- Humana (Boston, MA)
- …service or customer service telephone experience desired. + Experience with LTSS Utilization Review and/or Prior Authorization, preferably within a managed care ... 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
- Fallon Health (Worcester, MA)
- …other applicable regulatory requirements and customer expectations. The FH Authorization Coordinator serves to administer the FH prior authorization process as ... Coverage, departmental policies and procedures, and regulatory standards. The Authorization Coordinator serves as a liaison between FH members and/or provider… more
- Lawrence General Hospital (Methuen, MA)
- …acute care setting with discharge planning, continuing care, care management, and utilization review preferred. ? Strong verbal and written communications skills ... Job Description: The RN Care Coordinator is responsible for overseeing the appropriateness of...of the Hospital on a rotating basis to perform utilization reviews and other UM activities, as… more