferred. This position is represented by ... systems. Visit https://www.dignityhealth.org/socal/locations/californiahospital for more information. **Responsibilities** The RN Care Coordinator is responsible for overseeing the… more
- Fallon Health (Worcester, MA)
- **Overview** **The Service Coordinator works M - F 8 am to 5 pm and will require at least 6 months of training 5 days/week in the office and then will require 2 ... a company that cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon… more
- ManpowerGroup (Rancho Cucamonga, CA)
- …for meeting accuracy standards for appropriate authorizations of referrals at the UM Coordinator level. + Responsible for representing the Inland Empire ... other matters pertinent to processing authorization requests or other UM related correspondence. + Assist Management or Utilization Management...+ Requires knowledge of ICD-9/10 and CPT codes + Managed Care or physician office a must… more
- Catholic Health Initiatives (Omaha, NE)
- …UM Certification preferred + Able to apply clinical guidelines to ensure progression of care . + Knowledge of managed care and payer environment preferred. ... Medical Center - Bergan Mercy our focus is patient-centered care . Our level I trauma center and academic medical...of medical services includes trauma services heart and vascular care emergency services surgery maternity cancer care … more
- Robert Half Office Team (Bakersfield, CA)
- …websites for benefit determinations. Ability to type 30 wpm. Broad knowledge of managed care principles. Knowledge of medical terminology and CPT/ICD-9 coding. ... looking for a meticulous and dedicated Associate Clinical Administrator Coordinator to join our team in the healthcare industry,...notices. □ Contacts members or providers for continuity of care services related to carve out notices. □ Adheres… more
- Baylor Scott & White Health (Temple, TX)
- …FACTORS** + Experience in an office/customer service environment required. Healthcare/ managed care experience highly preferred. + Excellent computer/typing ... **JOB SUMMARY** The Intake Coordinator 1 serves as help to the health...EXPERIENCE - 2 Years of Experience As a health care system committed to improving the health of those… more
- Huron Consulting Group (Chicago, IL)
- …Participate in quality assurance activities to improve utilization management processes and patient care outcomes. + Lead UM Denials Team Meetings to address ... pressure to improve clinical outcomes and reduce the cost of providing patient care . Investing in new partnerships, clinical services and technology is not enough to… more