• Utilization & Disease Management

    CenterWell (Frankfort, KY)
    …UM Administration Coordinator - Phone Intake contributes to administration of utilization management . The UM Administration Coordinator performs varied ... on semi-routine assignments. Shift Hours - 8a - 5 The UM Administration Coordinator - Phone Intake provides non-clinical support for the policies and procedures… more
    CenterWell (05/16/25)
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  • Coordinator - Utilization

    ManpowerGroup (Rancho Cucamonga, CA)
    Our client, a leading healthcare organization, is seeking a Coordinator - Utilization Management Outpatient to join their team. As a Coordinator - ... service skills which will align successfully in the organization. **Job Title:** Coordinator - Utilization Management Outpatient **Location:** Rancho… more
    ManpowerGroup (03/04/25)
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  • Care Coordinator , Utilization

    Hackensack Meridian Health (North Bergen, NJ)
    …mission to transform healthcare and serve as a leader of positive change. The **Care Coordinator , Utilization Management ** is a member of the healthcare team ... 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 (05/09/25)
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  • Coordinator , Utilization

    Evolent (Hartford, CT)
    …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 (05/03/25)
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  • Utilization Management

    Humana (Frankfort, KY)
    …first** The UM Administration Coordinator 2 contributes to administration of utilization management for Humana's KY Medicaid plan. The UM Administration ... Coordinator 2 performs varied activities and moderately complex administrative/operational/customer...service or customer service, telephone experience + Experience with Utilization Review and/or Prior Authorization. preferably within a managed… more
    Humana (05/21/25)
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  • Utilization Management

    Sanford Health (ND)
    …- $28.00 **Department Details** Opportunity to work remote **Job Summary** Monitors the utilization of resources, risk management and quality of care for ... multiple administrative duties including accurate record keeping and electronic data management when needed. Ability to work with growth and development needs… more
    Sanford Health (05/09/25)
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  • UM Care Coordinator

    Centers Plan for Healthy Living (Staten Island, NY)
    …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 (04/15/25)
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  • Case Manager - Behavioral Health - Full time, Days

    St. Luke's University Health Network (Lehighton, 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 (05/14/25)
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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: 05/13/25 to 05/26/25 Assistant Utilization Coordinator Summary: Under general supervision, an incumbent of… more
    WMCHealth (05/14/25)
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  • Asst Utilization Coordinator

    WMCHealth (Valhalla, NY)
    Asst Utilization Coordinator - Appeals Company: Westchester Medical Center City/State: Valhalla, NY Category: Nursing/Nursing Management Department: Clinical ... Internal Applicant link Job Details: Internal Posting: 02/25/25 to 03/10/25 Assistant Utilization Coordinator Summary: Under general supervision, an incumbent of… more
    WMCHealth (03/04/25)
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