- Sedgwick Government Solutions (Dallas, TX)
- Job Details Utilization Management Coordinator Remote (Strong Internal) 2025-1450 Dallas, TX, USA Medical Services Full Time Description ** Utilization ... Management Coordinator (Strong Internal)- Remote ** **Overview** Are you looking to make a difference...+ Collaborates as an integral member of the WTC-NPN utilization team and the broader case management … more
- Penn Medicine (Philadelphia, PA)
- …hospice, community resources, transportation, and quality data collection and risk management referral. Responsibilities: + Utilization management ... work? We are excited to share this rewarding and ** REMOTE RN** role! This role will focus primarily on... RN** role! This role will focus primarily on utilization review which is why **we are seeking individuals… more
- Henry Ford Health System (Warren, MI)
- …required. + Bachelor of Science Nursing required OR four (4) years Case Management / Appeal/ Utilization Management experience in lieu of bachelor's degree. ... Under minimal supervision, reviews and screens the appropriateness of services, the utilization of hospital resources and the quality of patient care rendered.… more
- Humana (Concord, NH)
- …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
- Providence (OR)
- …of Care Planning, Discharge Planning, Coordination of Outpatient Care) + Utilization Management Experience (EX. Concurrent Review, Prior Authorization, Medical ... them.** **Providence Health Plan is calling a Clinical Program Coordinator RN, Medicare / Medicaid who will:** + Provide.../ Medicaid who will:** + Provide care coordination, case management and care management services to Providence… more
- US Foods (Livermore, CA)
- …as hybrid meaning the work is a combination of approximately 90 percent remote /virtual and 10 percent onsite at distribution center offices located anywhere in the ... office approximately 1 time per month or occasionally for training. The Account Coordinator (AC) is part of US Foods' team-based selling strategy to drive profitable… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** **Description:** EPIC Application Coordinator - Hospital Billing Certified -Resolute Hospital Billing Administration ... Billing Charging Administration Certification -Charge Router Certification Position is remote based** **POSITION PURPOSE** Responsible for providing primary support… more
- CareFirst (Baltimore, MD)
- …by handling non-clinical tasks related to preauthorization functions, inpatient care, utilization review, care coordination and/or quality of care, enabling clinical ... and/or other customers including benefit verification, authorization creation and management , claims inquiries and/or case documentation. Assists with member follow… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** **Description:** **_* Remote opportunity_** **_* Epic Beacon Certified preferred_** **_Hourly pay range: $44.56-$66.87_** ... that support organizational objectives Consults with providers, clinicians, executives and management at all levels in order to provide support for decisions,… more
- Humana (Lincoln, NE)
- …a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are...room, trauma units, etc. + Experience as an MDS Coordinator or discharge planner in an acute care setting… more
Recent Jobs
-
PS Clinical Nurse
- University of Utah (Salt Lake City, UT)
-
Senior Designer, Streetwear Footwear Graphic Design, Global Jordan
- Nike (Beaverton, OR)
-
Postdoctoral Fellow - Molecular Biology of Autism
- Seattle Children's (Seattle, WA)
-
Warehouse Coordinator
- SIMOS (Buckeye, AZ)