- Houston Behavioral Healthcare Hospital (Houston, TX)
- …together. Houston Behavioral Healthcare Hospital (HBHH) currently has an opening for Full-time Utilization Management Coordinator . The Utilization ... Coordinator will report to the Director of Utilization Review and will be responsible to provide quality...Review and will be responsible to provide quality case management services to all patients and their families, to… more
- Humana (Madison, WI)
- …of our caring community and help us put health first** Humana is seeking a Utilization Management (UM) Coordinator to join the Wisconsin Medicaid Market ... 5:00pm CST **Preferred Qualifications** + Experience in prior authorization or utilization management . + Experience working in a managed health care setting or… more
- Trinity Health (Syracuse, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** The RN Utilization Management Nurse Coordinator is responsible for both concurrent and ... department productivity to meet targets. + Participates in all aspects of utilization management . Assist with strategies, plans and workflow development in… more
- Hackensack Meridian Health (Neptune, NJ)
- …mission to transform healthcare and serve as a leader of positive change. The **Care Coordinator , Utilization Management ** is a member of the healthcare team ... patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to manage length… more
- Hackensack Meridian Health (Holmdel, NJ)
- …mission to transform healthcare and serve as a leader of positive change. The **Care Coordinator , Utilization Management ** is a member of the healthcare team ... patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to manage length… more
- Centers Plan for Healthy Living (Margate, FL)
- …with the guidance and plans they need for healthy living. JOB SUMMARY: The Utilization Management Care Coordinator works within a multidisciplinary care team ... 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… more
- Covenant Health Inc. (Louisville, TN)
- Overview Utilization Review Coordinator , Quality Management Full Time, 80 Hours Per Pay Period, Day Shift Peninsula Overview: Peninsula, a division of ... budgeted targets. + Provides medical/psychiatric leadership/consultation to Provider Relations, Medical Utilization Management , and Quality Management Staff… more
- Catholic Health (Buffalo, NY)
- …with rotation to 8-4pm Summary: This position is accountable for the document management , workflow, and data entry of the concurrent review process associated with ... the management of communication received from the payers. This individual specializes in ensuring the concurrent review process is followed, evaluates what is needed… more
- St. Luke's University Health Network (Allentown, PA)
- …utilization management of psychiatric cases in the absence of the utilization management coordinator . PHYSICAL AND SENSORY REQUIREMENTS: Able to ... and the Manager regarding variances, aspects of patient care management . + Facilitates insurance authorization, pre-certification, and concurrent reviews for… more
- Fairview Health Services (Princeton, MN)
- …service coordination and referral, transition management , utilization management and quality assurance. The care coordinator promotes holistic, high ... Convenes interdisciplinary team members, as needed, for complex case management + Consults with FVP Nurse Care Coordinator... management + Consults with FVP Nurse Care Coordinator for members with complex health care needs +… more