Remote Utilization Management Coordinator - Payer Liaison
HonorHealth
- Remote job
HonorHealth in Virtual Arizona is seeking a Utilization Management support role within Case Management. Under supervision, you will assist in organizing workflow, coordinating communications, and tracking follow-up tasks to ensure efficient UM operations and payer interactions. You will handle inbound faxes, document in EMR/EPIC, collaborate with UM nurses and physician advisors to secure appropriate authorizations for inpatient or observation admissions, and help optimize revenue by timely #J-18808-Ljbffr HonorHealth
- Cedars-Sinai is seeking an Utilization Management Specialist to provide advanced operational support... ...and compliant utilization review with payer submission and documentation. You will... ...lifecycle, track payer responses, and coordinate with multiple departments to uphold...Remote job
- ...Arizona Category: Case Management Shift: Day... ...Department: Case Management Remote Monday - Friday 7:30am... ...Network Manager for Utilization Management, assists in... ...communication with payers, in order to effectively... ...supports Care Coordination department efforts in...Remote workWork at officeMonday to FridayShift work
- HonorHealth is seeking a Utilization Management Support professional for a remote, day shift role in Arizona. The position focuses on organizing workflow, communicating with payers, and supporting the Care Coordination and UM departments to optimize revenue and approvals...Remote jobDay shift
$85k
...Opportunity Employer. Greater Oregon Behavioral Health, Inc. (GOBHI) has an immediate opening for a Utilization Management Coordinator. This key position is a remote office position and needs to be located within the State of Oregon. The Utilization Management Coordinator...Remote workFull timeContract workTemporary workFor contractorsWork at officeImmediate startFlexible hours- ...To support a growing healthcare team, the full-time Utilization Management Coordinator will manage member support, prior authorization coordination, and administrative case management tasks in a fully remote environment. Key responsibilities Serve as the primary point...Remote workFull timeWork at office
$40k - $52.3k
...Become a part of our caring community Humana is seeking a Utilization Management (UM) Coordinator to join the Wisconsin Medicaid Market (iCare) team.... ...Information Workstyle: Home. Home workstyle is defined as remote but will use Humana office space on an as needed basis...Remote workWeekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday$69.8k - $125.9k
...This position is responsible for ensuring compliance with Utilization Management (UM) and Quality Review (QR) functions performed by the health... ...denial decisions. Sponsorship is not available This is a remote role #LI-KW1 #LI-remote #INAK Are you being referred...Remote workFull timeNight shift- ## Utilization Management CoordinatorApply: Remote - OK: Part time: Posted Today: JR32024**Current Saint Francis Employees - Please click** **HERE** **to... ...services and appropriate discharge planning. UM Coordinators participate in treatment teams, communicating with providers...Remote workPart timeWork experience placementWork at office
- Greater Oregon Behavioral Health, Inc. (GOBHI) is seeking a full-time Utilization Management Coordinator for a remote office role in Oregon. You will provide clinical expertise in mental health and substance use treatment, review requests for medical necessity, and inform...Remote jobFull timeWork at office
- Sedgwick is seeking an Utilization Review Coordinator to support UR processes from a telecommuter role in Florida. You will assign UR cases, verify... ...information, and maintain data integrity within clinical management systems. The ideal candidate has a High School diploma or...Remote job
$20.24 - $24.24 per hour
...Utilization Management Coordinator Pay Range: $20.24hr - $24.24hr The Utilization Management Coordinator will provide administrative and operational support for utilization management activities, including authorization processing, benefit verification, claims inquiries...Remote jobWork at office$25 - $31 per hour
All Jobs > Utilization Management Coordinator The Utilization Management (UM) Coordinator is responsible for providing administrative, operational,... ...position requires the ability to work independently in a fully remote environment while maintaining a strong commitment to...Remote workHourly payWork at officeMonday to Friday- Humana Inc. is seeking an Utilization Management Administration Coordinator to support non-clinical processes ensuring appropriate care for members. This fully remote role reports to the UM Manager within the Home Solutions organization, aligning with SNF services and...Remote job
- Humana is seeking an Utilization Management Administration Coordinator to provide non-clinical support for policies ensuring appropriate care for members. This fully remote role sits within Home Solutions, supporting the Skilled Nursing Facility segment with CenterWell...Remote job
$143.4k - $179.2k
