- ManpowerGroup (Columbia, SC)
- …role to assist their team. This is an Onsite role. **Industry: Healthcare Industry** **Title: Managed Care Coordinator UM II** **Location: ONSITE - ... critical thinking skills. + Experience in case management or care coordination and telephonic care experience is preferred. + **Please provide a few sentences… more
- Humana (Hartford, CT)
- …best and most appropriate treatment, care or services for members. UM Administration Coordinator 2 + Primarily receive calls from Providers, Hospitals, ... Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization. **Additional Information** **Work Schedule:** +… more
- Fallon Health (Worcester, MA)
- …of Purpose:** Under the direction of the Supervisor, Inpatient Care Coordinator communicates with contracted and non-contracted facilities/agencies/providers ... **Overview** **The UM Inpatient Service Coordinator is a...in health care . + Experience in a managed care or call center setting or… more
- Centers Plan for Healthy Living (Staten Island, NY)
- UM Care Coordinator 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #12102 Monday, December 2, 2024 Centers Plan for Healthy Living's goal is to create ... guidance and plans they need for healthy living. JOB SUMMARY: The Utilization Management Care Coordinator works within a multidisciplinary care team to… more
- Apex Health Solutions (Houston, TX)
- …by assisting in alternative care placements incompliance to the applicable managed care plan or certified workers' compensation network benefit coverage ... coverage or UR questions or issues arise. To support care management initiatives, the UM Reviewer should...One (1) to two (2) years' experience in a Managed Care environment performing preauthorization, concurrent review… more
- Dignity Health (Northridge, CA)
- …Accredited Case Manager (ACM-RN) or UM Certification preferred + Knowledge of managed care and payer environment preferred. This position is represented by ... care centers. Visit dignityhealth.org/northridgehospital (https://www.dignityhealth.org/socal/locations/northridgehospital) for more information. Care Coordinator RN - Care … more
- Dignity Health (Northridge, CA)
- …Accredited Case Manager (ACM-RN), or UM Certification preferred. + Knowledge of managed care and payer environment preferred. + LA City Fire Card required ... Visit dignityhealth.org/northridgehospital (https://www.dignityhealth.org/socal/locations/northridgehospital) for more information. RN Case Manager ( Care Coordinator ) Case Manager Northridge Hospital Medical… more
- Dignity Health (Santa Maria, CA)
- …Accredited Case Manager (ACM-RN) or UM Certification preferred + Knowledge of managed care and payer environment preferred. Please be advised that this ... care unit and an array of womens services. **Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of care and… more
- Dignity Health (Phoenix, AZ)
- …Accredited Case Manager (ACM-RN), or UM Certification Training: + Knowledge of managed care and payer environment preferred. + Must have critical thinking ... furthering the mission of the Hospital. **Job Summary / Purpose** The RN Care Coordinator is responsible for overseeing the progression of care and discharge… more
- Dignity Health (Long Beach, CA)
- …Accredited Case Manager (ACM-RN) or UM Certification preferred + Knowledge of managed care and payer environment preferred. **Pay Range** $53.01 - $66.19 ... both inside our hospitals and out in the community. **Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of care and… more