- Elliot Health System (Bedford, NH)
- MSW Social Worker Care Coordinator for Pathways Full Time 8-430pm Eligible for a Sign on Bonus up to $5,000! POSITION SUMMARY The Inpatient Behavioral Health ... team in the ongoing clinical social work assessment of patient's status/ care management . Participates in the development, implementation and evaluation… more
- Hackensack Meridian Health (North Bergen, NJ)
- …our mission to transform healthcare and serve as a leader of positive change. The ** Care Coordinator , Utilization Management ** is a member of the ... of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to… 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 ... UM Care Coordinator 75 Vanderbilt Ave, Staten Island, NY 10304, USA... care team to assist with the care of members enrolled in our Managed Long Term … more
- Providence (Torrance, CA)
- …Under the supervision of Regional Director of Care Management , the Utilization Management Coordinator is responsible for providing support to the ... Care Management team who coordinates care . This position...Multiple shifts available **Career Track:** Admin Support **Department:** 7000 UTILIZATION MGMT CA SOCAL **Address:** CA Torrance 4180 W… more
- ManpowerGroup (Rancho Cucamonga, CA)
- Our client, a leading healthcare organization, is seeking a Coordinator - Utilization Management Outpatient to join their team. As a Coordinator - ... which will align successfully in the organization. **Job Title:** Coordinator - Utilization Management Outpatient...and CPT codes is essential. + Experience in managed care or a physician office is a must. +… more
- Trinity Health (Columbus, OH)
- …information technology, financial analysis, audit, provider relations and more. The Utilization Management Intake Coordinator provides administrative support ... input of members hospitalized and precertification relating to medical care . The Coordinator acts as a liaison...phone triaging, referrals and authorizations. + Knowledge of managed care issues related to utilization management… more
- Catholic Health Services (Melville, NY)
- … and Appeals Coordinator will perform activities to help facilitate utilization management and appeals functions to include coordination of specific process ... payment related activities. Position Responsibilities: | Prepares necessary documentation for utilization management and appeals processes, performs data … more
- Behavioral Center of Michigan (Warren, MI)
- …all state mandated regulations. Maintains compliancy with regulation changes affecting utilization management . Reviews patient recrods and evaluates patient ... Under general supervision, the Utilization Review Coordinator provides professional assessment,...and advises physicians and other departments of regulations affecting utilization management . Consults with Social Services Department… more
- WMCHealth (Valhalla, NY)
- Asst Utilization Coordinator - Appeals Company: Westchester Medical Center City/State: Valhalla, NY Category: Nursing/Nursing Management Department: Clinical ... Internal Applicant link Job Details: Internal Posting: 02/25/25 to 03/10/25 Assistant Utilization Coordinator Summary: Under general supervision, an incumbent of… more
- CareFirst (Washington, DC)
- **Resp & Qualifications** **PURPOSE:** Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and ... responsibilities related to pre-service, utilization review, care ...(all benefits/incentives are subject to eligibility requirements). **Department** Clinical Utilization Management **Equal Employment Opportunity** CareFirst BlueCross… more
- Sanford Health (Sioux Falls, SD)
- …needs of members. For individuals supporting clinical areas, additional duties are: Utilization management performs resource benefit policy management , ... pm No weekends or holidays **Job Summary** The intake coordinator serves as a support to health plan teams...assigns cases to appropriate clinical team members. Supports medical management programs and operations. Case management leads… more
- Equinox, Inc (Albany, NY)
- Intake & Utilization Coordinator - Adult Residential Services Albany, NY (http://maps.google.com/maps?q=Albany+NY+USA) Job Type Full-time Description Equinox is ... illness and an addiction that need 24/7 support. Position Summary:The Intake Utilization Coordinator will be responsible for managing housing intakes,… more
- Prime Healthcare (Joliet, IL)
- …and communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work independently and ... CMO (Chief Medical Officer). Actively participates in the Case management and UR meetings. Serves as on-going educator to...PA, or Nursing Graduate required. 2. Three years of Utilization Review experience as a Medical Review Coordinator… more
- Henry Ford Health System (Troy, MI)
- …required. * Bachelor of Science Nursing required OR four (4) years Case Management / Appeal/ Utilization Management experience in lieu of bachelor's degree. ... Under minimal supervision, reviews and screens the appropriateness of services, the utilization of hospital resources and the quality of patient care rendered.… more
- Sanford Health (SD)
- …to work remote. **Job Summary** Monitors the utilization of resources, risk management and quality of care for patients in accordance to established ... multiple administrative duties including accurate record keeping and electronic data management when needed. Ability to work with growth and development needs… more
- Prime Healthcare (Boonton Township, NJ)
- …With Us! (https://careers-primehealthcare.icims.com/jobs/195356/ utilization -review- coordinator -%28pd%29/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... the point of their admission and across the continuum of the health care management . Responsible for contacting external case managers and managed care … more
- Desert Parkway Behavioral Healthcare Hospital (Las Vegas, NV)
- …required notes are documented, the authorization detail is set up in Case Management , and the information is subsequently verified in the payor websites where ... UR metro fax emails, label when completed, update case management when necessary, save and index as appropriate. Accounts...401K Retirement Plan + Healthcare spending account + Dependent care spending account + PTO Plan with holiday premium… more
- Fairview Health Services (Maplewood, MN)
- …for you to join our outstanding team! This is a **casual position.** This Patient Care Management Coordinator provides comprehensive care coordination of ... patients as assigned. The care coordinator assesses the patient's plan of care ...**:** Have an understanding of hospital, community resources and resource/ utilization management . Have solid understanding of use… more
- Fairview Health Services (Maplewood, MN)
- …team! This is a casual position at our St. John's location. This Patient Care Management Coordinator provides comprehensive care coordination of ... patients as assigned. The care coordinator assesses the patient's plan of care ...**:** Have an understanding of hospital, community resources and resource/ utilization management . Have solid understanding of use… more
- Community Based Care of Brevard, Inc. (Rockledge, FL)
- Starting Salary: $45,000/year Position Summary: The Diversion Care Coordinator will be responsible for managing a caseload of families served in Non Judicial In ... served in North and Central Brevard County. The Diversion Care Coordinator will coordinate the delivery and...application for daily entry of case activity and the utilization management of service authorizations. 2+ years'… more
