- Trinity Health (Columbus, OH)
- …including information technology, financial analysis, audit, provider relations and more. The Utilization Management Intake Coordinator provides ... equipment items for members based on Medicare criteria. The Coordinator manages member data accuracy from intake ...authorizations. + Knowledge of managed care issues related to utilization management , HCFA regulations, plan benefits and… more
- Highmark Health (Columbus, OH)
- …Description :** **JOB SUMMARY** This job captures all inbound inquires for utilization management review from providers and pharmacies. The incumbent assesses ... member, and then creates the case (data entry) in Highmark's Utilization Management system for Prior Authorization clinical review. Ensures all accurate… more