UM Coordinator I: Care Coordination & Utilization
PacificSource Health Plans
PacificSource Health Plans is seeking a Utilization Management (UM) Coordinator I to support the UM team by researching and coordinating initial and follow-up clinical documentation and requests. The role emphasizes regulatory compliance, collaboration with clinical staff, and effective member and provider communication, with travel under 5% and a focus on quality, accuracy, and timely decisions. Minimum two years in health insurance or medical settings, CPT/HCPCS/ICD coding familiarity, and a #J-18808-Ljbffr PacificSource Health Plans
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the UM Coordinator I: Care Coordination & Utilization in New York, NY vacancy
$20 - $30 per hour
...redefine the behavioral health industry by delivering exceptional care, utilizing state-of-the-art facilities, and prioritizing the well-being... ...in advance with the primary treating clinicians. Coordinate Peer-to-Peer (P2P) Review preparation and assist with scheduling...SuggestedRemote workGuidelight Health
New York, NY4 days ago$73.76k - $93.68k
The State of New York is hiring a Utilization Review Coordinator for the NY HELPS program at the NYC Children’s Center - Bronx Campus. This full-time role supports care coordination and review of patient utilization in a busy clinical setting within the State’s mental...SuggestedPermanent employmentFull timeWork at office- Humana is seeking an UM Administration Coordinator to support utilization management operations remotely. The role involves handling member/provider calls, processing prior authorizations, and performing back-office administrative tasks with strict adherence to processes...SuggestedRemote jobWeekend work
$20 per hour
Pyramid Healthcare is dedicated to offering the highest quality of care to those we serve. A focus on client-focused care establishes... ...level, Word- Intermediate level. 3-5 years’ experience in Utilization Review or related position in a healthcare setting. Job-related...SuggestedWork at officeLocal area$25 - $31 per hour
All Jobs > Utilization Management Coordinator The Utilization Management (UM) Coordinator is responsible for providing administrative, operational, and care coordination support to the inpatient and outpatient Utilization Management teams within Blue Zones Health, an...SuggestedHourly payWork at officeRemote workMonday to Friday- ...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... ...and Onehome collaborations. The UM Admin Coordinator will manage NLPs for...Remote work
Humana
New York, NY3 days ago - ...Humana is seeking a UM Administration Coordinator 1 to support utilization management operations from a remote or hybrid setting. You will handle administrative... ..., timely processing, and collaboration with the UM team to help deliver appropriate care. #J-18808-Ljbffr...Remote work
Humana
New York, NY2 days ago $16.66 - $24.26 per hour
...here to make it easier. We help deliver care beyond traditional settings, making essential... ...Care To Life. JOB SUMMARY Our Branch Coordinators positively impact the lives of patients... ...setting or call center Experience utilizing multi-line phone-system. PHYSICAL DEMANDS...Hourly payTemporary workWork experience placementWork at officeLocal areaImmediate startFlexible hoursApria Healthcare
New York, NY4 days ago$40k - $62k
...behaviors to improve the visibility, execution, and outcomes of utilization review, case management, and revenue cycle functions. Our... ...essential functions include, but are not limited to the following: Coordination: Manage and track the submission of clinical reviews to...Work at officeRemote workLong Tail Health Solutions Inc.
New York, NY2 days ago$18 - $20 per hour
...We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit... ...Fortune Best Workplaces in Financial Services & Insurance Utilization Review Coordinator PRIMARY PURPOSE :To assign utilization review requests; to...Work at officeLocal areaFlexible hoursSedgwick Claims Management Services
New York, NY2 days ago$25k
...Become a part of our caring community The Transition Coordinator (Care Coach 2) evaluates member’s needs and requirements to achieve and/or maintain... ...receipt of all outstanding prior authorization decisions, utilization management data, and clinical information such as...Full timeContract workTemporary workFor contractorsApprenticeshipWork at officeRemote workWork from homeHome office004 Humana Insurance Company
New York, NY1 day ago- ...Position Title: Utility & Energy Due Diligence Program Manager Location: Remote (Travel as Needed) Overview Amazon Worldwide... ...diligence, power delivery planning, easement analysis, and utility coordination. The ideal candidate is highly analytical, detail-oriented,...Remote workWorldwide
GCS Recruitment
New York, NY2 days ago - ...Integrated Management Strategies (IMS) is seeking an experienced Sr Review Coordinator to join our healthcare consulting practice. This role is fully remote within the US and focuses on utilization review of plans of service for home and community-based programs,...Contract workRemote workWork from home
Integrated Management Strategies
New York, NY2 days ago - ...ArchCare cares for people of all ages and faiths where they are most comfortable and... ...participants have a dedicated Care Team to coordinate everything, so they are able to live... ...nutritional status of individual participants utilizing nutritional guidelines, professional...Temporary workLive in
Catholic Managed LTC Inc
New York, NY3 days ago $25 per hour
...providing both exceptional, patient-centered care and the proprietary, AI-driven... ...We’re looking for an Insurance & Intake Coordinator -- an "Infusion Guide" -- who is passionate... ...apps Experience and strong familiarity utilizing Electronic Health Records (EHR) systems...Full timeTemporary workWork at officeLocal areaFlexible hoursMeridian Street Capital
New York, NY1 day ago- ...Overview The Nutrition Coordinator is a Registered Diet مهint who assesses the nutrition... ...nutrition therapy via the Nutrition Care Process. Functions as a vital part of the... ...develop فلا تناسب plans. Ability to fully utilize BHMC’s electronic record systems,...Hourly payWork at officeLocal area
One Brooklyn Health System Inc.
