• UM Administration Coordinator

    Humana (Albany, NY)
    …telephone experience desired. + Experience with LTSS Utilization Review and/or Prior Authorization , preferably within a managed care organization. **Additional ... of our caring community and help us put health first** The UM Administration Coordinator 2 provides non-clinical support for the policies and procedures ensuring… more
    Humana (09/30/25)
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  • UM Care Coordinator

    Centers Plan for Healthy Living (Staten Island, NY)
    …authorization requests for eligible members. PRIMARY RESPONSIBILITIES: + Assists in the prior authorization of services and ongoing authorization requests ... 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
    Centers Plan for Healthy Living (07/15/25)
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  • Discharge Planner

    Ellis Medicine (Schenectady, NY)
    …or send for insurance denials or quality improvement organization appeals. + Assists UM Coordinator with data entry of insurance authorizations and denials. + ... as instructed. + Ensure discharge planning documents are provided to post-acute care facilities prior to patient return (ie. NYS Department of Health Forms, etc ) +… more
    Ellis Medicine (08/28/25)
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