- Stanford Health Care (Menlo Park, CA)
- …management services, which includes strategic planning, financial performance management , resource utilization , contract administration, operational metrics, ... Health Care **What you will do** + Leadership: + Conduct project intake , develop project teams, define objectives and scope, document current and future-state… more
- Trinity Health (Columbus, OH)
- …technology, financial analysis, audit, provider relations and more. **Position Purpose** The Utilization Management Intake Coordinator provides ... equipment items for members based on Medicare criteria. The Coordinator manages member data accuracy from intake ...authorizations. + Knowledge of managed care issues related to utilization management , HCFA regulations, plan benefits and… more
- Sanford Health (Sioux Falls, SD)
- …40.00 **Salary Range:** $16.00 - $25.50 **Department Details** The Intake Coordinator position supports the Health Plan Utilization Management team ... 5 pm, no weekends or holidays **Job Summary** The intake coordinator serves as a support to...Utilization management performs resource benefit policy management , triages inbound and outbound calls, processes intake… more
- Villa of Hope (Rochester, NY)
- Intake Coordinator -RN (LHTC) Full Time Rochester, NY, US Requisition ID: 1609 Apply Salary Range: $30.00 To $38.30 (USD) Hourly Intake Coordinator -RN ... Under the general direction of the Nurse Manager, the Intake Coordinator -RN is a Registered Nurse who...director of LHTC and administrative team, including billing and utilization review. + Triages potential admissions and when needed… more
- Highmark Health (Buffalo, NY)
- …the requested authorization. **ESSENTIAL RESPONSIBILITIES** + Obtain call task from Utilization Management platform, perform verbal outbound call task ... result within the platform. + Obtain triage task from Utilization Management platform and follow a detailed...set the urgency of the case creation for the Intake Coordinator . + Other duties as assigned… more
- Highmark Health (Buffalo, NY)
- …:** **JOB SUMMARY** This job captures all inbound phone inquires for utilization management review from providers and pharmacies. The incumbent assesses ... verifying benefit coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical review, status… more
- Highmark Health (Buffalo, NY)
- …Description :** **JOB SUMMARY** This job captures all inbound inquires for utilization management review from providers and pharmacies. The incumbent assesses ... member, and then creates the case (data entry) in Highmark's Utilization Management system for Prior Authorization clinical review. Ensures all accurate… more
- Integra Partners (Troy, MI)
- The Utilization Management (UM) Coordinator Supervisor oversees the day-to-day operations and performance of the UM Coordinator team. This position ... required; bachelor's degree preferred. + minimum of 2 years of experience in Utilization Management (UM), managed care, or healthcare operations, preferably in a… more
- University of Utah (Salt Lake City, UT)
- Details **Open Date** 10/24/2025 **Requisition Number** PRN43412B **Job Title** Coordinator , Administrative Program **Working Title** Basic Needs Case Coordinator ... them meet their basic needs. CCW - Seeks a Coordinator for the Basic Needs Collective who will have...primary responsibility for o 35% Student Support & Case Management o 25% Outreach & Education coordination and facilitation… more
- Penn Medicine (Philadelphia, PA)
- …Spruce Street Philadelphia, PA Summary: + Under minimal supervision, the Care Coordinator in Penn Signature Services (PSS) is responsible for providing the highest ... Global Medicine and The Pavilion at HUP). The Care Coordinator serves as the primary point of contact and...be provided to key stakeholders from the UPHS. -Perform intake assessments for domestic and international patients seeking care… more
