- Hackensack Meridian Health (Perth Amboy, NJ)
- …our mission to transform healthcare and serve as a leader of positive change. The ** Utilization Management Care Coordinator ** is a member of the healthcare ... 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 (Holmdel, NJ)
- …mission to transform healthcare and serve as a leader of positive change. The **Care Coordinator , Utilization Management ** is a member of the healthcare team ... 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 (Belle Mead, NJ)
- …to transform healthcare and serve as a leader of positive change. The Utilization Management Coordinator utilizes clinical knowledge and understanding of ... appropriate alternative level of care setting for continued treatment. Employs the utilization management process to assist in setting priorities, planning,… more
- Trinity Health (Pontiac, MI)
- …customers and community groups. **D.** **Experience** Three years recent acute care utilization management experience. Knowledge of regulations relative to ... RN licensure within the State of Michigan. Certified Professional in Utilization Review/ Management preferred. **C** **Special Skill / Aptitudes** Understanding… more
- TEKsystems (Baltimore, MD)
- Description: PURPOSE: Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to ... pre-service utilization review care coordination and quality of care. ESSENTIAL...support which may include benefit verification authorization creation and management claims inquiries and case documentation. 35 Reviews authorization… more
- Sanford Health (ND)
- …- 28.00 **Department Details** Opportunity to work remotely. **Job Summary** Monitors the utilization of resources, risk management and quality of care for ... multiple administrative duties including accurate record keeping and electronic data management when needed. Ability to work with growth and development needs… more
- Evolent Health (Columbus, OH)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management ** at Evolent will serve as a ... regulatory requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly… more
- ManpowerGroup (Rancho Cucamonga, CA)
- **Job Title: Utilization Management Outpatient** **Duration: 6 months** **Location: Rancho Cucamonga, CA (Hybrid, Twice in a month)** **Pay rate: $23.98/hr.** ... **We are looking for an Utilization Management Outpatient** **to join one of...standards for appropriate authorizations of referrals at the UM Coordinator level. + Responsible for representing the Inland Empire… more
- UCLA Health (Los Angeles, CA)
- …You can do all this and more at UCLA Health. Under the direction of the Utilization Management , Assistant Manager, you will play a key role in processing and ... role within a leading health organization. Help ensure smooth and efficient case management processes to support quality care. Take your expertise to the next level.… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …with the guidance and plans they need for healthy living. JOB SUMMARY: The Utilization Management Care Coordinator works within a multidisciplinary care team ... 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 the… more
- Moss Adams LLP (Albuquerque, NM)
- …teams, human resources and internal accounting to promote people development and maximize utilization . The Resource Management Coordinator will work to ... **Resource Management Coordinator ** **Description** At Moss Adams,...strategy and employer of choice initiatives. They monitor staff utilization , coordinate staff schedules and deploy team members to… more
- Covenant Health Inc. (Louisville, TN)
- Overview Utilization Review Coordinator , Quality Management Full Time, 80 Hours Per Pay Period, Day Shift Peninsula Overview: Peninsula, a division of ... budgeted targets. + Provides medical/psychiatric leadership/consultation to Provider Relations, Medical Utilization Management , and Quality Management Staff… more
- Humana (Columbus, OH)
- …first** The UM Administration Coordinator 2 contributes to administration of utilization management . The UM Administration Coordinator 2 performs varied ... Performs computations. Typically works on semi-routine assignments. The UM Administration Coordinator 2 provides non-clinical support for the policies and procedures… more
- Humana (Columbus, OH)
- …UM Administration Coordinator 2 who will contribute to the administration of utilization management . The UM Administration Coordinator 2 performs varied ... computations and typically works on semi-routine assignments. The UM Administration Coordinator 2 provides non-clinical support for the policies and procedures… more
- Spokane County (Spokane, WA)
- …Behavioral Health Administrative Services Organization Utilization Review Integrated Care Coordinator : + Performs utilization management , utilization ... practice standards for substance use disorder assessment and treatment. + Knowledge of utilization management of public behavioral health. + Knowledge of federal… more
- InnovaCare (San Juan, PR)
- …aberrant Inpatient days, documents, and codes and reports the data to the Utilization Management Inpatient Coordinator and Inpatient Nurses.13. Captures ... utilization data and forwards the information, daily, to the Utilization Management Inpatient Coordinator .14. Prepares and submits to the Health Services… more
- St. Luke's University Health Network (Lehighton, PA)
- …utilization management of psychiatric cases in the absence of the utilization management coordinator . PHYSICAL AND SENSORY REQUIREMENTS: Able to ... and the Manager regarding variances, aspects of patient care management . + Facilitates insurance authorization, pre-certification, and concurrent reviews for… more
- Fairview Health Services (Edina, MN)
- …service coordination and referral, transition management , utilization management and quality assurance. The care coordinator promotes holistic, high ... Convenes interdisciplinary team members, as needed, for complex case management + Consults with FVP Nurse Care Coordinator... management + Consults with FVP Nurse Care Coordinator for members with complex health care needs +… more
- Fairview Health Services (Princeton, MN)
- …service coordination and referral, transition management , utilization management and quality assurance. The care coordinator promotes holistic, high ... Convenes interdisciplinary team members, as needed, for complex case management + Consults with FVP Nurse Care Coordinator... management + Consults with FVP Nurse Care Coordinator for members with complex health care needs +… more
- Fairview Health Services (Princeton, MN)
- …service coordination and referral, transition management , utilization management and quality assurance. The care coordinator promotes holistic, high ... Fairview has an immediate opening for an RN Care Coordinator to join the Fairview Partners Care Coordination team...Partners (FVP) provides high intensity care coordination and case management for seniors and other at-risk populations living in… more
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