• UM Coordinator

    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
    Centers Plan for Healthy Living (10/14/25)
    - Related Jobs
  • Referrals Coordinator

    Humana (Tallahassee, FL)
    …our caring community and help us put health first** The Referrals Coordinator 2 process referrals from Military Treatment Facilities (MTFs) and civilian providers. ... The Referrals Coordinator 2 performs varied activities and moderately complex administrative/operational/customer...Military referral processes, MOUs with MTFs, and referral and UM policies. + Answers questions or contacts MTFs and/or… more
    Humana (12/12/25)
    - Related Jobs
  • Diversion Care Coordinator (North)

    Community Based Care of Brevard, Inc. (Rockledge, FL)
    Starting Salary: $49,700/year Position Summary: The Diversion Care Coordinator will be responsible for managing a caseload of families served in Non Judicial In Home ... families served in North and Central Brevard County. The Diversion Care Coordinator will coordinate the delivery and care coordination of services, make referrals,… more
    Community Based Care of Brevard, Inc. (11/29/25)
    - Related Jobs
  • FSS Care Coordinator - Brevard County

    Community Based Care of Brevard, Inc. (Rockledge, FL)
    …that decisions and actions have support of the group. 5. Service Utilization UM /Wrap - Essential Function: Manages the daily service utilization log and submits to ... Brevard CARES FSS Supervisor for necessary authorization to monitor costs and track other sources of services and funding. Coordinates with providers to ensure service delivery in timely manner and to ensure needs are being addressed as detailed in the… more
    Community Based Care of Brevard, Inc. (09/18/25)
    - Related Jobs