- Penn State Health (Hershey, PA)
- … Utilization Management Nurse or Specialist, the Utilization Management Coordinator supports the UM process by obtaining authorizations, reviewing ... or outlaw discrimination._ **Union:** Non Bargained **Position** UM Coordinator - Utilization Management **Location** US:PA: Hershey | Clerical and… more
- Humana (Charleston, WV)
- …of our caring community and help us put health first** The UM ( Utilization Management ) Administration Coordinator 2 contributes to administration of ... utilization management . We focus on living out our values daily...electronic medical record and documentation programs + Experience with Utilization Review and/or Prior Authorization, preferably within a managed… more
- Humana (Concord, NH)
- …first** The UM Administration Coordinator contributes to administration of utilization management . The UM Administration Coordinator 2 performs ... assignments. Job Description **Achieve your best at Humana. Join Us!** The UM Administration Coordinator provides non-clinical support for the policies and… more
- Dignity Health (Bakersfield, CA)
- …quality and cost effectiveness of medical care through strict adherence to all Utilization Management ( UM ) Policies and procedures promptly, efficiently and ... accurately. The UM Coordinator collaborates with clinical team members...are approved, denied or deferred and in accordance with utilization management policy and procedure. - Responsible… more
- Centers Plan for Healthy Living (Margate, FL)
- …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 Care program and facilitate authorization requests for eligible members. PRIMARY RESPONSIBILITIES: + Assists in the prior authorization of services and ongoing authorization requests +… more
- Catholic Health Services (Melville, NY)
- … and Appeals Coordinator will perform activities to help facilitate utilization management and appeals functions to include coordination of specific process ... payment related activities. Position Responsibilities: + Prepares necessary documentation for utilization management and appeals processes, performs data … more
- Corewell Health (Grand Rapids, MI)
- …hospital in the state of Michigan. Manage all components of referral management , admission waiting list, insurance prior authorizations, continuous stay reviews and ... appeals. Additional support to the UM functions of the Corewell Health South Behavioral Health...other members of the health care team regarding care management strategies, identifying strategies to maximize continuity of care… more
- Sharp HealthCare (San Diego, CA)
- …readmissions to acute or visit to the Emergency Department.Informs Director, QI/ UM of any quality issues.Attends hospitalists rounds, as required, to discuss ... high risk patients requiring case management follow up.Attends clinical in-services or required operational/clinical training sessions. + Act as a… more
- CenterWell (Austin, TX)
- …help us put health first** Utilization Management Administration Coordinator II , non-clinical, supports the UM operations by performing administrative ... UM program. Key Responsibilities of a Non-Clinical UM Coordinator : + **Intake and Notification:** Handling...and effective communication while handling the administrative side of utilization management . **Use your skills to make… more
- Vanderbilt University Medical Center (Nashville, TN)
- …through preeminent programs in patient care, education, and research. **Organization:** Utilization Management **Job Summary:** Coordinate, monitor, and evaluate ... the operation of Utilization Management Section of the ...staffing. + Evaluate performance data for direct reports including UM /DRG specialists, data coordinator and clerical staff… more
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