Remote Utilization Management Coordinator
Humana
- Remote job
Humana is seeking a Utilization Management (UM) Coordinator to join the Wisconsin Medicaid iCare team. This non-clinical role supports prior authorization processing and provider communication to ensure appropriate care for members. You will document requests in TruCare, coordinate with staff for clinical review, and maintain timely responses. Remote-friendly workstyle with occasional office collaboration, typical hours 8:30–5 CST, Mon–Fri. #J-18808-Ljbffr Humana
$40k - $52.3k
...Utilization Management Coordinator Humana is seeking a Utilization Management (UM) Coordinator to join the Wisconsin Medicaid Market (iCare) team... ...Information: Workstyle: Home. Home workstyle is defined as remote but will use Humana office space on an as needed basis...Remote workTemporary workWork at officeWork from homeHome officeMonday to Friday$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$20 - $25 per hour
...Reports To: Revenue Cycle Management Leadership Location: Remote FLSA Status: 90 day Temporary to Direct Hire Schedule: Monday-Friday... ...: As a key member of the Northpoint team, he Utilization Review Coordinator supports Northpoint’s Utilization Review (UR)...Remote workFull timeTemporary workMonday to Friday$45.14k - $56.16k
Job Description A bit about this role: The Utilization Management Coordinator plays a vital role in supporting Clinical Operations by managing the intake... ...research and root cause. Schedule: This is a full-time, remote position working five 8-hour days per week. Shifts are...Remote workFull timeContract workInternshipWork at officeMonday to FridayShift work- Providence Jobs in California is seeking a Senior Utilization Management Assistant for a remote, per diem, part-time role. The position supports the Care Management team with patient assessment and coordination across the care continuum. The role requires experience in...Remote jobDaily paidPart time
- 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...Remote jobWeekend work
$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- Humana is seeking a UM Administration Coordinator 2 for a full-time remote telephonic role. You will support utilization management by handling inbound calls, processing authorization requests, and assisting with case documentation across multiple systems. The role emphasizes...Remote jobFull timeWork from homeHome office
$85k
...Opportunity Employer. Greater Oregon Behavioral Health, Inc. (GOBHI) has an immediate opening for a Utilization Management Coordinator. This key position is a remote office position and needs to be located within the State of Oregon. The Utilization Management Coordinator...Remote jobContract workTemporary workFor contractorsWork at officeImmediate startFlexible hours$25 - $31 per hour
Position Summary The Utilization Management (UM) Coordinator is responsible for providing administrative, operational, and care coordination support to... ...requires the ability to work independently in a fully remote environment while maintaining a strong commitment to regulatory...Remote workHourly payWork at officeMonday to Friday- ...Inc. is seeking an UM Administration Coordinator 2 for home health to handle telephonic... ...member/provider interactions and support utilization management requests. The role centers on intake,... ...across multiple systems in a remote setting. You will manage high-volume calls...Remote job
- ...joining our team! We are currently hiring for an LPN Utilization Management Coordinator I to join BlueCross BlueShield of South Carolina. In this... ...Monday-Friday from 8:30am – 5:00pm and will be fully remote . The candidate may be required to report on-site for occasional...Remote workFull timeFor contractorsWork experience placementCurrently hiringWork at officeLocal areaMonday to Friday
- Humana is seeking a UM Administration Coordinator 1 to support utilization management operations from a remote or hybrid setting. You will handle administrative tasks, data entry, records, and stakeholder communications under general supervision. This is a great entry-...Remote job
$59 per hour
...: ~ Work-life balance - This is a remote role! (Applicants working fromMD DC VA... ...Who you are: As an Epic Application Coordinator you bring your Epic configuration... ...be in Tapestry Appeals or Tapestry Utilization Management but we are open to other Epic certifications...Remote workFull timeLocal area- ...Experience:RHIT, RHIA, or related coding certification required.Minimum 3-5 years of clinical experience preferred.Previous utilization management or case management experience preferred.Certifications/Licensures Required:RHIT, RHIA, or related coding certification...Remote workFull timeMonday to Friday
$22 - $26 per hour
