- Brighton Health Plan Solutions, LLC (New York, NY)
- …regarding their requests for preservice, prospective, and concurrent reviews. The Senior UM Coordinator reports to the Manager, Utilization Management and/or ... determination updates. + Function as a SME (subject matter expert) for the UM Coordinator Team. + Support training of new hires. + Collaborate on the creation… more
- Insight Global (Irvine, CA)
- Job Description Insight Global is looking for a UM Coordinator for one of their largest healthcare clients located in Irvine. * Applies knowledge/skills to ... department resources and procedures with minimal oversight: At minimum, meet the UM Coordinator daily productivity performance threshold of 65 authorizations/day… more
- Centers Plan for Healthy Living (Margate, FL)
- UM Coordinator 5297 W Copans Rd, Margate, FL 33063, USA Req #1209 Tuesday, November 5, 2024 Centers Plan for Healthy Living's goal is to create the ultimate ... plans they need for healthy living. JOB SUMMARY: The Utilization Management Care Coordinator works within a multidisciplinary care team to assist with the care of… more
- Humana (Guymon, OK)
- …a part of our caring community and help us put health first** The UM Administration Coordinator 2 contributes to administration of utilization management. The ... UM Administration Coordinator 2 performs basic administrative, clerical, operational, customer support, and computational tasks working on semi-routine and… more
- Humana (Lansing, MI)
- …a part of our caring community and help us put health first** The UM Administration Coordinator 2 contributes to administration of utilization management. The ... UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations.… more
- ManpowerGroup (Columbia, SC)
- **Title: Managed Care Coordinator UM II** **Location: Columbia, SC** **Duration: 3 months** **Pay range: $25 to $33 on W2** **Job Description:** **Position ... Overview:** The role involves reviewing and evaluating medical or behavioral eligibility regarding benefits and clinical criteria, applying clinical expertise, administrative policies, and established clinical criteria to service requests or providing health… more
- ManpowerGroup (Columbia, SC)
- + **Title:** Managed Care Coordinator UM II + **Location:** Initial on-site work required for the first week, followed by remote work. + **Hours:** ... Monday-Friday, 8:00 AM-4:30 PM or 8:30 AM-5:00 PM. + **Pay Range:** $25 to $31.25/hr. + **Duration:** 4 months (hight possibility for an extension) **Role Overview** This role involves reviewing and evaluating medical or behavioural eligibility for benefits… more
- University of Miami (Miami, FL)
- …time Recovery Coordinator 1 to work in Miami, FL. The Recovery Coordinator 1 ( UM LAORA) assists in the recovery, packaging, preservation and transportation ... of cadaveric organs to be used in surgical transplants. The incumbent also helps to ensures organ recovery activities are in accordance with all applicable regulatory standards and operating procedures. Also, this employee provides preservation support for… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …serve as a leader of positive change. The Utilization Management Coordinator utilizes clinical knowledge and understanding of behavioral health resource management ... to review and coordinate the care for a designated patient caseload. Collaborates with the attending LIP, Clinical Case Manager, nurse, and other members of the treatment team, ACCESS center staff and PFS department to ensure appropriate utilization of… more
- ManpowerGroup (Columbia, SC)
- …**Service Review & Authorization:** + Review medical and behavioural health service requests for eligibility and benefit coverage, ensuring compliance with medical ... necessity guidelines. + Refer cases to appropriate staff when needed, including Medical Directors and Case Managers. **Discharge Planning & Care Coordination:** + Collaborate with providers and facilities to determine service needs, eligibility, and level of… more