- Hackensack Meridian Health (Neptune, NJ)
- …to transform healthcare and serve as a leader of positive change. The ** Care Management , Care Coordinator , Utilization Management ** is a member ... of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to… more
- Hackensack Meridian Health (Holmdel, NJ)
- …our mission to transform healthcare and serve as a leader of positive change. The ** Care Coordinator , Utilization Management ** is a member of the ... of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to… more
- Spokane County (Spokane, WA)
- …Health Administrative Services Organization Utilization Review Integrated Care Coordinator : + Performs utilization management , utilization ... or lack of movement toward discharge. + Collaborates with Utilization Review Integrated Care Coordinator ...or concurrent review of behavioral health inpatient and outpatient care management . + Determines medical necessity for… more
- Sharp HealthCare (San Diego, CA)
- … Care Coordinator , under the direct supervision of the Supervisor, Utilization Management Care Coordinators, prepares referral requests for outpatient ... operation documents as appropriate for approval at the UM Care Coordinator level of review.Appropriately identify claims...related to the position.Bring to attention of the Supervisor, Utilization Management Care Coordinators, and… more
- Providence (Mission Hills, CA)
- …Under the supervision of Regional Director of Care Management , the Utilization Management Coordinator is responsible for providing support to the ... Care Management team who coordinates care . This position...**Job Shift:** Day **Career Track:** Admin Support **Department:** 7000 UTILIZATION MGMT REMOTE **Address:** CA Mission Hills 15031 Rinaldi… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …with the guidance and plans they need for healthy living. JOB SUMMARY: The Utilization Management Care Coordinator works within a multidisciplinary ... UM Care Coordinator 75 Vanderbilt Ave, Staten Island, NY 10304, USA... care team to assist with the care of members enrolled in our Managed Long Term … more
- ManpowerGroup (Rancho Cucamonga, CA)
- **Job Title: Utilization Management Outpatient** **Duration: 6 months** **Location: Rancho Cucamonga, CA (Hybrid, Twice in a month)** **Pay rate: $23.98/hr.** ... **We are looking for an Utilization Management Outpatient** **to join one of...standards for appropriate authorizations of referrals at the UM Coordinator level. + Responsible for representing the Inland Empire… more
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment # 241106-5613FP-001 Location East Hartford, CT Date Opened 11/7/2024 12:00:00 AM Salary ... - is accepting applications for a full-time Utilization Review Nurse Coordinator (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5613FP&R1=&R3=)… more
- Henry Ford Health System (Troy, MI)
- …the administration of the various pharmacy program components of the Pharmacy Care Management Department by designing, implementing, maintaining and improving ... regulatory standards, development of new benefit designs and programs, utilization management initiatives and the management...State of Michigan. 2. Minimum one year of managed care or pharmacy benefit management experience. 3.… more
- Behavioral Center of Michigan (Warren, MI)
- …all state mandated regulations. Maintains compliancy with regulation changes affecting utilization management . Reviews patient recrods and evaluates patient ... Under general supervision, the Utilization Review Coordinator provides professional assessment,...and advises physicians and other departments of regulations affecting utilization management . Consults with Social Services Department… more