Utilization Management Coordinator
$40k - $52.3kHumana Inc
- # Utilization Management CoordinatorApplylocations: Remote Ohiotime type: Full timeposted on: Posted Todayjob requisition id: R-426423# **Become a part of our caring community**The Physical Health, PH ,UM Administration Coordinator 2 contributes to administration of PH utilization management. The UM Administration Coordinator 2 provides non-clinical support for UM Nurses and PH Medical Directors to ensure the best and most appropriate treatment, care or services for members.The UM Administration Coordinator 2 processes requests for authorization of health services, requiring interpretation of area/department policy and methods for completing assignments. The UM Coordinator works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.# **Use your skills to make an impact****Required Qualifications*** 1 or more years administrative or technical support experience* Working knowledge of MS Office including Word, Excel, and Outlook in a Windows based environment and an ability to quickly learn new systems* Must be passionate about contributing to an organization focused on continuously improving consumer experiences**Preferred Qualifications*** Proficient utilizing electronic medical record and documentation programs* Proficient and/or experience with medical terminology and/or ICD-10 codes* Bachelor's Degree in Business, Finance or a related field* Prior member service or customer service telephone experience desired* Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organizationWork at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.**Scheduled Weekly Hours**40**Pay Range**The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$40,000 - $52,300 per year**Description of Benefits**Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.# **About us**About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com. **Equal Opportunity Employer**It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
- J-18808-Ljbffr Humana Inc
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Utilization Management Coordinator in Brooklyn, NY vacancy
$19 per hour
The UM Coordinator assists and supports the clinical team (UM Nurses/Medical Director) with administrative and non-clinical tasks related to processing Utilization Management prior authorization sand appeals. JOB RESPONSIBILITIES Monitor incoming faxes Enter UM authorizations...SuggestedTemporary workLocal areaRemote work- ...Permit & Utility Clerk TYPE: Full Time HOURS: Typically M-F 8:00 to 5:00 BENEFITS: Full... ...minimum of 5 or more years of office or management experience. Preferred Specialty Skill Sets... ...correspondence, messages, emails, faxes Coordinate all facets of required state and local...SuggestedFull timeWork at officeLocal area
Gfoat
Brooklyn, NY4 days ago - ...Job Description Coordinates and administers accurate pricing on ~1500 U.S. and America Latina... ...work closely with sales reps, sales management, and Pricing Supervisor in executing pricing... ...all other daily pricing maintenance. Utilize strong analytical skills to meet...SuggestedWork experience placementFlexible hours
Victaulic
Brooklyn, NY1 day ago - The Asset Management Field Coordinator is a part-time role responsible for the operational integrity and legal compliance of our real estate portfolio... ...within the industry. Key Responsibilities: 1.Asset & Utility Management Local Representation: Serve as the designated...SuggestedPart timeFor contractorsLocal area
- ...Surgical Coordinator The Surgical Coordinator plays a critical role in ensuring the seamless scheduling and management of surgical procedures. This position requires close collaboration... ...schedules to optimize resource utilization and minimize delays or cancellations...SuggestedFull timeWork at office
$22.87 per hour
## Test Management (Phlebotomy) Coordinator - Banner Gateway (Evening Shift)Applylocations: Banner Gateway Med Ctr (1900 N Higley Rd)time type: Full... ...a thorough knowledge of instrumentation and procedures utilized in the section.* Must have a working knowledge of regulatory...Hourly payAll shiftsShift workWeekend workAfternoon shift- ## Disease Management Coordinator - Population HealthApplylocations: Remotetime type: Full timeposted on: Posted Todayjob requisition id: JR... ...and duties. Other duties may be assigned.1. Ambulatory Utilization Management, Financial Management and Quality Screening for...Work at officeRemote workFlexible hoursShift work
- ...Intake Coordinator For over 125 years, Catholic Charities Brooklyn and Queens has been... ...Ridge and the Southwest Queens Senior Case Management Programs, case management and the... ...and other agency trainings/meetings. Utilize the Vive data system for client information...Full timeWork at officeFlexible hours
- Capital Health seeks an experienced Utilization Review Supervisor for 40 hours/week in Trenton, NJ. The role oversees UR staff, ensures... ...and an active NJ RN license, with several years in case management or UR. The position offers comprehensive benefits and full-time...Full time
$17 - $20 per hour
...and productive weekly marking plans by utilizing all resources available to achieve better... ...FIFO) methods to meet customer needs and manage the cutting, trimming, and packing of... ...equipment to be at the appropriate temperature, coordinate maintenance accordingly, and keep...Hourly payLocal area99 Ranch Market
Jersey City, NJ21 days ago- ...Supervisor, Certified Clinically Advanced Nutrition Coordinator- Staten Island, NY - Full time Day - Offsite Supervisor, Certified Clinically... ...providers, nursing professionals, social workers, case managers, pharmacists, practice leadership, and office staff to foster...Full timeTraineeshipInternshipWork at officeLocal area
- ...Primoris Energy Services is seeking an Equipment Coordinator in Hubbard, TX to manage and track all company equipment, ensure maintenance and safety... ...inspections, and assisting procurement for new equipment while generating utilization and cost reports. #J-18808-Ljbffr...
Primoris
Brooklyn, NY11 hours ago - ...teamwork. This is the team for you.As a Syndicated Loan Transaction Coordinator - Associate within the Wholesale Lending Services team at... ...originating out of North America.Job responsibilitiesAssign, Manage, and maintain Investment and Commercial Bank transaction pipeline...
