• Lead Utilization Management

    Houston Behavioral Healthcare Hospital (Houston, TX)
    …Houston Behavioral Healthcare Hospital (HBHH) currently has an opening for Full-time Lead Utilization Management Coordinator , Monday-Friday, 8a-4p. The Lead ... Utilization Management Coordinator will report to the Director of Utilization Review and will be responsible to provide quality case management more
    Houston Behavioral Healthcare Hospital (08/09/25)
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  • Utilization Management

    Humana (Columbus, OH)
    …PH ,UM Administration Coordinator 2 contributes to administration of PH utilization management . The UM Administration Coordinator 2 provides non-clinical ... appropriate treatment, care or services for members. The UM Administration Coordinator 2 processes requests for authorization of health services, requiring… more
    Humana (08/02/25)
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  • Care Management , Care Coordinator

    Hackensack Meridian Health (Hackensack, NJ)
    …and serve as a leader of positive change. The **Care Management , Care Coordinator , Utilization Management ** is a member of the healthcare team and ... patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to manage length… more
    Hackensack Meridian Health (08/08/25)
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  • RN Utilization Management

    Corewell Health (Southfield, MI)
    …+ Preferred Bachelor's Degree in nursing or related field. + Hospital utilization review/ utilization management experience. Preferred + Clinical appeals ... Location SITE - Beaumont Service Center - 26901 Beaumont Blvd Department Name Utilization Management - CH East Employment Type Part time Shift Day (United States… more
    Corewell Health (07/31/25)
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  • Utilization Management

    Actalent (Santa Barbara, CA)
    …, medical management and health services team members in the implementation and management of Utilization Management , Case Management , Disease ... Health care, Medicare, Managed care, Medical management , Case management , Utilization management , Claim Top Skills Details Data entry,Concurrent… more
    Actalent (08/01/25)
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  • Utilization Management

    Ascension Health (Georgetown, TX)
    …+ 1-2 years of Health Plan experience, preferred. + 1-2 years of Utilization Management experience, preferred. + High call phone volume experience, preferred. ... CST, Partially Remote, occasional weekends. + **Facility:** Ascension Care Management Insurance + **Location:** Seton Administrative Offices, 1345 Philomena, Austin,… more
    Ascension Health (08/08/25)
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  • Care Coordinator , Utilization

    Hackensack Meridian Health (Brick, NJ)
    …expert computer skills. + Familiar with hospital resources, community resources, and utilization management . + Excellent written and verbal communication skills. ... healthcare and serve as a leader of positive change. The **Care Coordinator , Care Management ** is a member of the healthcare team and is responsible for… more
    Hackensack Meridian Health (07/23/25)
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  • UM Coordinator

    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
    Centers Plan for Healthy Living (07/15/25)
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  • Remote Claims Auditor

    NTT DATA North America (Decatur, IL)
    …when executed as part of an overall sourcing strategy. NTT DATA currently seeks a Utilization Management Coordinator to join our team for a remote position. ... of extension and direct hire Pay Rate $22-$23/hr **Position Summary:** The Utilization Management Coordinator reports to the Director of Claims. This… more
    NTT DATA North America (07/08/25)
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  • Case Manager, Adolescent Behavioral Health…

    St. Luke's University Health Network (Easton, PA)
    utilization management of psychiatric cases in the absence of the utilization management coordinator . PHYSICAL AND SENSORY REQUIREMENTS: Able to ... and the Manager regarding variances, aspects of patient care management . + Facilitates insurance authorization, pre-certification, and concurrent reviews for… more
    St. Luke's University Health Network (07/19/25)
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