• BroadPath Healthcare Solutions (Tucson, AZ)
    **Overview** BroadPath is seeking a highly motivated and results-driven ** UM RN Appeals Coordinator .** This role collaborates with clinical review staff, medical ... directors/physician reviewers, network physicians, and network facilities to ensure consistent clinical evaluation and processing of medical necessity appeals. Accurate documentation and detailed recordkeeping of notifications to members and network providers… more
    DirectEmployers Association (11/13/25)
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  • UM Administration Coordinator

    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
    Humana (11/21/25)
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  • UM Coordinator 2 - Weekend Work

    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 and moderately complex administrative/operational/customer support assignments. Performs computations.… more
    Humana (11/20/25)
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  • UM Administration Coordinator

    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 ... team members. **Achieve your best at Humana. Join Us!** The UM Administration Coordinator provides non-clinical support for the policies and procedures ensuring… more
    Humana (11/24/25)
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  • UM Coordinator

    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
    Centers Plan for Healthy Living (10/14/25)
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  • Care Coordinator UM /CM I

    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 ... including HHC, SNF, Hospice, etc. **Telecommute:** This is a Telecommute (Remote) role: Must reside within 250 miles of the office or anywhere within the posted state. \#LI-TELECOMMUTE \#LI-SG1 **Are you being referred to one of our roles? If so, ask your… more
    Health Care Service Corporation (11/21/25)
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  • RN - Clinical Coord

    UnityPoint Health (Cedar Rapids, IA)
    …Excellence + Maintains knowledge of utilization management criteria and communicates with UM Coordinator to ensure medical necessity and appropriate patient ... 1st shift. Occasional weekends. + Job ID: 174849 Overview The Patient Care Coordinator (PCC) serves an integral role in the multidisciplinary effort to identify and… more
    UnityPoint Health (11/19/25)
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  • Assoc. Director, Business Operations (Football)

    University of Miami (Coral Gables, FL)
    …and guests speakers to recruiting to promote the U Network to prospective recruits. Coordinator of the UM Women's Football Clinic + Organize efforts for a ... wives on their event participation. + Facilitate catering for event. + Coordinator for UM Footballs Wives Annual Football Trip + Plan and execute details for… more
    University of Miami (11/12/25)
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  • Clinical Research Coordinator 2

    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
    University of Miami (10/21/25)
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  • Clinical Research Coordinator 1

    University of Miami (Miami, FL)
    …tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Clinical Research Coordinator 1 The University of Miami/UHealth ... an exciting opportunity for a Full Time Clinical Research Coordinator 1 to work at the UHealth Medical Campus....operational failures occur. + Assist the PIs in developing UM protocols for submission to IRB, including but not… more
    University of Miami (10/31/25)
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