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- A healthcare organization in Ohio is seeking a Bilingual Telephonic UM Coordinator to support non-clinical operations. The ideal candidate must have bilingual skills in English and Spanish, along with administrative and healthcare experience. The position offers a competitive...SuggestedRemote workAfternoon shift
CarePlus Health Plans
Ohio14 hours ago $45 per hour
...Job Description Job Description Utilization Management Nurse Coordinator (RN or LVN) needed for a temp 6+ month, remote contract... ...effective healthcare in a fully remote managed care setting. The UM RN Nurse Coordinator reviews outpatient authorization requests,...SuggestedContract workTemporary workRemote workMonday to FridayWeekend workYoh, A Day & Zimmermann Company
Fairfield, CA26 days ago$18 per hour
...and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You’ll Be Doing: The Coordinator, UM Intake at Evolent provides support to the Utilization Management Team. The coordinator will support administrative operations by...SuggestedFull timeImmediate startRemote workWork from homeEvolent
Richmond, VA1 day ago$16.88 - $33.22 per hour
Correspondence UM Coordinator - National Remote Join to apply for the Correspondence UM Coordinator - National Remote role at Optum Correspondence UM Coordinator - National Remote 1 day ago Be among the first 25 applicants Join to apply for the Correspondence UM Coordinator...SuggestedRemote jobHourly payMinimum wageFull timeTemporary workWork experience placementLive inWork at officeLocal areaShift workNight shiftDay shift$21 - $26 per hour
Astrana Health is seeking a Utilization Management Coordinator - Denials in Monterey Park, CA. This role involves processing denials and ensuring... ...high school diploma and proficiency in medical terminology and UM software. It's a hybrid role with full office presence...SuggestedHourly payWork at officeHome officeTrial periodFlexible hours- ...Savings bank Training & development Vision insurance Wellness resources About the Role Join MedPOINT Management as an Outpatient UM Coordinator in Sherman Oaks, CA, where you'll play a crucial role in ensuring the quality and efficiency of outpatient care. This position...SuggestedWork at officeWork from homeFlexible hours
- Alignment Health is seeking an organized, detail-oriented remote UM Coordinator (inpatient) to join our UM team. This part-time weekend role requires availability every Saturday and Sunday during Pacific Time hours, assisting with census, records, and discharge planning...SuggestedRemote jobPart timeShift workWeekend workWeekday work
$40k - $52.3k
Join to apply for the Bilingual Telephonic UM Coordinator role at CarePlus Health Plans 1 week ago Be among the first 25 applicants Join to apply for the Bilingual Telephonic UM Coordinator role at CarePlus Health Plans Get AI-powered advice on this job and more exclusive...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to FridayNight shiftWeekend work- Astrana Health, Inc. is seeking a dedicated Utilization Management (UM) Coordinator - Denials in Monterey Park, CA. This role processes prior authorization denials in line with NCQA and health plan requirements while maintaining HIPAA privacy and high accuracy standards...SuggestedWork at officeRemote work
- MedPOINT Management is looking for an Outpatient UM Coordinator in Sherman Oaks, CA. The role involves reviewing outpatient treatment plans, coordinating with healthcare providers, and ensuring compliance with clinical guidelines. Candidates should have an active RN license...SuggestedRemote jobWork from homeFlexible hours
$20 - $25 per hour
...wellness services, and receive the support needed to live a healthy life that is free of worry and full of joy. We are looking for a UM/QI Coordinator to join our growing company with many internal opportunities. Are you ready to join a company that is changing the face of...SuggestedHourly payFull timeWork at officeRelocationMonday to FridayWeekend work- .... You’ll prepare case files, gather documentation, and assist with review coordination across payer systems. Join a team with strong support and structured workflows, and gain a clear entry path toward UM coordinator roles through #J-18808-Ljbffr New Paradigm StaffingSuggestedRemote job
- Wellstar Health System in Georgia is hiring a Utilization Review Assistant to support the UM Nursing department with non-clinical duties, data entry, and EPIC workflow management. You will handle scheduling, document authorizations, and prepare correspondence while maintaining...Suggested
- Humana is seeking a UM Administration Coordinator in Schaumburg, IL to support Health Choice and MLTSS programs. You will create authorizations, perform non-clinical care management tasks, and operate within defined standards with some latitude over prioritization and timing...SuggestedMonday to FridayNight shift
- ...available to attend the full hospital and departmental orientations: Week 1: M-F 8 AM - 5 PM Position Summary The Utilization Review Coordinator performs admission and concurrent review of patients. Assures optimum quality of patient care in the most cost-effective manner....SuggestedLocal area
Universal Health Services
