Remote Utilization Management Coordinator
Humana Inc
- Remote job
Humana Inc. in the United States seeks a UM Administration Coordinator 2 to support utilization management administration. This remote role processes health service authorization requests and provides non-clinical support to UM Nurses and PH Medical Directors to ensure appropriate care for members. Strong MS Office skills and 1+ years of administrative/technical experience are required; travel to Humana offices may be needed occasionally. #J-18808-Ljbffr Humana Inc
$19 per hour
...UM Coordinator The UM Coordinator assists and supports the clinical team (UM Nurses/... ...-clinical tasks related to processing Utilization Management prior authorizations and appeals. Job... ...Career development opportunities Remote Opportunities We are actively...Remote workTemporary workLocal area- ...Detail-oriented and knowledgeable, the full-time remote Utilization Review Coordinator will manage client insurance authorization processes for Spravato and TMS services, ensuring timely submission of clinical documentation and coordinating with various teams to maintain...Remote workFull time
- ...are entitled to high-quality, coordinated care. By uniquely aligning... ...required documentation for utilization reviews. Enter authorization... ...into the utilization management system accurately and efficiently... ...responsibilities are performed remotely. Position requires...Remote workFull timeWork at office
- ...Experience:RHIT, RHIA, or related coding certification required.Minimum 3-5 years of clinical experience preferred.Previous utilization management or case management experience preferred.Certifications/Licensures Required:RHIT, RHIA, or related coding certification...Remote workFull timeMonday to Friday
$60k - $90k
...Defense Travel Lodging Coordinator (DTMO) Censeo is seeking a Project... ...to support the Defense Travel Management Office (DTMO) lodging program... ...recommend program enhancements Utilize experience in hospitality... ...role is subject to a hybrid or remote work schedule Essential Physical...Remote workFull timeWork at officeWork from homeFlexible hours$44k - $57.5k
...Integrated is looking for UM Administration Coordinators to support both its Health Choice and... ...to the administration of care management by providing non-clinical support to help... ...terminology and ICD-10 codes* Experience with Utilization Review and Prior Authorization within a...Weekly payFull timeTemporary workWork at officeWork from homeMonday to FridayFlexible hoursNight shift- ...bring together planners, engineers, architects, construction management staff, environmental, strategic communications, economists,... ...that connects employees around the world.In the role of Utility Coordinator I, we'll count on you to:Assist with the identification, communication...For subcontractorWork at officeLocal area
$80k - $90k
...Full Time Regular Clerical Remote, US Salary Range: $80,000.00 To $90,000... ...service. What you’ll do The UM Review Coordinator performs review of clinical... ...refer case to Peer Reviewer Conduct utilization management of appropriate level of care and length...Remote workFull timeCasual workWork at officeFlexible hours$105.46k - $116.01k
...Contract CoordinatorThe Contract Coordinator plays a key role in... ...Division's contracting and vendor management processes from start to... ...reimbursement; flexible schedules; remote work options; and more. For... ...systems. Monitor contract utilization and fiscal activity,...Remote workContract workFor contractorsWork experience placementInternshipWork at officeFlexible hoursShift work- ...Jacobs is seeking a Senior BIM Coordinator in our LSS team to manage BIM content, standards, and project execution across multiple facilities. This... ...split between department support and project delivery, utilizing Revit, AutoCAD, and Navisworks to create fully coordinated...Remote work
- ...EO/AA This position is responsible for assisting with the coordination of utilization review, concurrent review and medical necessity review.... ...claim review, and enters the request in the Utilization Management Platform. Checks eligibility, network status, procedure coverage...Work at office
$17.63 - $28.2 per hour
...117 Job Description: Monitors and addresses electronic faxes and emails from payors. Forwards communication to appropriate Utilization Management team members. Supports clerical and administrative activities of the Utilization Management team. Enters pertinent approval...Full timeWork experience placementWork at officeLocal areaFlexible hoursShift work- ...A leading healthcare provider in Tennessee seeks a Utilization Management Coordinator to oversee service utilization for patients. The ideal candidate will possess a current RN license or a Master's Degree in a behavioral health field. Responsibilities include coordinating...
- ...Business consulting services. We are in search of a highly motivated candidate to join our talented Team. Job Title: Utilization Management Coordinator. Location: Reston, VA. Purpose Supports the Utilization Management clinical teams by assisting with non-clinical administrative...Work experience placementWork at officeImmediate start
- ...compassion, expertise, enthusiasm, and passion for quality to a place that cultivates wellness and inspires hope. The Utilization Management Coordinator position oversees the daily activities of the Utilization Management staff including but not limited to assigning and...
