- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role The UM Coordinator is responsible for coordinating all aspects of the prior authorization process, including member eligibility and benefit ... verification, gathering necessary clinical information from electronic medical record, and timely communication with members, providers and facility staff. Candidates should possess knowledge of third-party reimbursement regulations and medical terminology.… more
- Centers Plan for Healthy Living (Margate, FL)
- …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 ... members enrolled in our Managed Long Term Care program and facilitate authorization requests for eligible members. PRIMARY RESPONSIBILITIES: + Assists in the prior authorization of services and ongoing authorization requests + Assists in completing… more
- Health Care Service Corporation (Helena, MT)
- …to obtain multi-state licenses. **Preferred Job Qualifications:** + Familiarity with UM /CM activities and standardized criteria set. + Knowledge of ancillary ... services including HHC, SNF, Hospice, etc. **Telecommute:** This is a Telecommute (Remote) role: Must reside within 250 miles of the office or anywhere within the posted state. \#LI-TELECOMMUTE \#LI-SG1 **Are you being referred to one of our roles? If so, ask… more
- Integra Partners (Troy, MI)
- The UM Coordinator assists and supports the clinical team ( UM Nurses/Medical Director) with administrative and non-clinical tasks related to processing ... HCPC codes + Maintaining expected timelines EXPERIENCE: + 1 year as a UM Coordinator in a managed care payer environment preferred + Knowledge of ICD-10, HCPCS… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Under the supervision of the Utilization Management ( UM ) Operations Supervisor, the UM Coordinator I's primary job function is to support UM ... the provider call center lines), and appropriately processing required UM notifications (letters, faxes, etc.). MINIMUM QUALIFICATIONS: HS Diploma,GED,or Equivalent… more
- CVS Health (Baton Rouge, LA)
- …managers, providers, and enrollees on prior authorization requests for services. The UM Coordinator will collaborate with all key stakeholders ensuring enrollees ... heart, each and every day. **Position Summary** The Utilization Management Coordinator /UMNC assists in ensuring that authorization request decisions are made based… more
- University of Miami (Coral Gables, FL)
- …and guests speakers to recruiting to promote the U Network to prospective recruits. Coordinator of the UM Women's Football Clinic + Organize efforts for a ... wives on their event participation. + Facilitate catering for event. + Coordinator for UM Footballs Wives Annual Football Trip + Plan and execute details for… more
- University of Miami (Miami, FL)
- …Department of SCCC has an exciting opportunity for a Full Time Clinical Research Coordinator 2 to work at the UHealth campus in Miami, Fl. CORE JOB SUMMARY ... The Clinical Research Coordinator 2 serves as a mid-level clinical research professional...Maintains study binders and filings according to protocol requirements, UM and department policy. 5. Distributes study drug materials… more
- University of Miami (Miami, FL)
- …of International Health is currently seeking a full time International Patient Coordinator to work in Miami. The International Patient Coordinator , under ... pricing and bundled packages; obtains CPT codes and diagnosis information from UM physicians; obtains letters of agreement and payments from international payers… more
- University of Miami (Boca Raton, FL)
- …tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Clinical Research Coordinator 1 The University of Miami/UHealth ... an exciting opportunity for a Full Time Clinical Research Coordinator 1 to work at the UHealth Medical Campus....studies in Neurology. + Assist the PIs in developing UM protocols for submission to IRB, including but not… more
- University of Miami (Coral Gables, FL)
- …and Teamwork (DIRECCT) we strive to create an environment where everyone contributes to making UM a great place to work. We are one of the largest private employers ... interaction with each other and our stakeholders. General Overview: The Development Coordinator serves as a Development and Alumni Relations (DAR) team point of… more
- Doosan Bobcat (Blenheim, SC)
- Credit & Collections Coordinator (m/w/d) Last Updated Date: Dec 3, 2025 Location: Bensheim, DE, 64625 Company: Doosan Bobcat Germany Bensheim Wir sind Bobcat. Eine ... Aussergewohnliches schaffen konnen. Wir suchen einen Credit & Collections Coordinator (m/w/d) zur Verstarkung unseres Bobcat-Teams. Job Information AlsSachbearbeiter… more
- Fallon Health (Worcester, MA)
- …for incoming calls from the multiple ACD lines for the UM department addressing and/or referring customer (provider/member) calls/inquiries, provide direction ... Manage applicable queues in both the core system (QNXT UM and Call Tracking) and the case management application...focus toward excellent customer service. In addition, the Service Coordinator will attain the targets for a customer service… more
- Dignity Health (Oxnard, CA)
- **Job Summary and Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning for identified patients ... requiring these services. The RN Care Coordinator performs this role to meet the individual's health...Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred + Knowledge of managed care and… more
- CommonSpirit Health (West Jordan, UT)
- …help you flourish and leaders who care about your success. The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning for ... identified patients requiring these services. The RN Care Coordinator performs this role to meet the individual's health needs while promoting quality of care, cost… more
- University of Michigan (Ann Arbor, MI)
- EDUCATIONAL NURSE COORDINATOR (Michigan Dialysis Services) Apply Now **Job Summary** The Education Nurse Coordinator will work with staff members and management ... CEs and professional development for advancement **Responsibilities The **Educational Nurse Coordinator (ENC)** for the Michigan Dialysis Services (MDS) will play a… more
- Dignity Health (Los Angeles, CA)
- …bonus not to exceed 10% of salary for this position. The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning for ... identified patients requiring these services. The RN Care Coordinator performs this role to meet the individual's health needs while promoting quality of care, cost… more
- University of Michigan (Ann Arbor, MI)
- Community Outreach Coordinator (TERM-LIMITED) Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as the ... and Rehabilitation (PM&R) seeks a qualified candidate for the position of Community Outreach Coordinator to join our team. This role will support the work of the… more
- Dignity Health (Phoenix, AZ)
- …the mission of the Hospital. **Job Summary / Purpose** The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning for ... identified patients requiring these services. The RN Care Coordinator performs this role to meet the individual's health needs while promoting quality of care, cost… more
- University of Michigan (Ann Arbor, MI)
- Activity Coordinator Apply Now **Mission Statement** Michigan Medicine improves the health of patients, populations and communities through excellence in education, ... as a member of the Child & Family Life team, the Activity Coordinator is responsible for the daily operation and supervision of hospital activity centers.… more