- Ascension Health (Georgetown, TX)
- …and salary range at the time of the offer._ **Responsibilities** As a Utilization Management Coordinator supporting our Ascension Insurance Utilization ... degree or above preferred + 2+ years of Health Insurance Utilization Management coordination experience + 2+ years of Medical Referrals and Preauthorization… more
- Humana (Dover, DE)
- …health first** The UM Administration Coordinator contributes to administration of utilization management . The UM Administration Coordinator 2 performs ... Description **Achieve your best at Humana. Join Us!** The UM Administration Coordinator provides non-clinical support for the policies and procedures ensuring best… more
- Hackensack Meridian Health (Old Bridge, 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
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Under the supervision of the Utilization Management (UM) Operations Supervisor, the UM Coordinator I's primary job function is to support UM ... operations by performing any non-clinical tasks. This includes, but is not limited to, initial authorization processing, (data entry, eligibility verification, benefits verification, and requesting required supporting documents from submitting provider… more
- 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
- 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 (Baton Rouge, LA)
- …first** The UM Administration Coordinator 2 contributes to administration of utilization management . The UM Administration Coordinator 2 performs varied ... Performs computations. Typically works on semi-routine assignments. The UM Administration Coordinator 2 provides non-clinical support for the policies and procedures… more
- Hunterdon Health Care System (Flemington, NJ)
- …reviews for the HBH service line including responsibility for oversight and management of insurance processing and utilization review for outpatient programs. ... Position Summary The Coordinator is responsible for coordinating insurance initial authorization,...Variation): Required: At least 2 years of experience with utilization review. Preferred: Previous experience with QI/PI collection, data… more
- 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
- 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