• UM Care Coordinator

    Centers Plan for Healthy Living (Staten Island, NY)
    …guidance and plans they need for healthy living. JOB SUMMARY: The Utilization Management Care Coordinator works within a multidisciplinary care team to ... of members enrolled in our Managed Long Term Care program and facilitate authorization requests for eligible members....in completing authorization updates as needed based on the care plan of the member + Coordinates with providers… more
    Centers Plan for Healthy Living (07/15/25)
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  • UM Administration Coordinator

    Humana (Albany, NY)
    …a part of our caring community and help us put health first** The UM Administration Coordinator 1 contributes to administration of utilization management. The ... UM Administration Coordinator 1 performs basic administrative/clerical/operational/customer...policies and procedures ensuring best and most appropriate treatment, care or services for members. Decisions are limited to… more
    Humana (09/10/25)
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  • UM Administration Coordinator

    Humana (Albany, NY)
    …a part of our caring community and help us put health first** The UM Administration Coordinator 1 contributes to administration of utilization management. The ... UM Administration Coordinator 1 performs basic administrative/clerical/operational/customer...and procedures ensuring the best and most appropriate treatment, care and services for customers. Decisions in this role… more
    Humana (09/10/25)
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  • Coordinator , UM Intake

    Evolent (Albany, NY)
    …people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care ... system and ensure people get the same level of care and compassion we would want for our loved...Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management** at Evolent will serve as… more
    Evolent (09/06/25)
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  • Utilization Management Administration…

    Humana (Albany, NY)
    …a part of our caring community and help us put health first** The UM Administration Coordinator contributes to administration of utilization management. The ... UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer...care or services for members. The Home Solutions UM Team is hiring for a UM … more
    Humana (08/23/25)
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  • CHS Utilization and Appeals Coordinator

    Catholic Health Services (Melville, NY)
    …and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network ... we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes - to every patient,… more
    Catholic Health Services (09/09/25)
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  • Discharge Planner

    Ellis Medicine (Schenectady, NY)
    …or send for insurance denials or quality improvement organization appeals. + Assists UM Coordinator with data entry of insurance authorizations and denials. + ... Management Nurse to facilitate patient discharge plans, support coordination of care activities, and assist in utilization management activities under the direction… more
    Ellis Medicine (08/28/25)
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