- ...Responsibilities Black Bear Lodge Utilization Management Coordinator Foundations Recovery Network (FRN) is the premier provider of integrated treatment for co-occurring addiction and mental health concerns, offering residential and outpatient services nationwide. Located...Work at officeLocal area
- ...Healthcare Utilization Management CoordinatorProactively monitor utilization of services for patients to optimize reimbursement for the facility... ...plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements...Work at officeLocal area
$50k - $60k
...and sincerity in every step. Houston Behavioral Healthcare Hospital (HBHH) currently has an opening for a Part‑time Utilization Management Coordinator. The Coordinator will report to the Director of Utilization Review and provide quality case‑management services to all...Part timeFlexible hoursWeekend work$48k - $53k
...Scheduling Coordinator This position is fully in-person. No remote. No hybrid. Please consider before applying. IEP... ...the direction of the Scheduling Manager, for developing and maintaining... ...Responsibilities/Essential Functions Utilizes ShiftAdmin (scheduling) software...Remote workHourly payWork at officeLocal areaShift workWeekend work$50k - $55k
...ZOLL Cardiac Management Solutions At ZOLL, we're passionate about... ...any given day, clinicians utilize these ZOLL products for tens... ...Repetitive Motions - Eye/Hand/Foot Coordination - ZOLL is a fast-growing... ...is filled. For fully remote positions, compensation will...Remote workMinimum wageOngoing contractLocal areaWorldwideWeekend workAfternoon shift$20 per hour
...Order Management Coordinator We get it: job searching takes time and attention. At Kelly, we're... ...PM | Full-Time | Hybrid: 3 Onsite / 2 Remote Why you should apply to be a Customer... ...next" in the spare parts process. Utilizing internal documents and CRM tools to process...Remote workWeekly payFull timeContract workWork at officeMonday to FridayFlexible hoursShift workNight shift$55.3k - $69k
...Lean Coordinator We're Here to Move the World Forward. Valmont... ..., enhancing connectivity in remote and urban locations to create... ...of coaching, training, data management and analysis, helping with... ...dedicates a large amount of time utilizing lean tools to improve office...Remote workTemporary workWork at officeShift workNight shift$19.24 - $31.04 per hour
...Description The Telehealth Coordinator Lead is responsible for addressing... ...assigned team. This is a remote role but requires residency... ...Assist in leading and/or managing team Act as a resource for... ...aptitude with the ability to utilize Microsoft Office including Outlook...Remote workHourly payMinimum wageFull timeWork at officeLocal areaMonday to FridayFlexible hoursShift work- ...technology-enabled property management service and platform focused... ...Summary The Leasing Coordinator serves as the central point... ...including pricing, lease terms, utilities, amenities, pet policies, HOA... ...Work environment Remote Status: N/A Travel Requirements...Remote workWork at officeLocal area
- ...RN Coordinator Utilization Management The RN Coordinator Utilization Management will review submitted authorization requests for medical necessity, appropriateness of care, and benefit eligibility. This position reviews applicable guidelines regarding payment and coverage...Work at officeWork from homeHome officeMonday to Friday
$38 per hour
...Utilization Management Coordinator I MSO Burlingame, CA 94010 Overview Salary Range $38.00 - $38.00 Hourly Education Level 2 Year Degree Description The Utilization Management Coordinator I functions under the direct supervision of a physician or Registered...Hourly payFull time- ...Utilization Review (UR) / Utilization Management (UM) Coordinator The Utilization Review / Utilization Management Coordinator works closely with the other staff of Utilization Review/Management, Intake, Business Office, Medical Records, Clinical Staff, Nursing, and...Temporary workWork at officeFlexible hours
$275k - $325k
...affiliate locations of care across five states and growing, TOI is changing oncology for the better. Utilization Management Medical Director OncologyWork Location: REMOTE (work from home)California Nevada Arizona Oregon FloridaThe Medical Director role provides clinical...Remote workWork from home- ...Utilization Management Coordinator At River Edge Behavioral Health in Macon, GA, employees are expected to develop meaningful relationships with patients, establishing trust and making a difference in the lives of clients and their families. We believe in supporting...Flexible hours
- ...Utilization Review Coordinator The Utilization Review Coordinator ensures efficient and effective management of utilization review processes, including denials and appeals activities. This role collaborates with payers, hospital staff, and clinical specialists to secure...Work experience placementWork at office
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