• Utilization Management

    Ascension Health (Georgetown, TX)
    …and salary range at the time of the offer._ **Responsibilities** As a Utilization Management Coordinator supporting our Ascension Insurance Utilization ... degree or above preferred + 2+ years of Health Insurance Utilization Management coordination experience + 2+ years of Medical Referrals and Preauthorization… more
    Ascension Health (08/23/25)
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  • Utilization Management

    Humana (Dover, DE)
    …health first** The UM Administration Coordinator contributes to administration of utilization management . The UM Administration Coordinator 2 performs ... Description **Achieve your best at Humana. Join Us!** The UM Administration Coordinator provides non-clinical support for the policies and procedures ensuring best… more
    Humana (08/23/25)
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  • 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 (09/04/25)
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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 (08/20/25)
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  • Care Coordinator , Utilization

    Hackensack Meridian Health (Brick, NJ)
    …expert computer skills. + Familiar with hospital resources, community resources, and utilization management . + Excellent written and verbal communication skills. ... healthcare and serve as a leader of positive change. The **Care Coordinator , Care Management ** is a member of the healthcare team and is responsible for… more
    Hackensack Meridian Health (07/23/25)
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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 (09/05/25)
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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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  • UM Administration Coordinator

    Humana (Springfield, IL)
    …first** The UM Administration Coordinator 1 contributes to administration of utilization management . The UM Administration Coordinator 1 performs basic ... UM Administration Coordinator 1 contributes to administration of utilization management . The UM Administration Coordinator 1 performs basic… more
    Humana (09/10/25)
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  • Coordinator , UM Intake

    Evolent (Trenton, NJ)
    …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management ** at Evolent will serve as a ... regulatory requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly… more
    Evolent (09/06/25)
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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 (09/01/25)
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