- 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
- Centers Plan for Healthy Living (Margate, FL)
- UM Coordinator 5297 W Copans Rd, Margate, FL 33063, USA Req #1209 Monday, December 2, 2024 Centers Plan for Healthy Living's goal is to create the ultimate ... 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… 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 ... verification, gathering necessary clinical information from electronic medical record, and timely communication with members, providers and facility staff. Candidates should possess knowledge of third-party reimbursement regulations and medical terminology.… more
- Humana (Hartford, CT)
- …a part of our caring community and help us put health first** The UM Administration Coordinator 2 provides non-clinical support for the policies and procedures ... best and most appropriate treatment, care or services for members. UM Administration Coordinator 2 + Primarily receive calls from Providers, Hospitals, Skilled… more
- Fallon Health (Worcester, MA)
- **Overview** **The UM Inpatient Service Coordinator is a telphonic role working with hospital offices regarding inpatient or hospital stays prior authorizations ... Purpose:** Under the direction of the Supervisor, Inpatient Care Coordinator communicates with contracted and non-contracted facilities/agencies/providers and members… more
- ManpowerGroup (Columbia, SC)
- …team. This is an Onsite role. **Industry: Healthcare Industry** **Title: Managed Care Coordinator UM II** **Location: ONSITE - Columbia SC** **Duration: 3** **+ ... months** **Pay: $25-31$ per hour.** **Job Description:** + Ability to work independently, prioritize effectively and have critical thinking skills. + Experience in case management or care coordination and telephonic care experience is preferred. + **Please… more
- Dartmouth Health (New London, NH)
- …days of admission. Initiates discharge planning process. Maintains communication with UM coordinator regarding assessments, outcomes, and projected lengths of ... stay. Serves as a resource to the healthcare team, communicating with the physician, consultants, and all members of the healthcare team. Participates with the physician/multidisciplinary to review the plan and progress of care, to evaluate the effectiveness… more
- Apex Health Solutions (Houston, TX)
- Summary: The UM Reviewer serves as a contact and resource person to Health Solutions' members for the utilization review (UR) of healthcare services. The UM ... or issues arise. To support care management initiatives, the UM Reviewer should also identify enrollees in need of...flags cases for review by the Appeals & Outcomes Coordinator Reports potential risk management cases or situations to… 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
- Trinity Health (Syracuse, NY)
- …time **Shift:** Day Shift **Description:** The RN Utilization Management Nurse Coordinator is responsible for both concurrent and retrospective inpatient and ... in accordance with the utilization requirements and 3rd party payor contracts. The UM department is responsible for LOS and Level of Care to provide effective… more