New York, NY2 days ago $60k - $65k
...assessment, MDS assessment, and resident plan of care. Essential Duties Provides oversight on... ...and monitors each building’s effective utilization of PDPM tools (including but not limited... ...PDPM and MDS trainings to new MDS Coordinators. Develops performance evaluation system...Work at officePACS Inc
New York, NY1 day ago- ...improving healthcare across the continuum of care using evidence-based, data-driven... ...Our team also specializes in impartial utilization review, dispute resolution, and peer review... ...improvement at a time. Payment Determinations Coordinator | Fully Remote About the Role iMPROve...Contract workWork at officeRemote work
iMPROve Health
New York, NY2 days ago $20 - $21 per hour
...Dealership: L0105 Lithia Home Office Lithia & Driveway | AP Utilities Coordinator At Lithia & Driveway (NYSE: LAD) our success is fueled by our high performing teams delivering Auto Done Easy for our customers. We create simple, transparent, and convenient customer experiences...Temporary workWork at officeRemote workHome officeLithia & Driveway
New York, NY22 hours ago$33.43 - $53.48 per hour
...about delivering health, not just health care. Come join us at ChristianaCare!... ...currently seeking a full-time Inpatient Coding Coordinator IV who will be responsible for the timely... ...appropriately prompts for documentation utilization AHIMA/ACDIS best practice query...Hourly payFull timeLocal areaRemote workChristiana Care
New York, NY4 days ago$30.96 per hour
...Trained to perform the duties of a patient care associate and jump in when needed.... ...charts/clients waiting and optimize room utilization, using staffing model. Ensure appropriate... ...satisfaction. Decisions will be made in coordination with other clinic leaders. Promote continuous...Temporary workTraineeshipWork at officeFlexible hoursAfternoon shiftPlanned Parenthood of Greater New York
New York, NY2 days ago- ...Offer $0.00 Summary: Proactively manages care of the transplant candidate and... ...a continuum with the transplant teams. Coordinates the organ transplant process and is the... ...liaison and is responsible for appropriately utilizing any and all resources to achieve optimal...Monday to FridayShift workNight shiftWeekend workWeekday work
Presbyterian Healthcare Services
New York, NY4 days ago - ...SUPPORT. Our mission is to offer quality care to our residents, and to provide for... ...purpose of the job position is to conduct and coordinate the development and completion of the... ...of the nursing needs of each resident, utilizing the forms required by current rules and...
Comprehensive at Williamsville
New York, NY2 days ago $70.48k - $90k
...Inc. ranked NYU Langone No. 1 for quality care in the nation and U.S. News & World... ...to join our team as a Space Management Coordinator. Reporting to the Assistant Director of... ...audits, provides guidance regarding space utilization, track MAC (move-add-change) scenarios,...Work at officeNYU Langone
New York, NY4 days ago- ...diverse patient population. He/She/They will assist in the coordination of care both prior to and following a genetic counseling session. This... ...labs to verify insurance coverage.Assist patients with utilization of telehealth services.Post-Genetic Counseling appointmentsCoordinate...Hourly payTraineeshipWork at officeLocal area
Mount Sinai Health System
New York, NY4 days ago $96.46k - $144.69k
DescriptionVAD Coordinator - Heart Failure / LVAD - Mount Sinai Hospital - Full Time DayThe... ...destination patients pre operatively.c)Coordinate care of the postoperative patient with the... ...delivery.3.Acts as a patient advocate utilizing Patient Bill of Rights.4.Participates in...Full timeTraineeshipLocal areaMount Sinai Health System
New York, NY4 days ago$79.72k - $119.58k
...Inpatient Certified Advanced Nutrition Coordinator-Mount Sinai Hospital The Inpatient Certified... ...and provides advanced nutrition care for critically ill and medically complex... ...the Neonatal Intensive Care Unit (NICU). Utilizing advanced clinical expertise in neonatal...Full timeTraineeshipInternshipWork at officeWeekend work$66.3k - $68k
...Tenant Coordinator Facilities / Real Estate -- Maintenance/Skilled Workers New York,... ...medical services with one high standard of care across 6 inpatient locations, its... ...needed. Ensures that equipment /supplies are utilized in an efficient manner. Accepts and signs...Full timeFor contractorsWork at officeWeekend work$22.04 - $30.01 per hour
...Rotation: Every Other Job Summary The Staffing Coordinator plays a crucial role in ensuring that... ...assignments in alignment with patient care needs, you help maintain the continuity... ...Staffing Responsibilities. Utilizes staffing technology to allocate staff to...Hourly payDaily paidMinimum wageContract workTemporary workWork at officeLocal areaRemote workShift workWeekend workDay shift$85k
...Behavioral Health, Inc. (GOBHI) has an immediate opening for a Utilization Management Coordinator. This key position is a remote office position and needs... .... Provide direction as appropriate to non-clinical Care Coordination staff involved with the member. Provide technical...Remote jobFull timeContract workTemporary workFor contractorsWork at officeImmediate startFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to UM Coordinator I: Care Coordination & Utilization. Be the first to apply!
Related searches
- pr coordinator New York, NY
- meeting room coordinator New York, NY
- performance improvement coordinator New York, NY
- conservation coordinator New York, NY
- disability coordinator New York, NY
- returns coordinator New York, NY
- pricing coordinator New York, NY
- sourcing coordinator New York, NY
- onsite coordinator New York, NY
- food & beverage coordinator New York, NY