- Centers Plan for Healthy Living (Margate, FL)
- UM Coordinator 5297 W Copans Rd, Margate, FL 33063, USA Req #1209 Monday, July 1, 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 (Des Moines, IA)
- …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 and moderately complex administrative/operational/customer support assignments. Performs computations.… 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 ... and graduate students in more than 350 majors and programs. Visit welcome.miami.edu/about- um to learn more about our points of pride. The University ranks… more
- Healthfirst (NY)
- …+ Provides excellent quality customer service to our members and/or providers relating to questions/issues such as coordinating care, DME outreach, scheduling ... appointments, and screen assessments to identify risk factors which need closer intervention + Handles calls to and from providers regarding authorizations, referrals, visits, tests, and faxed care plans + Escalates calls to appropriate departments which may… more
- St. Bernard's Medical Center (Jonesboro, AR)
- …reimbursement and denial process. Works with infusion center to prevent denials. Assists UM Coordinator with denials and appeals. Close out each tracked denial ... (overturned or recouped). Overall works to increase revenue capture related to infusion center. Facility resource for denials/appeal process and regulatory compliance as it relates to the infusion center. Must manage competing priorities, multi-task with… more
- University of Miami (Coral Gables, FL)
- …related experience. Bachelor's degree preferred. Position requires significant experience with UM purchasing systems. The Senior Program Coordinator should have ... Affairs, has a great opportunity for a Senior Program Coordinator to work at the Coral Gables Campus. The...travel is properly booked and reimbursed in accordance with UM protocols. In some cases, this includes domestic or… more
- Apex Health Solutions (Houston, TX)
- Summary: The UM Reviewer serves as a contact and resource person to Health Solutions' members for the utilization review (UR) of healthcare services. The UM ... or issues arise. To support care management initiatives, the UM Reviewer should also identify enrollees in need of...flags cases for review by the Appeals & Outcomes Coordinator *Reports potential risk management cases or situations to… more
- Children's Hospital & Research Center Oakland (Oakland, CA)
- **Position Summary:** The primary role of the Supervisor, Financial Counseling and UM is to supervise the Utilization Management and Financial Counselors activities ... the appropriate payors to insure all services provided are reimbursed. The Coordinator provides the necessary support and leadership to achieve departmental goals… more
- University of Michigan (Ann Arbor, MI)
- Quality Assurance Coordinator Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as the first page of ... that directly relate to this position. **Summary** The Safety and Preparedness Coordinator works under the supervision of the Pathology Compliance Manger and has… more
- University of Miami (Miami, FL)
- …. The University of Miami is currently seeking a Clinical Program Coordinator to work at Desai Sethi Medical Center in Miam. The incumbent ... are processed and reported in a timely manner. In addition, the coordinator will assist in monitoring the performance of artificial intelligence (AI) algorithms… more
- YesCare Corp (Bartow, FL)
- …(5) years corrections experience + Minimum of two (2) years prior experience with UM preferred + Minimum of one (1) year prior experience with McKesson InterQual ... Below is a list of your responsibilities as a **Utilization Management Coordinator ** with YesCare: + Confirms admissions with outside hospitals and notifies the… more
- University of Miami (Plantation, FL)
- …. The SCCC department is seeking a Clinical Research Coordinator 3 that will assist the Principal Investigator in the ... multiple research protocols to assure compliance per FDA, WHO, UM , and CRS regulations and policies. The CRPM will...as well as follow-up participants. + + Mentors' data coordinator in entering data onto case report forms and/or… more
- Trinity Health (Darby, PA)
- …Full time **Shift:** Day Shift **Description:** The Appeals and Utilization Management Coordinator under direction and in collaboration with the RN Care Coordination ... appeals process for the THMA South hospitals. The Appeals and Utilization Management Coordinator ensures the delivery of effective and efficient patient care as it… more
- University of Miami (Coral Gables, FL)
- …and colleges, and internal and external business partners. Sr. Program Coordinator Academic Advising + Coordinates the planning and operations for Undergraduate ... Studies programs + Manages admissions, matriculation, and registration throughout the yearly UM academic calendar + Collaborates with Assistant Dean and Director of… more
- University of Miami (Miami, FL)
- …the University of Miami/UHealth has an exciting opportunity for an Organ Allocation Coordinator 1. The Organ Allocation Coordinator 1 coordinates the allocation ... of donated organs to transplant centers. The Organ Allocation Coordinator 1 may act as the primary liaison with...a current list of contact numbers of all appropriate UM LAORA/ Transplant personnel and updates list as needed.… more
- Magna (DE)
- Sales Coordinator Automotive (m/w/x) Jobnummer: 66650 Gruppe: Magna Steyr Division: Magna Engineering & Infotainment Munich Art der Beschaftigung: Festanstellung ... suchen wir fur unseren Standort in Munchen einen Sales Coordinator Automotive. **Deine Aufgaben** + In deiner Rolle als...bieten ihm die Unterstutzung und Ressourcen, die es benotigt, um erfolgreich zu sein. Als Mitglied unseres globalen Teams… more
- University of Michigan (Ann Arbor, MI)
- EDUCATIONAL NURSE COORDINATOR - D. Dan and Betty Kahn Health Care Pavilion- Perioperative Services Apply Now **Summary** The D. Dan and Betty Kahn Health Care ... driver's license, which is monitored and must meet all UM and Department requirements to drive on behalf of...Detail** **Job Opening ID** 251050 **Working Title** EDUCATIONAL NURSE COORDINATOR - D. Dan and Betty Kahn Health Care Pavilion-… more
- Actalent (Santa Barbara, CA)
- Job Title: Health Plan Nurse Coordinator Job Description The Health Plan Nurse Coordinator is a crucial role within our Health Services' operational units. These ... Health services. These programs require the RN to perform UM or CM activities for a specific member population....with the services team which includes Case Management, Pharmacy, UM , and Peds team. The direct CM team comprises… more
- Fallon Health (Worcester, MA)
- **Overview** **The Service Coordinator works M - F 8 am to 5 pm and will require at least 6 months of training 5 days/week in the office and then will require 2 ... for incoming calls from the multiple ACD lines for the UM department addressing and/or referring customer (provider/member) calls/inquiries, provide direction… more
- University of Miami (Miami, FL)
- …of Neurology has an exciting opportunity for a Full Time Sr. Clinical Program Coordinator to work at UHealth. The Sr. Clinical Program Coordinator will work ... of all Lecanemab (Leqembi) drug infusions regardless of the UM place of service. + Schedule and coordinate all...coordinate all Lecanemab (Leqembi)-related MRI and PET scans at UM + Proactively fill infusion cancellations, reschedules, or other… more