- 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 ... and plans they need for healthy living. JOB SUMMARY: The Utilization Management Care Coordinator works within a multidisciplinary care team to assist with… more
- ManpowerGroup (Columbia, SC)
- …assist their team. This is an Onsite role. **Industry: Healthcare Industry** **Title: Managed Care Coordinator UM II** **Location: ONSITE - Columbia SC** ... critical thinking skills. + Experience in case management or care coordination and telephonic care experience is preferred. + **Please provide a few sentences… more
- Sharp HealthCare (San Diego, CA)
- …requirements for the position, and employer business practices. **What You Will Do** The UM Care Coordinator , under the direct supervision of the Supervisor, ... well as the SCMG operation documents as appropriate for approval at the UM Care Coordinator level of review.Appropriately identify claims for review by the… more
- Insight Global (Irvine, CA)
- Job Description Insight Global is looking for a UM Coordinator for one of their largest healthcare clients located in Irvine. * Applies knowledge/skills to ... department resources and procedures with minimal oversight: At minimum, meet the UM Coordinator daily productivity performance threshold of 65 authorizations/day… more
- University of Miami (Miami, FL)
- …time Recovery Coordinator 1 to work in Miami, FL. The Recovery Coordinator 1 ( UM LAORA) assists in the recovery, packaging, preservation and transportation ... of donor recovery. + Works with LAORA staff to ensure the optimal medical care of the donor, facilitates timely progress to recovery, and resolves any disagreements… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role The UM Coordinator is responsible for coordinating all aspects of the prior authorization process, including member eligibility and benefit ... providers, and facilities to determine requests for type of care . + Maintain accurate documentation within the clinical record...Mission Transform the health plan experience - how health care is accessed and delivered - by bringing outstanding… more
- Apex Health Solutions (Houston, TX)
- …office staff when benefit coverage or UR questions or issues arise. To support care management initiatives, the UM Reviewer should also identify enrollees in ... Summary: The UM Reviewer serves as a contact and resource...and co-morbidity information during the pre-authorization process to support care management initiatives and sound decision-making for review determinations.… more
- Trinity Health (Syracuse, NY)
- …time **Shift:** Day Shift **Description:** The RN Utilization Management Nurse Coordinator is responsible for both concurrent and retrospective inpatient and ... the utilization requirements and 3rd party payor contracts. The UM department is responsible for LOS and Level of... department is responsible for LOS and Level of Care to provide effective and efficient health care… more
- University of Michigan (Flint, MI)
- Senior Recruiting and Advising Coordinator (Hybrid) Apply Now **Job Summary** **How to Apply** A cover letter is required for consideration for this position and ... focus on intentional and cohesive student advising and support for all UM -Flint dual-enrolled students. This role will support the recruitment activities such as… more
- University of Miami (Miami, FL)
- …Department of SCCC has an exciting opportunity for a Full Time Clinical Research Coordinator 2 to work at the UHealth Medical Campus in Miami, FL. CORE JOB ... SUMMARYThe Clinical Research Coordinator 2 (A) serves as a mid-level clinical research...Maintains study binders and filings according to protocol requirements, UM and department policy.5. Distributes study drug materials according… more