- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role The UM Coordinator Supervisor manages the daily operations of the UM Coordinator team providing direct guidance and support with ... clinical team to support the plan's clinical operations. The Supervisor of the UM Coordinator reports to the UM Manager and/or Director of Clinical Programs.… 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 ... determination updates. + Function as a SME (subject matter expert) for the UM Coordinator Team. + Support training of new hires. + Collaborate on the creation… 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
- Centers Plan for Healthy Living (Margate, FL)
- UM Coordinator 5297 W Copans Rd, Margate, FL 33063, USA Req #1209 Tuesday, November 5, 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
- 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 and moderately complex administrative/operational/customer support… 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:** ... Monday-Friday, 8:00 AM-4:30 PM or 8:30 AM-5:00 PM. + **Pay Range:** $25 to $31.25/hr. + **Duration:** 4 months (hight possibility for an extension) **Role Overview** This role involves reviewing and evaluating medical or behavioural eligibility for benefits… 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 ... of cadaveric organs to be used in surgical transplants. The incumbent also helps to ensures organ recovery activities are in accordance with all applicable regulatory standards and operating procedures. Also, this employee provides preservation support for… 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 attending LIP, Clinical Case Manager, nurse, and other members of the treatment team, ACCESS center staff and PFS department to ensure appropriate utilization of… 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 ... denials, and other matters pertinent to processing authorization requests or other UM related correspondence. + Assist Management or Utilization Management Nurses as… more
- Ellis Medicine (Schenectady, NY)
- …or send for insurance denials or quality improvement organization appeals. + Assists UM Coordinator with data entry of insurance authorizations and denials. + ... Denial Management Activities + Assists Denial Management staff with clerical support; including facilitating MD to MD reviews. + Performs audit activities under the supervision of the Director of Case Management and Social Work Services. more
- Dartmouth Health (New London, NH)
- …days of admission. Initiates discharge planning process. Maintains communication with UM coordinator regarding assessments, outcomes, and projected lengths of ... stay. Serves as a resource to the healthcare team, communicating with the physician, consultants, and all members of the healthcare team. Participates with the physician/multidisciplinary to review the plan and progress of care, to evaluate the effectiveness… more
- Trinity Health (Syracuse, NY)
- …time **Shift:** Day Shift **Description:** The RN Utilization Management Nurse Coordinator is responsible for both concurrent and retrospective inpatient and ... in accordance with the utilization requirements and 3rd party payor contracts. The UM department is responsible for LOS and Level of Care to provide effective… more
- University of Miami (Coral Gables, FL)
- …College Access programs and the BreakthroughU yearly and summer programs. The Senior Program Coordinator will work as a representative of UM and as an ambassador ... Breakthrough Miami (BTM), seeks a full-time Service and Engagement Senior Program Coordinator to join its team of professionals. The Service and Engagement Senior… 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
- University of Miami (Miami, FL)
- …of International Health is currently seeking a full time International Patient Coordinator to work in Miami. The International Patient Coordinator , under ... pricing and bundled packages; obtains CPT codes and diagnosis information from UM physicians; obtains letters of agreement and payments from international payers… more
- University of Miami (Miami, FL)
- …Radiology Administration has an exciting opportunity for a full time Clinical Program Coordinator to work at Desai Sethi Medical Center in Miami. The incumbent ... and safeguards University assets. DEPARTMENT SPECIFIC FUNCTIONS The Clinical Program Coordinator plays a critical role in the Radiology Department, overseeing the… more
- University of Miami (Miami, FL)
- …International Health has an exciting opportunity for a full time International Patient Coordinator to work hybrid. The incumbent works under the supervision of the ... pricing and bundled packages, obtains CPT codes and diagnosis information from UM physicians, obtains letters of agreement and payments from international payers,… more
- University of Miami (Miami, FL)
- …Recovery Agency https://www.laora.org/ is currently seeking a full time Organ Allocation Coordinator 2. The Organ Allocation Coordinator 2 (OAC) coordinates the ... safety assessment and improvement for donation and transplantation. The Organ Allocation Coordinator 2 (OAC) may act as the primary liaison with the transplant… 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 ... patient self-management education. **Utilization Management/Revenue Cycle** + Applies the utilization management ( UM ) plan by functioning in the UM role as… more
- University of Miami (Miami, FL)
- …sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Sr. Clinical Program Coordinator The University of Miami/UHealth Department ... exciting opportunity for a Full Time Sr. Clinical Program Coordinator to work at the UHealth medical campus. The...of all Lecanemab (Leqembi) drug infusions regardless of the UM place of service. + Schedule and coordinate all… more
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