...GLAUKOS – REIMBURSEMENT LIAISON (GLAUCOMA) - ATLANTA,... ...directly with key management personnel, providers and... ...products in line with payer requirements to the highest... ...reimbursement policy, utilization management criteria,... ...#GKOSUS #LI-Remote Generous. Innovative...Remote workFull timeWork at officeLocal areaNight shift- ...CMS inpatient list and the InterQual inpatient list based on payer criteria used.Hours are Monday - Friday from 8:30am until 5... ...Minimum 3-5 years of clinical experience preferred.Previous utilization management or case management experience preferred.Certifications/Licensures...Remote workFull timeMonday to Friday
$45 per hour
...Job Description Job Description Utilization Management Nurse Coordinator (RN or LVN) needed for a temp 6+ month, remote contract opportunity with Yoh’s managed care health plan client based out of Redding or Fairfield, CA. Anticipating to be temporary for at least...Remote workContract workTemporary workMonday to FridayWeekend work- Cedars-Sinai is seeking a skilled Utilization Management Specialist to support UR Nurses in timely, compliant utilization review processes. You will manage case portfolios, assemble documentation for payer submissions, and monitor payer timelines to prevent delays. In collaboration...Remote job
- Cedars-Sinai is seeking an Utilization Management Specialist to support the UR team in a fast-paced... ...regulatory compliance using EPIC/CS-Link and payer portals. Responsibilities include... ..., tracking payer submissions, and coordinating with UR Nurses, Case Management, and Revenue...Remote job
- ...support clinical staff in a team environment, the full-time Utilization Review Coordinator will manage utilization review requests, verify and enter data... ...systems, and respond to inquiries while working remotely. Key responsibilities Accesses, triages, and assigns...Remote workFull timeWork at office
- ...and services: Denials Management and Complex Claim Resolution... ...: Location: Remote (Within US Only) Required... ...EOB’S, denial letters/payer correspondence and... ...supporting documentation, utilization of on-staff clinicians... .... Regular eye-hand coordination and manual dexterity is...Remote workHourly payFull timeImmediate startMonday to Friday
$27 - $30 per hour
...workplace, supportive managers, and opportunities... ...Job Summary The Utilization Review Coordinator is responsible for obtaining... ...leadership, payers, and other internal... ...treatment. Serves as a liaison between the... ...position is primarily remote unless business needs...Remote work$50k - $55k
...conditions. ZOLL Cardiac Management Solutions offers a... ...given day, clinicians utilize these ZOLL products... ...they work closely with payers to drive efficiencies... ...- Eye/Hand/Foot Coordination - ZOLL is a fast-growing... ...is filled. For fully remote positions,...Remote workMinimum wageOngoing contractFull timeLocal areaWorldwideWeekend workAfternoon shift- ...severe conditions, as well as a women’s trauma unit. The Utilization Management Coordinator is responsible for completing the following duties and tasks: Performs timely, daily clinical reviews with all payer types (Managed Medicare, Managed Medicaid and commercial)...Work at office
- ...Medical Science Liaison (MSL) Director The Medical... ...-to-day operational management of a 6-person MSL team... ...quality and appropriately coordinated with other in-field... ...Ensure MSLs are fully utilizing technology (e.g., CRM,... ...healthcare providers, payers and Local Regulatory Authorities...Remote workLocal area
$20 - $21 per hour
...accountable specialty care management organization focused... ...for patients, payers, and providers. Deep clinical... ...Management Referral Coordinator to support referral... ...unit in a fast‑paced, remote environment. In this role... ...on an open case. Utilizes AI tools to support day...Remote workHourly payFull timeContract workPart timeFor contractorsLive inWork at officeLocal areaHome officeMonday to FridayFlexible hours$233.13k - $267.1k
...Clinical Practice Liaison (CPL) is a senior... ...stratification, and patient management ~ Maintain... ...based approaches, payer-aligned workflows,... ...communication and coordinated execution ~... ...#LI-Remote Madrigal’s Total... ...misspelled, have been utilized in these most recent...Remote workFull timeWork at officeLocal areaFlexible hoursWeekend work- ...Job Summary The Utilization Review Coordinator ensures efficient and effective management of utilization review processes, including... .... This role collaborates with payers, hospital staff, and clinical... ...initiatives, and serves as a key liaison to reduce denials and optimize...Work experience placementWork at officeLocal area
$84k - $126k
...enabled revenue cycle management solutions for... .... The Virtual Utilization Review Supervisor... ...collaborates with hospital liaison. Collaborates... ...to third party payers. MEDICAL... ...DENIAL MANAGEMENT: Coordinates the appeal process... ...hire #LI-LS1 #LI-REMOTE Join an award-...Remote workFull timeWork at officeLocal area$126.51k - $210.86k
...Summary: The Director, Practice Liaison (CPL) leads Option Care... ...loyalty and increase referral utilization. Ensure consistent... ...experiences. Performance Management & Analytics Establish KPIs... ...Knowledge of reimbursement, payer access, prior authorizations,...Remote workFull timeFlexible hours
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