- Hackensack Meridian Health (Brick, 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
- Spokane County (Spokane, WA)
- …Health Administrative Services Organization Utilization Review Integrated Care Coordinator : + Performs utilization management , utilization ... or lack of movement toward discharge. + Collaborates with Utilization Review Integrated Care Coordinator ...or concurrent review of behavioral health inpatient and outpatient care management . + Determines medical necessity for… 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 (Concord, NH)
- …health first** The UM Administration Coordinator contributes to administration of utilization management . The UM Administration Coordinator 2 performs ... Description **Achieve your best at Humana. Join Us!** The UM Administration Coordinator provides non-clinical support for the policies and procedures ensuring best… more
- Sanford Health (Sioux Falls, SD)
- …**Department Details** The Intake Coordinator position supports the Health Plan Utilization Management team and assists with members and provider calls ... pm, no weekends or holidays **Job Summary** The intake coordinator serves as a support to health plan teams...members. For individuals supporting clinical areas, additional duties are: Utilization management performs resource benefit policy … more
- Integra Partners (Troy, MI)
- …Director) with administrative and non-clinical tasks related to processing Utilization Management prior authorization sand appeals. JOB RESPONSIBILITIES ... expectations and functions of the UM team + Time Management What will you achieve in the first 12...expected timelines EXPERIENCE: + 1 year as a UM Coordinator in a managed care payer environment… more
- HonorHealth (AZ)
- …Responsibilities Job Summary Under the direction of the Network Manager for Utilization Management , assists in the administration of Utilization ... you'll be part of a team, creating a multi-dimensional care experience for our patients. You'll have opportunities to...to peer review with payer as directed. + Retrieves utilization management clinical requests and handles each… more
- Devereux Advanced Behavioral Health (Viera, FL)
- …our team where you can take your career to the next level. **Being the Utilization Review Coordinator at Devereux has its Advantages!** Devereux Florida is a ... to less restrictive environments with ongoing family involvement and support. As the Utilization Review Coordinator at Devereux Florida, you will work with other… more
- Saint Francis Health System (Tulsa, OK)
- …the UM Manager. Reviews eligibility and benefits of patients, matching the level of care utilization . Assures compliance with Managed Care Behavioral Health ... in the Patient Care Committee for patient care reviews, and in Utilization Review Staff...nor does it prohibit the assignment of additional duties. Utilization Management - Laureate Campus Location: Tulsa,… more
- BayCare Health System (Largo, FL)
- …of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Coordinator (Homecare) responsibilities include:** + Coordinates ... Community discounts and more Equal Opportunity Employer Veterans/Disabled **Position** Utilization Coordinator - Homecare **Location** US:Florida:Largo:HomeCare Largo… more