- 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
- Health Care Service Corporation (Downers Grove, IL)
- …**_Weekend rotational schedule: 3rd wknd. (Sat. & Sun)_** + Familiarity with UM /CM activities and standardized criteria set. + Knowledge of ancillary services ... at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The UM Administration Coordinator provides clerical support for the department. We are the ... members. **Achieve your best at Humana. Join Us!** The UM Administration Coordinator provides non-clinical support for...care or services for members. The Home Solutions UM Team is hiring for a UM … more
- Humana (Bismarck, ND)
- …a part of our caring community and help us put health first** The UM Administration Coordinator 2 contributes to administration of utilization management. The ... UM Administration Coordinator 2 performs varied activities...policies and procedures ensuring best and most appropriate treatment, care or services for members. Decisions are typically focus… more
- Humana (Oklahoma City, OK)
- … who will contribute to administration of utilization management. The UM Coordinator performs varied activities and moderately complex administrative, ... They will perform computations and typically works on semi-routine assignments. The UM Administration Coordinator : + Provides nonclinical support for the… more
- Integra Partners (Troy, MI)
- …of ICD-10 and HCPC codes + Maintaining expected timelines EXPERIENCE: + 1 year as a UM Coordinator in a managed care payer environment preferred + Knowledge ... The UM Coordinator assists and supports the...Members access to top local Providers and culturally competent care . By focusing on transparency, accountability, and adaptability, we… more
- Community Based Care of Brevard, Inc. (Rockledge, FL)
- Starting Salary: $49,700/year Position Summary: The Diversion Care Coordinator will be responsible for managing a caseload of families served in Non Judicial In ... for families served in South Brevard County. The Diversion Care Coordinator will coordinate the delivery and...plan outlining family needs, goals and services. Service Utilization UM /Wrap: This is strongly recommended in order to manage… more
- University of Miami (Miami, FL)
- …Department of SCCC has an exciting opportunity for a Full Time Clinical Research Coordinator 2 to work at the UHealth campus in Miami, Fl. CORE JOB SUMMARY ... The Clinical Research Coordinator 2 serves as a mid-level clinical research professional...Maintains study binders and filings according to protocol requirements, UM and department policy. 5. Distributes study drug materials… more
- Catholic Health Initiatives (Chattanooga, TN)
- **Job Summary and Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning for identified ... patients requiring these services. The RN Care Coordinator performs this role to meet...Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred **Required Minimum Knowledge, Skills, Abilities and… more
- Dignity Health (Los Angeles, CA)
- **Job Summary and Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning for identified ... patients requiring these services. The RN Care Coordinator performs this role to meet...Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred + Knowledge of managed care… more