Orlando, FL1 day ago $50 per hour
...Responsibilities Position Summary: Facilitates a continuum of service while promoting positive outcomes and optimal reimbursement through coordination of patient care, daily clinical reviews, quality documentation, appeals, and reporting. This position will be for our IOP...Work at officeLocal areaUniversal Health Services
Madera, CA1 day ago$35.95 - $50.59 per hour
...Managers, support staff, insurance payers, and post-discharge vendors to ensure safe, timely, and efficient transitions of care. This coordination not only supports optimal patient outcomes but also helps ensure appropriate hospital reimbursement for services rendered....Hourly payShift workWeekend workPomona Valley Hospital Medical Center
Pomona, CA4 days ago- ...Job Description Job Description Position Summary The Utilization Management (UM) Coordinator is responsible for coordinating prior authorization requests, processing referrals, documenting case activity, and supporting timely utilization review activities using...Work at officeFlexible hours
$24 - $25 per hour
...Job Description Job Description Title: UM Coordinator Location: Montebello, CA (Onsite) Schedule: Mon–Fri (8:00–5:00 or 8:30–5:00) Position Type: Temp-to-hire (based on need and performance) Pay Rate: $24 - $25/HR Job Summary: This position is...Temporary work$21 - $26 per hour
...Job Description Job Description Description Astrana Health is seeking a dedicated Utilization Management (UM) Coordinator – Denials to join our Denial Department. This role ensures timely and accurate processing of all deferrals and denials in compliance with Astrana...Hourly payWork at officeFlexible hoursShift workWeekend work$83.1k - $124.65k
...to the university and broader community.Job Description:Engages UM scientists and students to encourage use of UMFS for research and... ..., Lab Safety)Works with partners and collaborators to design, coordinate, and enhance outreach programs.Partners with local/regional K-12...Full timeSummer workWork at officeLocal areaThe University of Mississippi
University, MS3 days ago$19 - $21 per hour
...Prior Authorization Coordinator (Benefits Specialist) Full-Time | $19-$21/hour | Monday-Friday | 8:00 AM-4:30 PM CST | Remote About... ...submission. Navigate payer portals and utilization management (UM) systems. Monitor authorization trackers and follow requests...Permanent employmentFull timeTemporary workWork at officeRemote workMonday to Friday- ...your experience doesn’t match every requirement. The Manager, Clinical Program – Behavioral Health Utilization Management (BH UM) is responsible for supporting the Director, Clinical Program – Behavioral Health in providing clinical leadership to the BH UM team....Permanent employmentFull timeCasual workImmediate start
Quantum Health
Pickerington, OH3 days ago - ...Position Summary The RN MDS Coordinator coordinates and assists with completion and submission of accurate and timely interdisciplinary MDS Assessments, CAAs, and Care Plans according to CMS RAI Manual Regulations and in accordance with all applicable laws, regulations...Work at office
$39k - $49.4k
...Become a part of our caring community As a remote Referrals Coordinator, you will report to a Supervisor of Referrals. You will handle... ...Military referral processes, MOUs with MTFs, and referral and UM policies. You will answer questions or contact MTFs and civilian...Full timeContract workTemporary workApprenticeshipInterim roleRemote workWork from homeHome officeShift workHumana
Frankfort, KY1 day ago- ...Responsibilities Full Time Utilization Review Coordinator Needed! Springwoods Behavioral Health , an 80-bed behavioural health facility located... ...embarked on the road to recovery. Visit us online at: The UM Coordinator coordinates the design, development, implementation...Full timeLocal area
Universal Health Services
Eastern, KY1 day ago - ...inspires hope. We are currently seeking an Utilization Management Coordinator position for Riveredge Hospital. Simply apply to the posting... ...approving documentation and reports; advising and mentoring UM staff; and overseeing operational procedures involving work processes...
Universal Health Services
Forest Park, IL2 days ago $29 - $35 per hour
...If you answered yes, we want to meet you. We are a modern, patient-focused dental practice seeking an experienced Treatment Coordinator who is passionate about helping patients understand their treatment, overcome financial concerns, and confidently move forward with...Work at officeSouth Jersey Smiles Inc
Moorestown, NJ4 days ago$52.02k - $85.8k
...Job Title: Nurse Coordinator Requisition Number: RE52559 Working Title: Nurse Coordinator/UM-LOC Department Name: 40526:Interdisciplinary Human Development Work Location: Frankfort, KY Grade Level: 46 Salary Range: $52,021-85,800/year Type Of...Full timeContract workRemote workMonday to FridayShift workInside Higher Ed
Lexington, KY4 days ago- Join Life Care Centers as an MDS Coordinator RN, leading the assessment and care planning process for residents in a senior living and rehabilitation setting. You will complete and manage MDS assessments, ensure accuracy and regulatory compliance, and collaborate with interdisciplinary...
