Utilization Review Coordinator — Admissions & Insurance Specialist
$20 per hourPyramid Healthcare Inc
Pyramid Healthcare Inc. seeks a healthcare professional to perform utilization review reviews and manage eligibility in a fast-paced behavioral health setting in Pennsylvania. You will maintain UR databases, coordinate with billing, ensure ASAM requirements are met, and work with referral sources to optimize funding. Qualifications include 3–5 years in Utilization Review, an Associate or Bachelor's in Behavioral Health, and strong Excel/Office skills. Starting compensation is $20/hour. #J-18808-Ljbffr Pyramid Healthcare Inc
$20 per hour
...Principal Results Expected: Perform admission, continued stay and discharge reviews on all managed care clients.... ...relationships with referral sources and insurance companies. Track admissions,... ...level. 3-5 years’ experience in Utilization Review or related position in a healthcare...SuggestedWork at officeLocal area- New York City Children’s Center - Bronx Campus seeks a Utilization Review Coordinator to analyze quality, effectiveness, and efficiency of psychiatric... ...completeness, collecting utilization data, and assessing admissions and discharge plans against CMS criteria to ensure...SuggestedWork at office
$18 - $20 per hour
...Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Utilization Review Coordinator PRIMARY PURPOSE :To assign utilization review requests; to verify and enter data in appropriate system(s); and to...SuggestedWork at officeLocal areaFlexible hours$20 - $30 per hour
...delivering exceptional care, utilizing state-of-the-art facilities,... ...Responsibilities Utilization Review on Behalf of the Clinics: Prescreen... ...primary treating clinicians. Coordinate Peer-to-Peer (P2P) Review... .... Coordinate all concurrent insurance reviews with clinicians and medical...SuggestedRemote work$73.76k - $93.68k
The State of New York is hiring a Utilization Review Coordinator for the NY HELPS program at the NYC Children’s Center - Bronx Campus. This full-time role supports care coordination and review of patient utilization in a busy clinical setting within the State’s mental...SuggestedPermanent employmentFull timeWork at office$25 - $31 per hour
All Jobs > Utilization Management Coordinator The Utilization Management (UM) Coordinator is responsible... ...process, and track inpatient admission notifications, concurrent review requests, transfers, and... ...primary care providers and specialists. Support outreach to recently...Hourly payWork at officeRemote workMonday to Friday- ...POSITION OVERVIEW The UM Coordinator position provides... ...operational support to the Utilization Management team. This... ...the utilization review process while... ...authorization, inpatient admissions, and transition of care... ...healthcare facilities, insurance payers, and patients/...
- ...Position Title: Utility & Energy Due Diligence Program Manager Location: Remote (Travel... ..., easement analysis, and utility coordination. The ideal candidate is highly analytical... ...selection and development decisions. Review utility easements, rights-of-way, access...Remote workWorldwide
- Humana is seeking a Utilization Management (UM) Coordinator to join the Wisconsin Medicaid iCare team. This non-clinical role supports prior authorization... ...in TruCare, coordinate with staff for clinical review, and maintain timely responses. Remote-friendly workstyle...Remote jobWork at office
- Internal Posting: 9/28/26 to 10/11/26 Assistant Utilization Coordinator Summary: Under general supervision, an incumbent of this class assists... ...procedures specified in the Quality Management, Utilization Review and Discharge Planning Program at Westchester Medical...
$23 - $26 per hour
...Assistant Director, the Intake Coordinator plays an integral role... ...referrals and coordinating admission. These activities include managing... ...partners, screening and reviewing referrals for eligibility and... ...Manage the program waitlist utilizing the electronic records systems...Work at officeLocal areaImmediate startShift work- ...job position is to conduct and coordinate the development and... ...activities or need to amend the admission assessment Develop and implement... ...needs of each resident, utilizing the forms required by current... ...participate in the development and review of the resident's plan of...
