• UM Care Coordinator

    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 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 +… more
    Centers Plan for Healthy Living (04/15/25)
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  • Registered Nurse Coordinator…

    Trinity Health (Syracuse, NY)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** The RN Utilization Management Nurse Coordinator is responsible for both concurrent and ... utilization requirements and 3rd party payor contracts. The UM department is responsible for LOS and Level of...to meet targets. + Participates in all aspects of utilization management . Assist with strategies, plans and… more
    Trinity Health (04/02/25)
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  • CHS Utilization and Appeals…

    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
    Catholic Health Services (02/14/25)
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  • Unit Clinical Care Coordinator RN Unit C3

    Bassett Healthcare (Cooperstown, NY)
    …best quality of life possible. What you'll do The Unit Clinical Care Coordinator RN Unit C3 acts a principle liaison between emergency services, surgical services, ... nursing, finance, physicians, utilization review and medical records to ensure appropriate bed...to each patient. Clinical and Technical Responsibilities: Provides case management services as appropriate throughout the life span and… more
    Bassett Healthcare (04/30/25)
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  • Unit Clinical Care Coordinator RN Unit C3

    Bassett Healthcare (Cooperstown, NY)
    …principal liaison between emergency services, surgical services, nursing, finance, physicians, utilization review and medical records to ensure appropriate bed is ... care appropriate to each patient. Clinical and Technical Responsibilities: Provides case management services as appropriate throughout the life span and in various… more
    Bassett Healthcare (04/25/25)
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