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$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 and appeals. JOB RESPONSIBILITIES Monitor incoming faxes Enter UM authorizations...SuggestedTemporary workLocal areaRemote workSanta Barbara Cottage Hospital
New York, NY5 days ago- ...Utilization Management Coordinator ALTA IT Services is staffing a contract to hire opportunity for a Utilization Management Coordinator to support a leading health insurance customer. The individual will support the Utilization Management clinical teams by assisting...SuggestedContract workWork experience placementRemote work
System One Holdings, LLC
United States5 days ago - ...physician assistants and nearly 100 locations in our network. Utilizing innovative clinical research, cutting-edge technologies, and advanced... ...and leadership to the Intake Department. Works closely with management team in business office to ensure all internal and external...SuggestedPrivate practiceWork at officeRemote workMonday to Friday
Santa Barbara Cottage Hospital
New York, NY5 days ago - ...GeBBS Consulting is hiring a Utilization Management Coordinator to support Blue Cross Blue Shield's commercial line of business. The role focuses on managing provider faxes, handling authorizations, and responding to phone calls. Ideal candidates should have at least...SuggestedRemote work
GeBBS Consulting
Reston, VA3 days ago - ...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...SuggestedWork experience placementWork at officeRemote work
Ampcus
United States6 days ago - ...Staffing, Business/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...SuggestedContract workRemote work
Lumen Solutions Group, Inc.
United States3 days ago $70k - $80k
...Utilization Review Coordinator Remote, but only considering candidates in PST. Guidelight Health is a cutting-edge behavioral healthcare company... ...Reports to: Senior Director of Revenue Cycle Management FLSA Status: Exempt Travel Requirement: None Summary...SuggestedFull timePart timeRemote workGuidelight Health
United States6 days ago- ...Utilization Management Coordinator Lumen Solutions Group Inc. is a technology consulting Services company based in Florida. We provide a wide array of experienced business and IT professionals supporting clients from solution design to implementation and support. We...SuggestedRemote work
Lumen Solutions Group Inc.
United States2 days ago - ...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...SuggestedRemote jobWork at office
$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...SuggestedFull timeRemote workHumana
Concord, NH2 days ago- ...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-...SuggestedRemote workMonday to FridayFlexible hours
Humana
Bismarck, ND7 days ago - ...Humana Inc is seeking a UM Administration Coordinator 2 to support the administration of utilization management and provide non-clinical support for behavioral health services. The position involves following defined parameters and working within standards while having...SuggestedRemote work
Humana
Maryland7 days ago $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 least...SuggestedRemote workHumana
Springfield, IL2 days ago- Description The RN Coordinator Utilization Management to review submitted authorization requests for medical necessity, appropriateness of care and benefit eligibility. This position reviews applicable guidelines regarding payment and coverage, and makes determinations...SuggestedWork at officeLocal areaWork from homeHome officeMonday to Friday
Network Health
Menasha, WI6 days ago - ...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...SuggestedRemote work
Santa Barbara Cottage Hospital
New York, NY5 days ago - ...Santa Barbara Cottage Hospital seeks a UM Administrative Coordinator 2 to provide quality support to healthcare providers. The ideal candidate will respond to provider calls, process authorizations, and maintain documentation efficiently. Applicants should have at least...Remote work
Santa Barbara Cottage Hospital
New York, NY5 days 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
Saviance
Charlestown, MA5 days ago $23.6 - $31.92 per hour
A healthcare organization in Austin, TX, is seeking an office support professional to manage various administrative tasks in a partially remote role. Candidates should have a high school diploma or equivalent with at least 1 year of relevant experience. The ideal candidate...Hourly payWork at officeRemote work$23.6 - $31.92 per hour
...0 - $31.92 (per hour) How you'll make an impact in this role Organize and coordinate all office support functions, activities, and workflow for the assigned functional area or department. Manage core office services, including supplies, telephone coverage, and the preparation...Hourly payFull timeTemporary workLive inWork at officeLocal areaRemote workMonday to FridayDay shift- Ascension, located in Austin, TX, seeks an Administrative Support professional to manage office workflows and core services in a partially remote role. Candidates should have at least 2 years of relevant experience in healthcare settings and must live in Austin. Join a...Live inWork at officeRemote work
- ...its team members via our Associate's Program in Project Management, Estimating, and Accounting and our growing Learning Management... ...We are seeking an experienced PTAG (Permit and Tag) Coordinator for our Utility Services division who is responsible for analyzing and developing...For subcontractorLocal areaWork from home
$67.68k - $105.77k
...Supervisor Utilization Management The Supervisor Utilization Management is responsible for the direct supervision of the daily operations... ...to satisfaction with those we are privileged to serve. Coordinate and maintain compliance with HFAP, state and federal agencies...Local areaRemote workFranciscan Alliance
United States4 days ago$75.3k - $135.4k
...28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization... ...care to members. Supervises day-to-day activities of utilization management team. Monitors and tracks UM resources to ensure adherence...Full timePart timeWork at officeRemote workMonday to FridayFlexible hoursFidelis Care
New York, NY2 days ago$55.8k - $88.1k
...Entrata Supv, Utilities Since 2003, Entrata has evolved from a visionary, student-led startup into a global leader in AI-driven property management technology. Today, we power the industry's most essential operating system, serving owners and residents worldwide through...Currently hiringWork at officeLocal areaRemote workWorldwideFlexible hoursEntrata
Lehi, UT6 days ago- ...Providence Health & Services is seeking a Supervisor of Utilization Management responsible for overseeing daily operations of Utilization Review Specialists. The role includes mentoring the team, managing workflows, and supporting patient care initiatives while promoting...Remote work
Providence Health & Service
Los Angeles, CA5 days ago - ...Santa Barbara Cottage Hospital is seeking a Supervisor for Utilization Management to oversee operations and support the Utilization Review Specialists. This remote role focuses on daily operations, team mentorship, and the development of innovative healthcare partnerships...Remote work
Santa Barbara Cottage Hospital
New York, NY5 days ago - ...State of Arizona. PURPOSE OF THE JOB The Utilization Review Supervisor coordinates the activities of the UR department as they relate to medical... ...Preferred Work Experience 1 year of managed care/health plan experience 1 year of Medicaid and Medicare...Full timeWork experience placementRemote work2 days per week1 day per week
Blue Cross Blue Shield of Arizona
Phoenix, AZ4 days ago - ...Summary Supervises prior authorization utilization review nurses ensuring they appropriately... ...accurate and timely utilization management decisions in collaboration with physician... ...accreditation standards. Assists management in coordinating facility system process with providers,...Full timeFor subcontractorWork at officeRemote work
Superior Dental Care
Cleveland, OH1 day ago $17 per hour
...Grove by Erickson Senior Living Join our team as a Housekeeping Utility Team Leader who provides leadership, direction, and support to... .... We’re part of a growing national network of communities managed by Erickson Senior Living, one of the country’s largest and most...Local areaErickson Living
Glen Mills, PA2 days ago$78.4k - $85k
...delivering full-service pharmacy benefit management (PBM) solutions to self-insured... ...Support on-going training and coaching of utilization management pharmacy technicians. Participate... ...information from prescribers, referral coordinators, andappropriate staffto ensure all...Work at officeLocal areaRemote workFlexible hoursShift workCapital Rx
New York, NY9 days ago
