- Centers Plan for Healthy Living (Margate, FL)
- …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
- Humana (Columbus, OH)
- …PH , UM Administration Coordinator 2 contributes to administration of PH utilization management . The UM Administration Coordinator 2 provides ... requiring interpretation of area/department policy and methods for completing assignments. The UM Coordinator works within defined parameters to identify work… more
- Actalent (Santa Barbara, CA)
- …, medical management and health services team members in the implementation and management of Utilization Management , Case Management , Disease ... Services management team in the implementation and management of UM /CM/DM/PH activities * Actively participate...care, Medicare, Managed care, Medical management , Case management , Utilization management , Claim Top… more
- Cedars-Sinai (Beverly Hills, CA)
- **Job Description** The Case Management Coordinator provides support to the utilization review process. The coordinator works collaboratively with all ... team members of Utilization Management , Patient and Provider Services, Claims Department and other...beyond. **Req ID** : 11487 **Working Title** : Case Management Coordinator - Inpatient Specialty Program **Department**… more
- Cedars-Sinai (Beverly Hills, CA)
- …**A Little More About What You Will be Doing** The Case Management Coordinator provides support to the utilization review process. The coordinator works ... collaboratively with all team members of Utilization Management , Patient and Provider Services, Claims Department and other...preferred. **Req ID** : 10884 **Working Title** : Case Management Coordinator (Hybrid) - MNS Ambulatory Care… more
- Catholic Health Initiatives (Schuyler, NE)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... effectively with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs integrate. +… more
- Virginia Mason Franciscan Health (Seattle, WA)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and ... **Responsibilities** The Care Coordinator RN is responsible for overseeing the progression...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management … more
- Dignity Health (Los Angeles, CA)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... 10% of salary for this position. The RN Care Coordinator is responsible for overseeing the progression of care...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management … more
- Dignity Health (Long Beach, CA)
- …emphasis will be on care coordination communication and collaboration with utilization management nursing physicians ancillary departments insurers and post ... **Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management … more
- Dignity Health (Glendale, CA)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... **Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management … more