$20 - $21 per hour
...Material Planning Coordinator II We are immediately hiring a Material Planning Coordinator in Inwood, WV for our Supply Chain Solutions... ...to work additional days and hours as needed. Prior materials management experience is preferred. Experience in production/packaging...Hourly payWeekly payImmediate startMonday to FridayDay shiftRyder
Inwood, NY18 hours ago$45k - $85k
...Legal Coordinator About the Organization For over three decades, SMC has been in the forefront of proven, quality real estate property management services in the New York/New Jersey metropolitan area. Our property management portfolio consists of rental housing for...Full timePart timeWork at officeLocal areaFlexible hoursSHINDA MANAGEMENT CORPORATION
Queens Village, NY2 days ago- ...Data Coordinator As an integral member of the Data Management Team (DMT), the Data Coordinator plays a vital role in maintaining the accuracy, integrity, and effectiveness of program databases. Reporting directly to the Data Manager and the Assistant Data Manager, with...
New York Edge
Corona, NY4 days ago $45k - $50k
...Intake Coordinator Prevention Programs provide counseling and case management services to families to help them develop strategies to thrive and succeed together as... ...programs to ensure that the programs are fully utilized. The Intake Coordinator will actively outreach...Good Shepherd Services
Brooklyn, NY2 days ago- ...Client Management Support To provide a professional, courteous and efficient service to Cadogan Tate's clients, vendors and employees, while performing a client management support function. Knowledge, Skills and Experience Bachelor's Degree in a related field, such as...Work at office
Cadogan Tate
Brooklyn, NY4 days ago - ...Join Our Team as a Surgical Coordinator Spectrum Vision Partners ("SVP") and OCLI Vision ("OCLI") work together to provide world class eye care to our patients to improve lives. SVP, the management services team, supports OCLI vision, one of the largest multi-specialty...Flexible hours
Ophthalmic Consultants Of Long Island
Richmond Hill, NY3 days ago - Overview Position: Proposal Coordinator/Marketing Assistant Reports to: Proposal Manager Work Location: On-site position at one of the firm’s office locations: Newark... ...and creative content to meet requirements Utilize proposal management tools Ensure proposals follow...Temporary workWork at officeFlexible hours
$27 - $33 per hour
...The Management Trust Position Title: Transitions Coordinator Location: Irvine, CA Reporting To: Transitions Manager Status: Non-Exempt, Full-Time Salary: $27.00-$33.00/Hourly DOE COMPANY PROFILE: The Management Trust is a community association management company. We believe...Hourly payFull timeWork experience placementWork at officeRelocationMonday to FridayThe Management Trust
Brooklyn, NY11 hours ago- ...bring together planners, engineers, architects, construction management staff, environmental, strategic communications, economists, management... ...employees around the world. In the role of Bridge EIT/Coordinator, we'll count on you to: Apply structural engineering and...Full time
- ## Coordinator, TPC Talent & CultureApplylocations: Ponte Vedra Beach, FLtime type: Full timeposted... ...HR compliance preferred.* Experience utilizing HRIS platforms and Microsoft Office... ...organizational skills with the ability to manage multiple priorities.* Exceptional...Work at officeRelocationFlexible hours
- Parking Management Company (PMC) is a national leader in hospitality-focused parking services. The Lot Attendant / Lot Auditor role involves directing traffic, assisting customers, and monitoring the lot in all weather conditions. Responsibilities include ticketing, payments...
$90.9k - $118.1k
Select how often (in days) to receive an alert: Create Alert Supply Management Nuclear Station Coordinator Dominion Energy is committed to providing reliable, affordable, and increasingly clean energy that powers our customers every day. If you want to work for a purpose...Visa sponsorshipWork visaRelocation package$60k - $75k
Management/Leasing Coordinator - Central Virginia Envolve Client Services Group owns and professionally manages apartment communities located throughout the southeastern United States. We are a company whose success is measured by our residents' satisfaction in making...Full timeTemporary workWork experience placementWork at officeWeekend work- WVU Medicine is seeking a Disease Management Coordinator in population health to work remotely with occasional travel. You will collaborate with patients and providers to optimize care, support discharge planning, and coordinate resources across the care continuum. Ideal...Remote job
- Saint Vincent Hospital in Worcester, MA seeks a Materials Management professional to oversee purchasing, inventory, and billing for the Cardiovascular Interventional Lab. You will coordinate vendor interviews, assist with contracts, and manage cost analyses while ensuring...
$67k - $150k
...accommodation or an alternative application process. Billling Coordinator Full Time Clerical Nashville, TN, US 6 days ago Requisition... ...Tri Star Sports and Entertainment Group is a renowned business management firm serving high net-worth clients in the sports and...Full timeWork at office$18.2 - $29.7 per hour
Coordinator, Managed Care, Credentialing What Managed Care contributes to Cardinal Health Practice Operations Management oversees the business and administrative operations of a medical practice. Managed Care oversees the interactions that take place between payer and...Hourly payTemporary workWork experience placementLocal areaFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Utilization Management Coordinator. Be the first to apply!
Related searches
- reimbursement coordinator Brooklyn, NY
- change management coordinator Brooklyn, NY
- workforce coordinator Brooklyn, NY
- fashion coordinator Brooklyn, NY
- art coordinator Brooklyn, NY
- science coordinator Brooklyn, NY
- continuous improvement coordinator Brooklyn, NY
- workflow coordinator Brooklyn, NY
- building coordinator Brooklyn, NY
- localization coordinator Brooklyn, NY