- 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
- 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 (Redlands, CA)
- Job Title: UM CoordinatorJob Description The Utilization Management (UM) Coordinator is responsible for executing all aspects of the referral process. The UM ... Coordinator collaborates with clinical team members to evaluate the...Experience with Independent Physician Associations (IPAs), Managed Care, and Utilization Management . + High school diploma or… more
- The County of Los Angeles (Los Angeles, CA)
- …SELECTION REQUIREMENTS: OPTION I:One year of experience performing the duties of a Utilization Review Nurse* or Medical Service Coordinator , CCS.** -OR- OPTION ... UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply... Review Nurse is an RN that has Case Management experience whose primary charge is to ensure that… more
- Cedars-Sinai (Beverly Hills, CA)
- …**A Little More About What You Will be Doing** The Case Management Coordinator provides support to the utilization review process. The coordinator works ... collaboratively with all team members of Utilization Management , Patient and Provider Services, Claims Department and other...preferred. **Req ID** : 10884 **Working Title** : Case Management Coordinator (Hybrid) - MNS Ambulatory Care… more
- Cherry Bekaert (Sacramento, CA)
- …and continuous professional development. Our team is looking for a Senior Resource Coordinator to support our Tax group. The Senior Resource Coordinator will ... to work remotely from within the United States. The Senior Resource Coordinator will effectively fill resource engagement requests overseeing the utilization … more
- City and County of San Francisco (San Francisco, CA)
- …smooth operations. This involves ensuring that asset assignments and active asset management reflects accurate utilization of Airport assets and promotes ... unless otherwise noted. What you'll bring to SFO: Asset Coordinator + Strong experience in asset management ...Asset Coordinator + Strong experience in asset management and optimization, preferably at a large facility such… more
- Dignity Health (Bakersfield, CA)
- …participant in the quarterly business review to integrate drug procurement and drug utilization . The coordinator will "take call" as necessary to address ... program as well as TPN and nutrition issues. + The coordinator must possess good management abilities including proficiency in office skills and verbal skills.… more
- Dignity Health (Glendale, CA)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... **Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management … more
- Dignity Health (Long Beach, CA)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... **Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management … more
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