...Business Unit: Liberty Packaging Remote Type: No Remote As a Shipping and Receiving Coordinator I at Liberty Packaging, you... ...process improvement, and freight management. This full-time position... ...freight availability, and trailer utilization for local and out-of-state...Remote workHourly payFull timeWork at officeLocal areaFlexible hoursShift work- ...Position Title: Utility & Energy Due Diligence Program Manager Location: Remote (Travel as Needed) Overview Amazon Worldwide Operations is expanding its logistics... ...risks, restrictions, or encumbrances. Coordinate with title companies, surveyors, legal teams, and...Remote workWorldwide
- ...products and services: Denials Management and Complex Claim Resolution... ...position: Location: Remote (Within US Only) Required... ...other supporting documentation, utilization of on-staff clinicians).... ...described. Regular eye-hand coordination and manual dexterity is required...Remote workHourly payFull timeImmediate startMonday to Friday
$32.47k - $49.55k
The CareIQ Scheduling Coordinator provides administrative customer service... ..., providers, and claims management by scheduling ancillary healthcare appointments. Utilizing proprietary systems and knowledge... ...and customer needs. This is a remote position. ESSENTIAL FUNCTIONS...Remote workHourly payMinimum wageFull timeLocal areaFlexible hours- ...Fish And Game Coordinator The Alaska Department of Fish and Game, Division of Commercial... ...directing, developing, evaluating, and managing all the division's research and... ...above requirements, if applicable. If utilizing this education you must show that the education...Remote workFull timePart timeWork experience placementWork at office
- ...Area Coordinator CTG - Committed To Good Multiple locations Mid... ...geographical area, ensuring effective management and support for field... ...assignments to nearby and remote areas, easy and hard to reach... ...office rental vehicles are utilized with utmost effective and efficient...Remote workWork at officeLocal areaNight shift
- ...Summary Care management interventions focus on improving care coordination and reducing the fragmentation of the services... ...Location: This is a full-time remote position, from either 8am - 4:3... ...member-centered coaching utilizing motivational interviewing techniques...Remote workFull timeContract workFor contractorsWork experience placementSecond jobWork at officeLocal areaMonday to Friday
$52.04k - $78.07k
...Description: Purpose Work Remote Position (Pay Range: $25.0209-... ...practices & decisions. Work Focus: Coordinates operational, technical & / or... ...orientation. Process Focus: Utilizes multiple system applications for data collection & management. Incorporates basic knowledge...Remote workFull timeWork experience placementLocal areaShift workDay shift- Astrana Health, Inc. is seeking a dedicated Utilization Management (UM) Coordinator - Denials in Monterey Park, CA. This role processes prior authorization... ...standards. The position offers a hybrid in-office/remote schedule with potential overtime based on daily volume....Remote workWork at office
- ...leading healthcare organization is seeking a Senior Specialist, Talent Acquisition. This 100% remote position requires candidates to reside in MD, DC, or VA. You will manage high-volume inbound calls, process medical authorizations, and ensure accurate patient data entry...Remote job
$60k - $90k
...Defense Travel Lodging Coordinator (DTMO) Censeo is seeking a Project... ...support the Defense Travel Management Office (DTMO) lodging program... ...recommend program enhancements Utilize experience in hospitality... ...role is subject to a hybrid or remote work schedule Essential...Remote workFull timeWork at officeWork from homeFlexible hoursNight shift- ...Lighthouse Behavioral Health Hospital, near Myrtle Beach, SC, seeks an Utilization Review Coordinator to oversee UR and quality management activities for psychiatric and dual-diagnosis services. The role emphasizes admission and discharge planning, insurance benefits...
- ...Inland Northwest Behavioral Health is seeking a Licensed Behavioral Health Professional as a Utilization Review/Utilization Management Coordinator. You will coordinate authorization and reimbursement activities to ensure patients receive appropriate levels of care throughout...
- ...Responsibilities UTILIZATION MANAGEMENT COORDINATOR FULL TIME The Utilization Management Coordinator is responsible for conducting admission and concurrent reviews. The UM Coordinator tracks and reports denials in MIDAS, participates in staff/physician education...Full timeLocal area
- ...Job Summary 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 timely authorizations...Work experience placementWork at officeLocal area
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