- Hackensack Meridian Health (North Bergen, NJ)
- …our mission to transform healthcare and serve as a leader of positive change. The ** Care Coordinator , Utilization Management ** is a member of the ... of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to… more
- VNS Health (Manhattan, NY)
- …+ Advanced personal computer skills, including Word, Excel or Access Required + Utilization Management experience Preferred CAREERS AT VNS Health The future of ... OverviewCollects specific data in the medical management information system for the clinical staff. Resolves...Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care + Generous tuition reimbursement for qualifying degrees +… more
- Sharp HealthCare (San Diego, CA)
- … care option if patient does not meet acute or skilled level of care .Communicates with the Quality Management Department regarding any quality of service or ... Chula Vista. **What You Will Do** To provide discharge planning and coordination of care for members hospitalized in the acute care setting in collaboration with… more
- 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... of members enrolled in our Managed Long Term Care program and facilitate authorization requests for eligible members.… more
- Trinity Health (Syracuse, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** The RN Utilization Management Nurse Coordinator is responsible for both concurrent and ... preferred, according to NYS requirements. + Ten years progressive experience in acute/critical care and/or utilization management may be substituted for a… more
- ManpowerGroup (Rancho Cucamonga, CA)
- Our client, a leading healthcare organization, is seeking a Coordinator - Utilization Management Outpatient to join their team. As a Coordinator - ... which will align successfully in the organization. **Job Title:** Coordinator - Utilization Management Outpatient...and CPT codes is essential. + Experience in managed care or a physician office is a must. +… more
- Evolent (Hartford, CT)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management ** at Evolent will serve as a ... regulatory requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly… more
- 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
- WMCHealth (Valhalla, NY)
- Asst Utilization Coordinator - Appeals Company: Westchester Medical Center City/State: Valhalla, NY Category: Nursing/Nursing Management Department: Clinical ... Internal Applicant link Job Details: Internal Posting: 02/25/25 to 03/10/25 Assistant Utilization Coordinator Summary: Under general supervision, an incumbent of… more
- Trinity Health (Fort Lauderdale, FL)
- …as well as independently. Communicates & collaborates with multiple team members, including Utilization Management RNs, care managers, nursing unit staff, ... the direction of the Care Coordination Department Leadership, the UR Coordinator directs all back-office functions of the Utilization Review Department.… more
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