- Stanford Health Care (Menlo Park, CA)
- …management services, which includes strategic planning, financial performance management , resource utilization , contract administration, operational metrics, ... Health Care **What you will do** + Leadership: + Conduct project intake , develop project teams, define objectives and scope, document current and future-state… more
- Sanford Health (Sioux Falls, SD)
- …40.00 **Salary Range:** $16.00 - $25.50 **Department Details** The Intake Coordinator position supports the Health Plan Utilization Management team ... 5 pm, no weekends or holidays **Job Summary** The intake coordinator serves as a support to...Utilization management performs resource benefit policy management , triages inbound and outbound calls, processes intake… more
- Trinity Health (Columbus, OH)
- …technology, financial analysis, audit, provider relations and more. **Position Purpose** 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
- Villa of Hope (Rochester, NY)
- Intake Coordinator -RN (LHTC) Full Time Rochester, NY, US Requisition ID: 1609 Apply Salary Range: $30.00 To $38.30 (USD) Hourly Intake Coordinator -RN ... Under the general direction of the Nurse Manager, the Intake Coordinator -RN is a Registered Nurse who...director of LHTC and administrative team, including billing and utilization review. + Triages potential admissions and when needed… more
- Highmark Health (Buffalo, NY)
- …the requested authorization. **ESSENTIAL RESPONSIBILITIES** + Obtain call task from Utilization Management platform, perform verbal outbound call task ... result within the platform. + Obtain triage task from Utilization Management platform and follow a detailed...set the urgency of the case creation for the Intake Coordinator . + Other duties as assigned… more
- US Tech Solutions (Boston, MA)
- …will be directly associated with incoming referrals and authorizations for the utilization component of medical management . **Key Responsibilities/Duties - what ... - Outpatient requests as needed, into information system. + Represents Medical Management at applicable activities including system user groups and other health data… more
- Highmark Health (Buffalo, NY)
- …:** **JOB SUMMARY** This job captures all inbound phone inquires for utilization management review from providers and pharmacies. The incumbent assesses ... verifying benefit coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical review, status… more
- Highmark Health (Buffalo, NY)
- …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
- UCLA Health (Los Angeles, CA)
- Description The Intake Coordinator serves as the first point of contact and facilitate access to care for patients who seek medical care from UCLA Health by ... required demographic information, insurance information and medical reports, as needed. The Intake Coordinator is responsible for registering patients in Care… more
- UNC Health Care (Hendersonville, NC)
- … utilization review, case management , and finance teams, the Intake Coordinator helps optimize access to behavioral health services while supporting ... to ensure appropriate care transition and patient placement. + Liaise with utilization review, psychiatry leadership, risk management , and/or legal department as… more
- Integra Partners (Troy, MI)
- The Utilization Management (UM) Coordinator Supervisor oversees the day-to-day operations and performance of the UM Coordinator team. This position ... required; bachelor's degree preferred. + minimum of 2 years of experience in Utilization Management (UM), managed care, or healthcare operations, preferably in a… more
- Penn Medicine (Philadelphia, PA)
- …Spruce Street Philadelphia, PA Summary: + Under minimal supervision, the Care Coordinator in Penn Signature Services (PSS) is responsible for providing the highest ... Global Medicine and The Pavilion at HUP). The Care Coordinator serves as the primary point of contact and...be provided to key stakeholders from the UPHS. -Perform intake assessments for domestic and international patients seeking care… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- … Coordinator provides moderate to advanced support to CM clinicians with their utilization management , case management , and disease management ... management , and benefit/eligibility for case management , disease management , and utilization management requests/programs. Work involves learning… more
- Brown University (Providence, RI)
- Job Description: The Reporting and Response Coordinator and Senior Title IX Officer serves as a key team member in the University's compliance with federal and state ... for Equity Compliance and Reporting, the Reporting and Response Coordinator and Senior Title IX Officer will report directly...to three (3) years of related experience in conducting intake of matters, overseeing the progress of matters, setting… more
- State of Arkansas (Little Rock, AR)
- REHABILITATION COORDINATOR Date: Dec 8, 2025 Req ID: 54562 Location: Little Rock, AR, US, 72209 Category: DEPT OF WORKFORCE SERVICES Anticipated Starting Salary: ... $53,557.92 Position Summary The Rehabilitation Coordinator assists individuals with disabilities, injuries, or health conditions in overcoming barriers to employment… more
- Trinity Health (Berwyn, IL)
- …experienced Authorization Referral Coordinator . Reporting to the Manager of Utilization Management and working under general supervision, manages ... resources and quality of healthcare services through performing initial intake , support and processing of pre-certification requests for eligible members received… more
- Penn Medicine (Philadelphia, PA)
- …administrative functions for the CPUP HR Team. The CPUP HR Administrative Coordinator will independently support intake /support triage: . Responsible for ... Full Time** **Summary:** Working under moderate supervision, the Administrative Coordinator , CPUP HR is responsible for a broad range.... Assist employees and managers with access to and utilization of various talent management tools and… more
- YesCare Corp (Goshen, NY)
- …on inpatient claims. + **Coordination of Benefits (COB):** + Work closely with Intake Coordinators and custody staff to determine if other insurance coverage exists ... at intake or during sick calls for existing inmates. +...calls for existing inmates. + Collaborate with the COB Coordinator to search alternative coverage databases when current coverage… more
- Elevance Health (Seattle, WA)
- …equivalent background. **Preferred Skills, Capabilities and Experiences:** + Experience in Utilization Management preferred. + Experience in authorization for ... **Program Coordinator ** This role supports the Foundational Community Supports...trends. + Develop and produce periodic and ad hoc management reports related to multiple and varied operational metrics… more
- Dignity Health (Los Angeles, CA)
- **Job Summary and Responsibilities** As our Quality Coordinator , you will be a pivotal driver of excellence, implementing and overseeing initiatives to enhance ... delivery. To be successful, you'll combine strong analytical and project management skills with a thorough understanding of QI principles, exceptional communication,… more
