Utilization Management Coordinator I (Remote-Eligible)
Excellus Health Plan
Excellus Health Plan is seeking a Utilization Management Workflow Support professional in East Syracuse, NY. This role focuses on administrative support and enhancing customer service through effective communication and coordination of healthcare processes. The ideal candidate will deliver high-quality service in a call center environment and facilitates interactions with members and providers. Qualifications include a high school diploma and the ability to engage effectively with team members and customers. #J-18808-Ljbffr
$79.56k - $115.72k
...part of our clinical coordination team, providing support... ..., including planning, utilization review, authorization,... ...of transplant care and managed care objectives that... ...the status transplant eligible members to ensure comprehensive... ...Friday business hours Remote Type Remote Work...Remote workPart timeWork at officeMonday to FridayFlexible hoursShift work- ...Utilization Management Coordinator Lumen Solutions Group Inc. is a technology consulting Services company... ...operations in a fast-paced remote environment. This role is primarily... ...Preferred). ~ Facets experience for eligibility verification (Preferred). Lumen...Remote work
$19 per hour
...The UM Coordinator assists and supports the clinical team (UM Nurses... ...related to processing Utilization Management prior authorization and appeals... ...-10 and HCPCS codes Verify eligibility and claim history in... ...development opportunities Remote Opportunities We are actively...Remote workTemporary workLocal area- ...America Location: Florida - Remote WHY JOIN FCS At Florida Cancer... ...0 locations in our network. Utilizing innovative clinical research... .... Works closely with management team in business office to ensure... ...companies. Verify Medicaid patient eligibility status for established...Remote workPrivate practiceWork at officeMonday to Friday
$21 - $28 per hour
...have training opportunities, flexible/remote work options, growth opportunities,... ...: Non-Exempt Position Overview The Utilization Management (UM) Coordinator II supports pre-service, concurrent... .... Verify contract and benefit eligibility, insurance coverage, and obtain authorizations...Remote workContract workWork experience placementWork at officeLocal areaMonday to FridayFlexible hours$35.5 - $53.25 per hour
...Behavioral Health Contract Management Group: Charlotte - Utilization Management Status: Part time Benefits Eligible: Yes Hours Per Week: 24 Schedule Details/Additional... ...acute care as needed to facilitate care coordination. Refers pertinent cases to the...Remote workDaily paidFull timeContract workTemporary workPart timeWork at officeFlexible hoursShift workDay shift- ...IT Strategy, Business Process Blueprints, Enterprise Architecture, Enterprise Transformation. Role: Utilization Management Coordinator Location: Canton, MD (100% Remote) Type: 3 Months Contract About the Role: The Utilization Management Coordinator will support Government...Remote workContract work
- ...A leading healthcare organization is seeking a candidate for a remote position focused on insurance verification and patient eligibility. The ideal applicant should have a minimum of one year of experience in a medical office, possess strong interpersonal and communication...Remote workWork at office
- ...1) Hospital / Provider Practice 2) Managed Care / Payer Practice – we work directly... ...US. We are currently hiring a Utilization Management Coordinator Summary: One of our clients at... ...Experience with GuidingCare Location: Remote If you are interested in...Remote workCurrently hiring
- ...Supporting the coordination and administrative functions of the utilization review process, the full-time California Utilization Management Coordinator will manage incoming authorization requests... ...guidelines while working remotely. Key Responsibilities: Receive, review...Remote workFull time
$20 - $30 per hour
...industry by delivering exceptional care, utilizing state-of-the-art facilities, and... ...: SeniorDirector of Revenue Cycle Management Department/Location: Remote FLSA Status: Exempt Travel... ...with the primary treating clinicians. Coordinate Peer-to-Peer (P2P) Review preparation...Remote work$24 per hour
...Utilization Management Coordinator Location: Must live in D.C., VA or MD per client requirement Type: Contract Compensation: $24/HR Contractor Work Model: 100% Remote ALTA IT Services is staffing a contract to hire opportunity for a Utilization Management Coordinator...Remote workContract workFor contractorsWork experience placementLive in- ...nTech Workforce has an immediate 23374 Utilization Management Coordinator Terms of Employment: Contract, Three Months (Likely Extension) This position is 100% remote. Candidates must reside in MD, DC, or VA. Hours: 8:30 AM – 5:00 PM EST. Overview: Work...Remote workContract workTemporary workImmediate start
- ...Business consulting services. We are in search of a highly motivated candidate to join our talented Team. Job Title: Utilization Management Coordinator I Job Location: Baltimore, MD Purpose: Supports the Utilization Management clinical teams by assisting...Remote workWork experience placementWork at office
