- Humana (Olympia, WA)
- …a part of our caring community and help us put health first** The UM ( Utilization Management) Administration Coordinator 2 contributes to administration of ... utilizing electronic medical record and documentation programs + Experience with Utilization Review and/or Prior Authorization, preferably within a managed… more
- Integra Partners (Troy, MI)
- The UM Coordinator assists and supports the...appeals. JOB RESPONSIBILITIES + Monitor incoming faxes + Enter UM authorizations review requests in UM ... HCPC codes + Maintaining expected timelines EXPERIENCE: + 1 year as a UM Coordinator in a managed care payer environment preferred + Knowledge of ICD-10, HCPCS… more
- Humana (Concord, NH)
- …caring community and help us put health first** The UM Administration Coordinator contributes to administration of utilization management. The UM ... new systems (proficient to advanced) **Preferred Qualifications** + Experience with Utilization Review and/or Prior Authorization, preferably within a managed… more
- Saint Francis Health System (Tulsa, OK)
- …participates in the Patient Care Committee for patient care reviews, and in Utilization Review Staff Committee, providing data and contributing to improvement of ... administrative and clinical support to the hospital and treatment team throughout the review of patients, their placement in various levels of care and their receipt… more
- CenterWell (Austin, TX)
- …community and help us put health first** Utilization Management Administration Coordinator II , non-clinical, supports the UM operations by performing ... processes within the UM program. Key Responsibilities of a Non-Clinical UM Coordinator : + **Intake and Notification:** Handling initial requests for… more
- Catholic Health Initiatives (Plainview, NE)
- …to their practice. 13. Performs other duties as assigned, including utilization review as necessary. **Job Requirements** **Minimum Qualifications** **Required ... **Job Summary and Responsibilities** **Job Summary / Purpose** The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning… more
- Cedars-Sinai (Beverly Hills, CA)
- …for medical necessity, appropriateness of care and level of care. Use evidence based review guidelines to conduct utilization review as is appropriate to ... innovation. **A Little More About What You Will be Doing** The RN Care Coordinator is responsible for the case management of patient while hospitalized and upon… more
- Virginia Mason Franciscan Health (Silverdale, WA)
- …pertaining to their practice. 13. Performs other duties as assigned, including utilization review as necessary. **Job Requirements** **Education and Experience** ... **Job Summary and Responsibilities** **JOB SUMMARY / PURPOSE** The Care Coordinator RN is responsible for overseeing the progression of care and discharge planning… more
- Dignity Health (Long Beach, CA)
- …+ AHA BLS card + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ensure ... **Job Summary and Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning for identified patients… more
- Dignity Health (Long Beach, CA)
- …+ AHA BLS card + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ensure ... a sign-on bonus of 10% of salary for this position. The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning for… more
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