- Hackensack Meridian Health (Hackensack, NJ)
- …to transform healthcare and serve as a leader of positive change. The ** Care Management , Care Coordinator , Utilization Management ** is a member ... of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to… more
- Hackensack Meridian Health (Brick, NJ)
- …advancing our mission to transform healthcare and serve as a leader of positive change. The ** Care Coordinator , Care Management ** is a member of the ... expert computer skills. + Familiar with hospital resources, community resources, and utilization management . + Excellent written and verbal communication skills.… 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
- Humana (Columbus, OH)
- …PH ,UM Administration Coordinator 2 contributes to administration of PH utilization management . The UM Administration Coordinator 2 provides non-clinical ... treatment, care or services for members. The UM Administration Coordinator 2 processes requests for authorization of health services, requiring interpretation of… more
- University of Utah Health (Salt Lake City, UT)
- …and trust that are integral to our mission. EO/AA_ The Staff Utilization Coordinator is responsible for providing healthcare operational support services, ... Centralized Timekeeping team. Collaborating closely with Nursing Leadership, the Staff Utilization Coordinator reviews and develops schedules based on… more
- Humana (Honolulu, HI)
- …first** The UM Administration Coordinator 2 contributes to administration of utilization management . The UM Administration Coordinator 2 performs basic ... working on semi-routine and patterned assignments. The UM Administration Coordinator 2 provides non-clinical support, following established policies and procedures… more
- Corewell Health (Southfield, MI)
- …+ Preferred Bachelor's Degree in nursing or related field. + Hospital utilization review/ utilization management experience. Preferred + Clinical appeals ... advisors and medical staff to ensure appropriate level of care , including obtaining physician orders for patient class changes...Beaumont Service Center - 26901 Beaumont Blvd Department Name Utilization Management - CH East Employment Type… more
- Actalent (Santa Barbara, CA)
- …implementation and management of Utilization Management , Case Management , Disease Management , Population Health, Care Coordination, and Care ... care , Medicare, Managed care , Medical management , Case management , Utilization management , Claim Top Skills Details Data entry,Concurrent… more
- WMCHealth (Valhalla, NY)
- Asst Utilization Coordinator Company: Westchester Medical Center City/State: Valhalla, NY Category: Nursing/Nursing Management Department: Clinical Care ... Internal Applicant link Job Details: Internal Posting: 08/1/25 to 08/14/25 Assistant Utilization Coordinator Summary: Under general supervision, an incumbent of… more
- Actalent (Santa Barbara, CA)
- …and compassionate Registered Nurse to join a high-performing Utilization Management team supporting outpatient specialty care . This role is ideal ... Utilization Management Nurse (RN) - Santa...passionate about ensuring patients receive timely, appropriate, and cost-effective care . Key Responsibilities + Conduct clinical reviews for prior… more
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