$26 per hour
...scheduled, employees may work remotely on those weekend shifts.... ...and the Health Services Manager, the Non-Clinical Intake Coordinator III will support the... ...support to the Utilization Management Department, a... ...Reviews member history and eligibility and previous referral authorizations...Remote workContract workTemporary workShift workWeekend work- ...Humana Inc is seeking a UM Administration Coordinator 2 to support the administration of utilization management and provide non-clinical support for behavioral health... ...familiarity with electronic medical records. This role is remote, with occasional travel required for office...Remote work
$40k - $52.3k
...Humana Inc in Concord, NH is seeking a UM Administration Coordinator 2 to support utilization management operations. The successful candidate will handle administrative tasks, provide non-clinical support for members accessing behavioral health services, and adhere to...Remote workFull time$40k - $52.3k
...Humana Inc is seeking a UM Administration Coordinator 2 to contribute to the administration of utilization management and perform varied administrative tasks. This position is remote, with occasional travel for training or meetings. The ideal candidate should have at...Remote work- ...Humana Inc is seeking a UM Administration Coordinator 2 to contribute to the administration of utilization management. This remote position requires administrative experience in healthcare and a solid understanding of MS Office. Responsibilities include supporting non...Remote workMonday to FridayFlexible hours
- ...Job Title Responsible for providing administrative and coordination support within utilization management processes, including benefit verification, authorization management, and claims-related inquiries. The role involves reviewing authorization requests, supporting...Remote jobWork at office
- ...Conviva Senior Primary Care is seeking a Utilization Management Administration Coordinator II focused on non-clinical administrative support. The role involves... ...of administrative experience. This position offers a remote working option with a competitive benefits package....Remote work
- ...Humana Inc is seeking a Utilization Management Administration Coordinator II in the Town of Texas, WI. This non-clinical role supports healthcare utilization operations through administrative tasks, ensuring efficient processes within the UM program. The ideal candidate...Remote work
$23.6 - $31.92 per hour
...Location: Austin, TX - Partially Remote Facility: Ascension and Texas... ...in this role Organize and coordinate all office support functions,... ...area or department. Manage core office services, including... ...community Benefit options and eligibility vary by position. Compensation...Remote workHourly payFull timeTemporary workLive inWork at officeLocal areaMonday to FridayDay shift- ...BlueCross BlueShield of South Carolina is seeking a Utilization Management Coordinator I to perform medical reviews and manage services within the LPN/LBSW scope. This is a remote position with scheduled on-site requirements. Candidates need a Bachelor's degree and LPN...Remote work
- ...Detail-oriented and customer-focused, the full-time Visit Eligibility Coordinator will manage medical insurance verification for patient accounts, determining eligibility and benefits while working remotely from home. Key responsibilities: Verify patient eligibility...Remote workFull timeWork at officeWork from home
- ...Santa Barbara Cottage Hospital seeks a UM Administrative Coordinator 2 to provide quality support to healthcare providers. The ideal candidate... ...and excellent communication skills. The position is remote with occasional travel for training, with a strong focus on improving...Remote work
- ...Managing vendor relationships and coordinating the full lifecycle of Request for Proposals (RFPs) within the Power Utilities division, the full-time Vendor & RFP Coordinator will identify opportunities... ...and external partners in a fully remote environment. Key Responsibilities...Remote workFull timeFor subcontractorWork at office
- ...process improvements. Provides excellent customer service. Other duties as assigned. Comments/Special Instructions Position to start of as remote, moving back to Charleston office when and if appropriate. Applicants must be available to work both remote/in person...Remote workWork at office
- ...office support. ~ Knowledge of basic medical terminology and managed care concepts. ~ Experience using web-based technologies and... ...information. Assist with problem resolution and coordination of services. Support reporting, data tracking, organization...Remote workWork at office
- ...evaluates medical or behavioral eligibility regarding benefits and... ...or provides health management program interventions. Utilizes clinical proficiency and... ..., health coach, coordinate, monitor, and evaluate medical... ...-2 weeks Post-Training: Remote position after training...Remote workContract workWork at officeMonday to Friday
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