• Registered Nurse Coordinator

    Trinity Health (Syracuse, NY)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** The RN Utilization Management Nurse Coordinator is responsible for both concurrent and ... department productivity to meet targets. + Participates in all aspects of utilization management . Assist with strategies, plans and workflow development in… more
    Trinity Health (04/02/25)
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  • Coordinator - Utilization

    ManpowerGroup (Rancho Cucamonga, CA)
    Our client, a leading healthcare organization, is seeking a Coordinator - Utilization Management Outpatient to join their team. As a Coordinator - ... service skills which will align successfully in the organization. **Job Title:** Coordinator - Utilization Management Outpatient **Location:** Rancho… more
    ManpowerGroup (03/04/25)
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  • Care Coordinator , Utilization

    Hackensack Meridian Health (North Bergen, NJ)
    …mission to transform healthcare and serve as a leader of positive change. The **Care Coordinator , Utilization Management ** is a member of the healthcare team ... 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 (05/02/25)
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  • Coordinator , Utilization

    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
    Evolent (05/03/25)
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  • Utilization Management

    Sanford Health (WI)
    …**Weekly Hours:** 40.00 **Salary Range:** $21.50 - $28.00 **Job Summary** Monitors the utilization of resources, risk management and quality of care for patients ... multiple administrative duties including accurate record keeping and electronic data management when needed. Ability to work with growth and development needs… more
    Sanford Health (04/30/25)
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  • Medical Management Care Coordinator

    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...doctors and/or providers and enters data into the medical management information system to enable clinical staff to correctly… more
    VNS Health (05/03/25)
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  • LVN Care Coordinator - Utilization

    Sharp HealthCare (San Diego, CA)
    …as required, to discuss high risk patients requiring case management follow up.Attends clinical in-services or required operational/clinical training sessions. ... by phone.Tracks and documents key performance measures related to inpatient management per requirements.Reviews patient medical record including, but not limited, to… more
    Sharp HealthCare (05/04/25)
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  • UM Care Coordinator

    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 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 (04/15/25)
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  • CHS Utilization and Appeals…

    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
    Catholic Health Services (02/14/25)
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  • Asst Utilization Coordinator

    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
    WMCHealth (03/04/25)
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