Utilization Management Coordinator
Virtual Vocations Inc
Leading a remote team, the full-time Lead Utilization Management Coordinator will oversee daily operations, ensure timely processing of authorization requests, and provide guidance and support to the UM Coordinator team while promoting workflow efficiency and quality outcomes. Key Responsibilities Lead the daily operations and workflow of the UM Coordinator team to ensure timely processing of authorization requests Serve as the primary resource and subject matter expert for UM Coordinators, providing guidance and support on complex cases Assist leadership with onboarding, training, mentoring, and ongoing development of new and existing UM Coordinators Required Qualifications High School Diploma or equivalent required; Associate's degree in Healthcare Administration or a related field preferred Minimum of 3-5 years of experience in a health plan or managed care environment At least 2 years of Utilization Management, Prior Authorization, or Case Management support experience required Bilingual (English/Spanish) required Previous experience serving as a team lead, trainer, or mentor strongly preferred
- ...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...SuggestedFor subcontractorWork at officeLocal area
- ...A healthcare service provider in Franklin, TN, is seeking a Utilization Management Coordinator to monitor and coordinate patient care services. The ideal candidate must have a current RN license or a Master's Degree in a behavioral health field, along with strong communication...Suggested
- ...A healthcare facility in Houston is seeking a Part-time Utilization Management Coordinator to provide quality case-management services. This role involves developing treatment and discharge plans, coordinating with physicians, and ensuring effective communication with...SuggestedPart timeFlexible hours
- ...Utilization Review / Utilization Management Coordinator OpportunityTurning Point Care Center provides comprehensive behavioral health care for adults experiencing chemical dependency, acute psychiatric disorders, or a dual diagnosis. For more than 40 years, our team has...SuggestedWork at officeLocal area
$20 - $30 per hour
...industry by delivering exceptional care, utilizing state-of-the-art facilities, and... ...Reports to: SeniorDirector of Revenue Cycle Management Department/Location: Remote FLSA Status... ...with the primary treating clinicians. Coordinate Peer-to-Peer (P2P) Review preparation and...SuggestedRemote 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...
- ...Utilization Review CoordinatorThe 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
- ..., landscape architecture, construction management, survey and environmental services for... ...between the Department, federal agencies, utility companies, other entities and title... ...applicable state and federal laws Measures, coordinates and calculates payments such as...Local areaRelocationFlexible hours
- ...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...Work experience placementWork at officeImmediate startRemote work
- ...Healthcare Utilization Management Coordinator Proactively monitor utilization of services for patients to optimize reimbursement for the facility. Essential Functions: Act as liaison between managed care organizations and the facility professional clinical...Work at officeLocal area
- ...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...Temporary workReliefWork at officeShift work
- ...7:45am-4:15pmInternal Posting: 8/19/26 to 9/1/26Assistant Utilization Coordinator Summary: Under general supervision, an incumbent of this class... ...investigation of the procedures specified in the Quality Management, Utilization Review and Discharge Planning Program at...
- ...Job Requirements Under general supervision, provides utilization review and denials management for an assigned patient case load. This role utilizes nationally recognized care guidelines/criteria to assess the patient's need for outpatient or inpatient care as well...Work experience placement
- ...-Friday-8am-4:30pm Behavioral health/ inpatient psych/ utilization management experience preferred. Job Summary: Provides administrative... ...necessary services and appropriate discharge planning. UM Coordinators participate in treatment teams, communicating with...Part timeWork experience placementWork at officeRemote workMonday to Friday
- Position Details Position Information Recruitment/Posting Title Utilization Management Coordinator Job Category Staff & Executive - Healthcare - Other Department University Behavioral Health Overview Rutgers University Behavioral Health Care...Full timeTemporary workSeasonal workWork at officeFlexible hoursShift work
- ...Managing the end-to-end authorization process, the full-time remote Utilization Management Coordinator will oversee patient eligibility verification, maintain detailed documentation, and act as a liaison between hospital staff and health payers while ensuring compliance...Full timeRemote work
$21.7 - $27 per hour
...Utilization Management Coordinator The Utilization Management Coordinator plays a vital role in supporting Clinical Operations by managing the intake, prior authorization, and clinical coordination workflows. This role ensures timely case intake, accurate authorization...Full timeContract workInternshipWork at officeRemote workMonday to FridayShift work$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 Management Coordinator PRN Quail Run Behavioral Health Hospital in Phoenix is seeking a dynamic and talented UM Coordinator to join our team of compassionate, dedicated professionals in our utilization review department. Benefits include: challenging and...ReliefLocal area
$25 - $28 per hour
...Utilization Management Coordinator (UM) Ridgeview Institute-Monroe - Monroe, GA 30655 Overview Salary Range $25.00 - $28.00 Hourly Level Experienced Position Type Full Time Education Level 2 Year Degree Position Summary JOIN OUR TEAM AS A UTILIZATION MANAGEMENT...Hourly payFull timeTemporary work- ...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
$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- ...Utilization Management Coordinator PRN With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible...Full timeRelief
$17.63 - $28.2 per hour
...4 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$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- ...Team Member’s immediate Leadership Team Member. This is a REMOTE position within US only. About this position Title: Coordinator, Utilization Management Location: Remote (Within US Only) Required Schedule: Tuesday - Saturday, 8:00 AM to 5:00 PM EST (Some holiday coverage...Temporary workImmediate startRemote workShift work
- Quail Run Behavioral Health Hospital in Phoenix seeks a dynamic Utilization Management Coordinator to join our utilization review team. This PRN role supports certification and recertification of benefits for patients during their stay and collaborates with the treatment...Relief
- Environmental Resources Management, Inc. is seeking a Permitting Coordinator in Walnut Creek, California, focused on power-utility vegetation management. This full-time role involves overseeing permit applications and ensuring compliance with regulations. Candidates should...Full time
- HDR is hiring a Utility Coordinator I to support Transportation/Roadway projects by managing utility conflicts, Subsurface Utility Engineering (SUE) investigations, and preparing client deliverables. Assist with the identification, communication, and resolution of utility...Full timeFor subcontractorWork at officeLocal area
- Community Health Choice, Inc. in Houston seeks a UM Coordinator to assist CHC providers with authorization and data entry in the Utilization Module. You will handle admissions notifications, transfers, and home health requests, supporting clinical staff and Medical Directors...
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