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
- ...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...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
- ...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
- ...Detail-oriented and organized, the full-time remote Utilization Management Coordinator will assist the clinical team by processing clinical referrals, verifying eligibility, and entering pre-service requests using ICD 10 and CPT coding while working on a Pacific Time...SuggestedFull timeWork at officeRemote work
- ...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 in the serene...SuggestedWork at officeLocal area
- ...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
- ...Supporting Utilization Management clinical teams, the contract Utilization Management Coordinator will manage non-clinical administrative tasks related to pre-service authorization, utilization review support, and care coordination workflows in a remote setting while...Contract workWork at officeRemote work
$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...Remote work- ...Utilization Assistant | Wooded Glen Recovery Center | Henryville, Indiana About the Job The... ...support to all utilization review/management activities of the facility to continuously... ...improve the collection, reimbursement, coordination, and presentation of utilization review...Work at officeImmediate start
$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- ...Utility Coordinator BGE, Inc. is a nationwide consulting firm that provides services in civil engineering, planning, landscape architecture, construction management, survey and environmental services for public and private clients. Our employees enjoy a comprehensive...Local areaRelocationFlexible hours
$27 - $31 per hour
...and make a meaningful difference in the lives of our members. ESSENTIAL DUTIES AND RESPONSIBILITIES Understands and follows Utilization Management Policies and Procedures pertaining to the referral process. Processes Prior Authorization-Referral requests that are...Work at office- ...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
$65.44k - $92.24k
...national origin, disability status, protected veteran status or any other characteristic protected by law. Description The Utilization Management Coordinator is responsible for performing retrospective monitoring and audit functions relative to WMCMH utilization management...Full timeTemporary workPart time- ...Job Full Description Utility Coordinator A fast moving, people first construction company is adding a new role to their team. No people management, this position is focused on utility coordination, asset tracking, and compliance support. If...Temporary work
$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 and appeals. JOB RESPONSIBILITIES Monitor incoming faxes Enter UM authorizations...Temporary workLocal areaRemote work- ...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...
- ...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...
$17.63 - $28.2 per hour
...714 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- ...Company : SimplyHome Job Title : Utility Coordinator Department : Property Management Reports to : Director of Central Operations Status : Full Time Non-Exempt, Hourly Job Summary: The Utility Coordinator is responsible for managing electricity...Hourly payFull time
- ...Utilization Management Coordinator We are seeking a Utilization Management Coordinator to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting...Work at office
- ...Utilization Management Specialist Proactively monitor utilization of services for patients to optimize reimbursement for the facility.... ...insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements...Work at office
- AltaMed Health Services Corp. is seeking a Coordinator II, Utilization Management in Montebello, CA to support the Medical Management department. The role focuses on ensuring timely processing of referrals and authorizations in line with state and federal guidelines. Requirements...
- ...stabilization, family/caregiver support, community outreach and case management, supportive housing, supported employment, prevention and... ...the State Board of Social Work. Preferred Qualifications Utilization review experience with providers or third‑party payers highly...Work at office
- ...To support clinical staff in a collaborative environment, the full-time Utilization Review Coordinator will manage utilization review requests, verify and enter data into systems, and respond to inquiries while working remotely. Key responsibilities Access, triage, and...Full timeWork at officeRemote work
- ...To support adherence to Title XIX waiver regulations, the full-time Utilization Review Coordinator will manage service authorization reviews, maintain service delivery documentation, and engage with interdisciplinary teams while working remotely in the Eastern timezone...Full timeRemote work
$56.97k - $84.75k
...Home Work From Home Work From Home, Indiana 46544 The Utilization Review Coordinator performs admission screening for patients in a bed for medical... ...team, Coordinated Business Office staff, Denial Management staff, and third-party payors to justify the admission or...Full timeWork at officeLocal areaWork from homeMonday to Friday- ...and intensive behavioral programs to teach young patients to moderate their behavior, manage emotions and improve social functioning. Website: Job Title Utilization Review Coordinator (Per-Diem) Job Description The Utilization Review Coordinator is responsible for...Daily paidWork at officeLocal areaFlexible hours
$35.88k
...readiness, uniting safety and compliance, toll management, and weigh station bypass solutions. We... ....com. Road Map The Fulfillment Coordinator efficiently processes complex... ...inventory and assigns to appropriate accounts utilizing bar code scanner or transponder reader....Full time$47.1k - $62.8k
...STV has immediate needs for Utility Coordinators in the Shelby, NC area to oversee utility coordination and relocations for NCDOT division-managed programs. The work comprises of managing various resources to determine utility conflicts and subsequent utility relocations...Contract workFor contractorsWork at officeImmediate startRelocationFlexible hoursNight shift
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