- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role The UM Coordinator is responsible for coordinating all aspects of the prior authorization process, including member eligibility and benefit ... verification, gathering necessary clinical information from electronic medical record, and timely communication with members, providers and facility staff. Candidates should possess knowledge of third-party reimbursement regulations and medical terminology.… more
- Fallon Health (Worcester, MA)
- **Overview** **The UM Inpatient Service Coordinator is a telphonic role working with hospital offices regarding inpatient or hospital stays processing prior ... purpose:** Under the direction of the Supervisor, Inpatient Care Coordinator communicates with contracted and non-contracted facilities/agencies/providers and members… more
- ManpowerGroup (Columbia, SC)
- Our client, a leading healthcare organization, is seeking a Managed Care Coordinator UM II to join their team. As a Managed Care Coordinator UM II, you ... will align successfully in the organization. **Job Title:** Managed Care Coordinator UM II **Location:** Columbia, SC **Pay Range:** Up to $31.25/HR **What's… more
- University of Miami (Miami, FL)
- …time Recovery Coordinator 1 to work in Miami, FL. The Recovery Coordinator 1 ( UM LAORA) assists in the recovery, packaging, preservation and transportation ... of cadaveric organs to be used in surgical transplants. The incumbent also helps to ensures organ recovery activities are in accordance with all applicable regulatory standards and operating procedures. Also, this employee provides preservation support for… more
- Centers Plan for Healthy Living (Margate, FL)
- …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 Care program and facilitate authorization requests for eligible members. PRIMARY RESPONSIBILITIES: + Assists in the prior authorization of services and ongoing authorization requests + Assists in completing… more
- US Tech Solutions (Columbia, SC)
- **Job Title:** **Registered Nurse UM II** **Location: Columbia SC 29229** **Duration: 3+ month's Contract** **Job Description:** + Reviews and evaluates medical or ... behavioural eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and established clinical criteria to service requests or provides health management program interventions. + Utilizes clinical… more
- Trinity Health (Darby, PA)
- …The licensed Registered Nurse (RN) plans & provides professional nursing services & standards of practice in accordance with level of experience & education, state ... board of nursing & established policies & procedures. The RN integrates the art, science, leadership & knowledge of the nursing clinical practice through relationship-centered, compassionate, ethical & respectful direct / indirect healthcare services. Note:… more
- University of Miami (Miami, FL)
- …seeking a full time OPO Surgical Recovery Coordinator 1. The Recovery Coordinator 1 ( UM LAORA) assists in the recovery, packaging, preservation and ... transportation of cadaveric organs to be used in surgical transplants. The incumbent also helps to ensures organ recovery activities are in accordance with all applicable regulatory standards and operating procedures. Also, this employee provides preservation… more
- Dartmouth Health (New London, NH)
- …days of admission. Initiates discharge planning process. Maintains communication with UM coordinator regarding assessments, outcomes, and projected lengths of ... stay. Serves as a resource to the healthcare team, communicating with the physician, consultants, and all members of the healthcare team. Participates with the physician/multidisciplinary to review the plan and progress of care, to evaluate the effectiveness… more
- University of Miami (Miami, FL)
- …is currently seeking a full time OPO Surgical Recovery Specialist. The Recovery Coordinator ( UM LAORA) is responsible for recovery, packaging, preservation and ... transportation of cadaveric organs to be used in surgical transplants in all Donor Service Area Hospitals within the confines of: Dade, Monroe, Broward, Collier, Palm Beach, St. Lucie counties and the Commonwealth of the Bahamas (Over 90 hospitals). The… more