• Care Coordinator , Utilization

    Hackensack Meridian Health (Neptune City, 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 (07/18/25)
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  • Utilization Management

    Rady Children's Hospital San Diego (San Diego, CA)
    JOB SUMMARY: Under the supervision of the Utilization Management (UM) Operations Supervisor, the UM Coordinator I's primary job function is to support UM ... operations by performing any non-clinical tasks. This includes, but is not limited to, initial authorization processing, (data entry, eligibility verification, benefits verification, and requesting required supporting documents from submitting provider… more
    Rady Children's Hospital San Diego (07/18/25)
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  • Utilization Management

    Integra Partners (Troy, MI)
    …Nurses/Medical Director) with administrative and non-clinical tasks related to processing Utilization Management prior authorizations and appeals. Rate of Pay: ... The UM Coordinator assists and supports the clinical team (UM...allowable quantities or limits. + Strong organizational and time management skills with the ability to prioritize and track… more
    Integra Partners (06/28/25)
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  • RN Utilization Management

    Corewell Health (Southfield, MI)
    …+ Preferred Bachelor's Degree in nursing or related field. + Hospital utilization review/ utilization management experience. Preferred + Clinical appeals ... Location SITE - Beaumont Service Center - 26901 Beaumont Blvd Department Name Utilization Management - CH East Employment Type Part time Shift Day (United States… more
    Corewell Health (07/15/25)
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  • Registered Nurse- Utilization

    Veterans Affairs, Veterans Health Administration (Memphis, TN)
    Summary The Utilization Management (UM) Inpatient Care Coordinator is a professional registered nurse who is responsible and accountable for indirect patient ... the Lt. Col. Luke Weathers, Jr. VA Medical Center. Responsibilities Registered Nurse- Utilization Management Inpatient Care Coordinator (UMICC) facilitates… more
    Veterans Affairs, Veterans Health Administration (07/21/25)
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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 (07/15/25)
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  • Administrator

    UnityPoint Health (West Des Moines, IA)
    Utilization Management + Shift: 7:00-3:30 + Job ID: 168064 Overview Utilization Management Admissions Coordinator Location: Remote/work from home with ... Wisconsin. Under the guidance and supervision of the Manager of Utilization Management and RN UM Specialists, the Administrative Coordinator serves a key… more
    UnityPoint Health (07/21/25)
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  • Remote Claims Auditor

    NTT DATA North America (Decatur, IL)
    …when executed as part of an overall sourcing strategy. NTT DATA currently seeks a Utilization Management Coordinator to join our team for a remote position. ... of extension and direct hire Pay Rate $22-$23/hr **Position Summary:** The Utilization Management Coordinator reports to the Director of Claims. This… more
    NTT DATA North America (07/08/25)
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  • Case Manager, Adolescent Behavioral Health…

    St. Luke's University Health Network (Easton, 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 (07/19/25)
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  • Asst Utilization Coordinator

    WMCHealth (Valhalla, NY)
    Asst Utilization Coordinator Company: Westchester Medical Center City/State: Valhalla, NY Category: Nursing/Nursing Management Department: Clinical Care ... Internal Applicant link Job Details: Internal Posting: 07/1/25 to 07/14/25 Assistant Utilization Coordinator Summary: Under general supervision, an incumbent of… more
    WMCHealth (07/01/25)
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