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- ...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...SuggestedWork experience placementWork at officeImmediate startRemote work
Ampcus
United States2 days ago - ...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...SuggestedTemporary workReliefWork at officeShift work
University of Utah Health
Salt Lake City, UT2 days ago $21.7 - $27 per hour
...Utilization Management Coordinator The Utilization Management Coordinator plays a vital role in supporting Clinical Operations by managing the intake, prior authorization, and clinical coordination workflows. This role ensures timely case intake, accurate authorization...SuggestedFull timeContract workInternshipWork at officeRemote workMonday to FridayShift workDevoted Health
United States3 days ago$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...SuggestedRemote workGuidelight Health
New York, NY4 days ago$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 sand appeals. JOB RESPONSIBILITIES Monitor incoming faxes Enter UM authorizations...SuggestedTemporary workLocal areaRemote work- ...Team Member’s immediate Leadership Team Member. This is a REMOTE position within US only. About this position Title: Coordinator, Utilization Management Location: Remote (Within US Only) Required Schedule: Tuesday - Saturday, 8:00 AM to 5:00 PM EST (Some holiday coverage...SuggestedTemporary workImmediate startRemote workShift work
- ...State: Virtual - Arizona Category: Case Management Shift: Day Department: Case... ...the direction of the Network Manager for Utilization Management, assists in the administration... ...Secondarily, this position supports Care Coordination department efforts in optimizing department...SuggestedWork at officeRemote workShift work
- ...consumers are entitled to high-quality, coordinated care. By uniquely aligning the... ...staff to obtain required documentation for utilization reviews. Enter authorization requests... ...and determinations into the utilization management system accurately and efficiently. Track...SuggestedFull timeWork at officeRemote work
NeueHealth
Remotea month ago - ...RN Coordinator Utilization Management The RN Coordinator Utilization Management will review submitted authorization requests for medical necessity, appropriateness of care, and benefit eligibility. This position reviews applicable guidelines regarding payment and coverage...SuggestedWork at officeLocal areaWork from homeHome officeMonday to FridayWeekend workWeekday work
- Humana is seeking an UM Administration Coordinator to support utilization management operations. You will review information, maintain records, and coordinate communications with internal teams and external stakeholders. The role emphasizes accuracy, timeliness, and adherence...SuggestedRemote jobWork at office
- Humana is seeking an Administration Coordinator 2 for its Medicaid Utilization Management (UM) team to support prior authorization by managing clinical documentation, verifying member eligibility and benefits, and ensuring timely processing of requests. This role is remote...SuggestedRemote job
- ...Detail-oriented and knowledgeable, the full-time remote Utilization Review Coordinator will manage client insurance authorization processes for Spravato and TMS services, ensuring timely submission of clinical documentation and coordinating with various teams to maintain...SuggestedFull timeRemote work
Virtual Vocations Inc
United States1 day ago - ...Utility Coordinator The Utility Coordinator plays a vital role in supporting the Fiber Network Design & Construction team by managing permit applications and coordinating utility documentation for construction projects. This position serves as a key liaison between...SuggestedFor contractorsWork at officeRemote work
Veterans Sourcing Group LLC
United States1 day ago $25 - $30 per hour
...UM Coordinator At Altais, we're on a mission to improve the healthcare experience for everyone—starting with the people who deliver... ...work closely with our Ambulatory and Concurrent Care, Network Management, Quality Improvement and Practice Success teams. Your...SuggestedWork at officeLocal areaRemote workFlexible hoursAltais
United States17 hours ago- ...Position Overview: The Utility Coordinator will work with the Project Managers in the Office of the County Engineer to manage and track utility relocations for Harris County Engineering projects. General responsibilities include utility conflict identification, validation...SuggestedFull timeTemporary workWork at officeRemote workRelocationFlexible hoursWeekend workAfternoon shiftEarly shift
Office of the County Engineer
