• Utilization Management

    South Middlesex Opportunity Council (Framingham, MA)
    …casual Working Conditions: As part of the responsibilities of this position, the Utilization Management Coordinator will have direct or incidental contact ... children and families. This position will coordinate billing and monitor utilization review for the Clinic and Residential Recovery Programs. Candidates must… more
    South Middlesex Opportunity Council (12/10/25)
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  • Utilization Management Intake…

    Trinity Health (Columbus, OH)
    …financial analysis, audit, provider relations and more. **Position Purpose** The Utilization Management Intake Coordinator provides administrative support ... referrals and authorizations. + Knowledge of managed care issues related to utilization management , HCFA regulations, plan benefits and provider contacts. +… more
    Trinity Health (12/08/25)
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  • Care Coordinator , Utilization

    Hackensack Meridian Health (Edison, NJ)
    …and serve as a leader of positive change. The **Care Management , Care Coordinator , Utilization Management ** is a member of the healthcare team and ... patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to manage length… more
    Hackensack Meridian Health (12/04/25)
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  • Utilization Management

    Integra Partners (Troy, MI)
    …Director) with administrative and non-clinical tasks related to processing Utilization Management prior authorization sand appeals. JOB RESPONSIBILITIES ... The UM Coordinator assists and supports the clinical team (UM...expectations and functions of the UM team + Time Management What will you achieve in the first 12… more
    Integra Partners (11/28/25)
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  • Utilization Management

    Saint Francis Health System (Tulsa, OK)
    …not all inclusive nor does it prohibit the assignment of additional duties. Utilization Management - Laureate Campus Location: Tulsa, Oklahoma 74136 **EOE ... in the Patient Care Committee for patient care reviews, and in Utilization Review Staff Committee, providing data and contributing to improvement of internal… more
    Saint Francis Health System (11/14/25)
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  • Intake Coordinator - Utilization

    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
    Sanford Health (11/26/25)
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  • Utilization Review Coordinator

    Prime Healthcare (San Dimas, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/234286/ utilization -review- coordinator ... both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able...standards set forth by the Hospital/ Department at UR Coordinator position for at least 6 months. + 1+… more
    Prime Healthcare (12/04/25)
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  • UM Coordinator

    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
    Centers Plan for Healthy Living (10/14/25)
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  • Case Manager, Behavioral Health (Per Diem)

    St. Luke's University Health Network (Allentown, PA)
    utilization management of psychiatric cases in the absence of the utilization management coordinator . PHYSICAL AND SENSORY REQUIREMENTS: Able to ... and the Manager regarding variances, aspects of patient care management . + Facilitates insurance authorization, pre-certification, and concurrent reviews for… more
    St. Luke's University Health Network (12/01/25)
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  • Utilization Review Nurse Coordinator

    State of Connecticut, Department of Administrative Services (Middletown, CT)
    Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment # 251119-5613FP-001 Location Middletown, CT Date Opened 12/11/2025 12:00:00 AM Salary ... Campus Hospital (https://portal.ct.gov/dcf/solnit-center/south) - is accepting applications for a Utilization Review Nurse Coordinator (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5613FP&R1=&R3=) (REGULATORY) position,… more
    State of Connecticut, Department of Administrative Services (12/12/25)
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