- ...and Hong Kong.What You Will Be Doing:The position of Managed Review Coordinator will be instrumental in supporting our Managed Review... ...comprehensive benefits package including medical, dental, and vision insurance, 401k matching, membership to child-care providers, and...Full timeTemporary workInternshipWork at officeLocal areaWorldwideWeekend work
- POSITION SUMMARY:The Client Coordinator is responsible for... ...disabilities. Utilizing theInterdisciplinary... ...participates in clinical reviews, incidentreview and human... ...Intervention Specialists, Nurses, Residence,treatment... ..., assist with admissions and discharge procedures...Work experience placement
$18.89 - $28.33 per hour
...application materials. Print and mail admissions related communications and collateral. Coordinate with Admissions teams to track... ...evaluation meetings. Utilize reporting tools to plan and organize... ...education and work experience. (Please review the Equivalency Chart for...Hourly payWork experience placementSeasonal workWork at officeFlexible hoursWeekend workAfternoon shift- ...purpose of the Re-Entry Coordinator is to re-enroll and... ...standardized university admission guidelines and... ...to identify Academic Reviews drop list to identify... ...drop/reentry student: Utilizes drop reports to target... ...1(k) matching Dental Insurance Health Insurance Vision...Permanent employmentWork experience placementWork at office
- Humana is seeking an UM Administration Coordinator to support utilization management operations remotely. The role involves handling member/provider calls, processing prior authorizations, and performing back-office administrative tasks with strict adherence to processes...Remote jobWeekend work
$25 - $30 per hour
...Riverside, and Family Care Specialists. Together, we’re building a... ...and their patients. As a UM Coordinator, you will work closely with... ...authorization processes, navigating insurance requirements with precision... ...to authorizations. Review authorization requests per established...Casual workWork at officeLocal areaFlexible hours- ....edu is seeking an editorial professional to oversee the peer-review process for manuscripts, ensuring timely and high-quality reviews... ...compliance with internal guidelines and industry standards, coordinating publication readiness and meeting short deadlines. #J-18808-...Remote job
- Humana, Inc. is seeking an UM Administration Coordinator 2 for home health to handle telephonic member/provider interactions and support utilization management requests. The role centers on intake, processing of authorization cases, and documentation across multiple systems...Remote job
$58.12k
...Short Term Disability, Life Insurance, Cancer Insurance, Flex Spending... ...Maintains and coordinates the flow of information received... ...families to explain the hospice admission process Coordinate with clinical... ...to facilitate eligibility review, including physician...Full timeTemporary workPart time$59k - $64k
...The Center for Healing Intake Coordinator is responsible for managing... ...Ensure all intake and admission processes meet regulatory and... ...processes of own charts, including review of documentation. Care... ...including medical/dental/vision insurance, 403(b) plan, generous paid...Full timeMonday to Friday- ...you! Position: Intake Coordinator Location: Remote Job... ...of Openings: 1 Intake Specialist - Home Infusion... ...physicians, referral sources, insurance companies, patients,... ...providers. Review referral information... ...Coordinate timely intake and admissions for new home infusion...Full timeRemote workWork from home
- Humana is seeking a UM Administration Coordinator 1 to support utilization management operations from a remote or hybrid setting. You will handle administrative tasks, data entry, records, and stakeholder communications under general supervision. This is a great entry-...Remote job
$20 per hour
.../from PTS and / or Merchants for sample review meetings Assist with sample storage and... ...demeanor at all times. Experience utilizing Microsoft Office Suite programs is desirable... ...include medical, dental, vision, life insurance, short-term disability, additional...Temporary workCasual workWork at officeLocal areaMonday to Friday- ...our Skilled Nursing Facility in theBronx, NY.Responsibilities:Coordinate the MDS assessment process, ensuring timely and accurate... ...Interdisciplinary Team in relation to MDS processRequirements:MDS 3.0/Utilization Review/Case Management experience preferredValid New York RN...Temporary workWork experience placement
$16.66 - $24.26 per hour
...Life. JOB SUMMARY Our Branch Coordinators positively impact the lives... ...documentation required to bill health insurance plans. The anticipated... ...working with new orders, reviewing multiple systems... ...setting or call center Experience utilizing multi-line phone-system. PHYSICAL...Hourly payTemporary workWork experience placementWork at officeLocal areaImmediate startFlexible hours- ...managing accounts receivable, verifying insurance coverage, and engaging in effective communication... ...of payments for services provided. Reviews and analyzes outstanding accounts,... ...actions to resolve outstanding balances. Utilizes electronic billing systems and software...Temporary workFlexible hoursShift work
$70k - $80k
...and are looking for a Finance Coordinator to join our in-house finance... ...approval procedures.Review invoices for completeness, appropriate... ..., including W-9 forms, insurance certificates, applicable minority... ...contracts, including utilities, copiers, maintenance agreements...Contract workWork at officeNight shiftWeekend work- ...communications with residents and families throughout the resident lifecycle (pre-admission, admission, maintenance, crisis, discharge), coordinating with ED and Case Manager to review service delivery failures.Develop, implement, and enforce signature service standards...Seasonal workLocal areaImmediate start
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