Houston, TX9 hours ago - Job Title Qualifications: High school diploma or equivalent Education preferred: AS Degree Experience required: At least 1 year of general clerical experience At least 1 year generating professional correspondence using Microsoft Word Experience preferred: At least ...Work at officeRemote work
- ...consumers are entitled to high-quality, coordinated care. By uniquely aligning the... ...staff to obtain required documentation for utilization reviews. Enter authorization requests... ...and determinations into the utilization management system accurately and efficiently. Track...Full timeWork at officeRemote work
NeueHealth
Remote29 days ago - ...From Home Work From Home, Indiana 46544 The Supervisor Utilization Management is responsible for the direct supervision of the daily operations... ...satisfaction with those we are privileged to serve. Coordinate and maintain compliance with HFAP, state and federal...Local areaRemote workWork from home
Franciscan Health
United States17 hours ago $75.3k - $135.4k
...and/or Retrospective Review Clinical Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management team. Key Details: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or...Full timePart timeH1bWork at officeRemote workFlexible hours$88.8k - $133.2k
...together we can solve the world’s most complex challenges and deliver more impact together.Role description:Arcadis is seeking a Utility Coordinator to join our Atlanta, GA transportation team, embedded in a Client Office.In this position, you will coordinate and perform...Full timePart timeFor contractorsWork at officeLocal areaWork from homeRelocationRelocation package2 days per week1 day per week- ...Utilization Review Supervisor Awarded a Healthiest Employer, Blue Cross Blue Shield of... ...Job The Utilization Review Supervisor coordinates the activities of the UR department as... ...Preferred Qualifications ~1 year of managed care/health plan experience ~1 year of...Full timeRemote work2 days per week1 day per week
- ...Interim Utilization Management Supervisor We are seeking an experienced Registered Nurse to serve as an Interim Utilization Management... ...the Utilization Management team. Supervise UM nurses, coordinators, case managers, and other assigned team members. Manage...Contract workInterim roleImmediate startRemote work
- Mass General Brigham Health Plan Holding Company, Inc. is seeking a supervisor to oversee DSNP utilization management staff, including coaching and evaluating licensed clinicians. The role focuses on adherence to national and MA regulations and quality reviews. Qualified...Remote jobCasual work
- ...a Hospital and Mental Health Residential (HMHR) Treatment Utilization Management Supervisor (Project/Program Manager III). This position holds... ...and improving efficiencies in utilization management/care coordination. Complete and direct continuing stay reviews to determine...Contract workRemote workMonday to Friday
- Mass General Brigham Health Plan Holding Company, Inc. seeks a Supervisor, Clinical to oversee the DSNP utilization management team and coach licensed staff. The role emphasizes quality reviews, adherence to regulations, and project participation to meet business needs...Remote job
$99.47k - $144.64k
...career growth opportunities, and much more. The supervisor will work closely with the Manager, Clinical, to oversee the daily operations of the DSNP (SCO and OneCare products) utilization management staff. The supervisor will be responsible for the direct coaching,...Work at officeRemote workMonday to FridayFlexible hoursShift workWeekend work- ...fulfilling, post-treatment lives. We are seeking a Utilization Review Coordinator to add to our dynamic team. The Utilization Review... ...with healthcare providers, insurance companies, and case managers to facilitate timely approvals and optimize patient outcomes...Part timeRemote workMonday to Friday
ADDICTION AND MENTAL
United States2 days ago - ...Utilization Review Coordinator PRIMARY PURPOSE: To assign utilization review requests; to verify and enter data in appropriate system(s); and... ...demographics and UR information into claims or clinical management system; maintains data integrity. Obtains all necessary...Work at officeRemote work
Sedgwick
United States3 days ago - ...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...Full timeRemote workMonday to Friday
Henry Ford Health System
Troy, MI4 days ago - ...Responsibilities Utilization Review (UR) Coordinator Position: Full-Time Shift: Daytime For over 60 years, Calvary Healing Center has... ...Coordinator Duties: The UR Coordinator is responsible for managing the treatment activities offered to the patient,...Full timeLocal areaShift work
Universal Health Services
Phoenix, AZ2 days ago
