- Centers Plan for Healthy Living (Staten Island, NY)
- UM Care Coordinator 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #12102 Tuesday, November 5, 2024 Centers Plan for Healthy Living's goal is to create ... and plans they need for healthy living. JOB SUMMARY: The Utilization Management Care Coordinator works within a multidisciplinary care team to assist with… more
- ManpowerGroup (Columbia, SC)
- + **Title:** Managed Care Coordinator UM II + **Location:** Initial on-site work required for the first week, followed by remote work. + **Hours:** ... determine medical necessity and contract benefits. + Collaborate with Care Management and other areas for timely care... Care Management and other areas for timely care management execution. + Manage assigned members and authorizations… more
- Sharp HealthCare (San Diego, CA)
- …requirements for the position, and employer business practices. **What You Will Do** The UM Care Coordinator , under the direct supervision of the Supervisor, ... well as the SCMG operation documents as appropriate for approval at the UM Care Coordinator level of review.Appropriately identify claims for review by the… more
- ManpowerGroup (Columbia, SC)
- …internal teams to support health management programs and facilitate timely care . **Key Responsibilities** **Service Review & Authorization:** + Review medical and ... needed, including Medical Directors and Case Managers. **Discharge Planning & Care Coordination:** + Collaborate with providers and facilities to determine service… more
- Humana (Columbus, OH)
- …procedures ensuring best and most appropriate treatment, care or services for members. UM Administration Coordinator 2 + Support the UM Nurses to process ... **Become a part of our caring community and help us put health first** The UM Administration Coordinator 2 provides non-clinical support for the policies and… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …regarding their requests for preservice, prospective, and concurrent reviews. The Senior UM Coordinator reports to the Manager, Utilization Management and/or ... Function as a SME (subject matter expert) for the UM Coordinator Team. + Support training of...History working in medical records review, healthcare, or managed care organizations. About At Brighton Health Plan Solutions, LLC,… more
- Humana (Guymon, OK)
- …a part of our caring community and help us put health first** The UM Administration Coordinator 2 contributes to administration of utilization management. The ... UM Administration Coordinator 2 performs basic administrative,...policies and procedures ensuring best and most appropriate treatment, care , or services for members. + Prepares and forwards… more
- Humana (Columbus, OH)
- …help us put health first** Humana Healthy Horizons in Kentucky is seeking a UM Administration Coordinator 2 who will contribute to the administration of ... utilization management. The UM Administration Coordinator 2 performs varied activities...policies and procedures ensuring best and most appropriate treatment, care or services for members. + Decisions are typically… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The UM Administration Coordinator 2 contributes to administration of utilization management. The ... UM Administration Coordinator 2 performs varied activities...policies and procedures ensuring best and most appropriate treatment, care or services for members. Decisions are typically focus… more
- Insight Global (Irvine, CA)
- Job Description Insight Global is looking for a UM Coordinator for one of their largest healthcare clients located in Irvine. * Applies knowledge/skills to ... department resources and procedures with minimal oversight: At minimum, meet the UM Coordinator daily productivity performance threshold of 65 authorizations/day… 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 ... System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …serve as a leader of positive change. The Utilization Management Coordinator utilizes clinical knowledge and understanding of behavioral health resource management ... to review and coordinate the care for a designated patient caseload. Collaborates with the...and utilization review principles in monitoring the delivery of care and promoting optimal communication among treatment team members,… more
- Access Dubuque (Dubuque, IA)
- RN- Care Coordinator **UnityPoint Health Finley Hospital** 1 Positions ID: 36229590 Posted On 07/10/2024 **Job Overview** **Overview** The Care Coordinator ... education. **Utilization Management/Revenue Cycle** + Applies the utilization management ( UM ) plan by functioning in the UM ...- Behavioral Specialty Hills & Dales RN Workers' Compensation Care Coordinator Medical Associates HCBS Program … more
- Dignity Health (Northridge, CA)
- …(https://www.dignityhealth.org/socal/locations/northridgehospital) for more information. RN Case Manager ( Care Coordinator ) Case Manager Northridge Hospital ... Medical Center The RN Care Coordinator is responsible for overseeing the...Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred. + Knowledge of managed care… more
- University of Miami (Miami, FL)
- …tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Clinical Research Coordinator 1 The University of Miami/UHealth ... an exciting opportunity for a Full Time Clinical Research Coordinator 1 to work at our UHealth Medical Campus....studies in Neurology. + Assist the PIs in developing UM protocols for submission to IRB, including but not… more
- Virginia Mason Franciscan Health (Burien, WA)
- …and more! + Sign on Bonus available **Responsibilities** **JOB SUMMARY / PURPOSE** The Care Coordinator RN is responsible for overseeing the progression of ... care and discharge planning for identified patients requiring these services. The Care Coordinator RN performs this role to meet the individual's health needs… more
- Dignity Health (Long Beach, CA)
- …happen both inside our hospitals and out in the community. **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...Certified Case Manager (CCM) Accredited Case Manager (ACM-RN) or UM Certification preferred + 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 ... and discharge planning for identified patients requiring these services. The RN Care Coordinator performs this role to meet the individual's health needs while… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …and more! Sign on bonus available! **Responsibilities** **JOB SUMMARY / PURPOSE** The Care Coordinator RN is responsible for overseeing the progression of ... care and discharge planning for identified patients requiring these services. The Care Coordinator RN performs this role to meet the individual's health needs… 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 ... care and discharge planning for identified patients requiring these services. The Care Coordinator RN performs this role to meet the individual's health… more
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