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Utilization Management Coordinator I

North East Medical Services is seeking a Utilization Management Coordinator I to perform utilization management and care coordination duties under the supervision of a physician or Registered Nurse. The role involves reviewing referral requests, processing authorization requests, and coordinating care with various stakeholders within the healthcare team.

UTILIZATION MANAGEMENT COORDINATOR I MSO

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Utilization Management & Claims Coordinator

Akido Labs is a pioneering AI-native care provider focused on enhancing healthcare access and quality. The Utilization Management & Claims Coordinator will support the Utilization Management function by monitoring service utilization and managing referral requests, playing a crucial role in expanding access to exceptional healthcare.

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Utilization & Disease Management Administration Coordinator - Queue Management

Conviva, a subsidiary of Humana, is dedicated to helping individuals lead healthier lives. The UM Administration Coordinator - Queue Management role involves providing non-clinical support for utilization management, including processing referrals and authorizations while ensuring compliance with company policies.

Utilization & Disease Management Administration Coordinator - Queue Management – Remote

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Utilization Management Coordinator

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. The Utilization Management Coordinator will organize and coordinate office support functions and manage core office services to ensure efficient workflow within the department.

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Utilization Management Coordinator Per Diem

HonorHealth is one of Arizona’s largest nonprofit healthcare systems, serving a population of five million people in the greater Phoenix metropolitan area. The Utilization Management Coordinator assists in the administration of Utilization Management functions, supporting operations and communication with payers to gain approval of admissions, while ensuring timely handling of inbound faxes and documentation in EMR/EPIC.

Chief Executive Officer

Chief Nursing Officer

Clinical Utilization Management Coordinator

Smokey Point Behavioral Hospital is seeking a Clinical Utilization Management Coordinator to support patients and the treatment team by ensuring access to appropriate levels of care and advocating for medical necessity. The role involves reviewing clinical documentation, collaborating with the treatment team, and promoting effective resource use for patients.

Clinical Utilization Management Coordinator (UM) - $5,000 SIGN-ON BONUS

Human Resources Business Partner Lead

Division CMO

UM Administration Coordinator - Queue Management

Conviva Senior Primary Care is a subsidiary of Humana, Inc. focused on enhancing the health and well-being of individuals. The UM Administration Coordinator - Queue Management is responsible for the administration of utilization management, providing non-clinical support for policies and procedures, and managing referral and authorization processes.

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Coordinator - PI - PRMC Utilization Management

Pampa Regional Medical Center is an award-winning healthcare facility committed to quality, compassion, and community. The Coordinator will assist in the coordination and implementation of performance improvement activities to ensure compliance with regulatory standards.

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Section Coordinator - Utilization Management

Texas Tech University Health Sciences Center is enriching lives through education, patient care, and research. The Section Coordinator for Utilization Management is responsible for coordinating and supervising various functions of the program, managing medical documentation, and providing administrative support to the Senior Director of Utilization Management.

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Utilization Management (UM) Coordinator

Tivity Health is a leading provider of healthy life-changing solutions, and they are seeking a Utilization Management Coordinator to support clinical, management, and client activities within the UM Program. The role involves processing documents, managing case assignments, and ensuring compliance with regulatory requirements while maintaining a high level of accuracy in all tasks.

Utilization Management (UM) Coordinator - part-time (M-F 1p-5p ET) - remove opportunity

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Resource Utilization Coordinator - Outcome Management

The University of Toledo is dedicated to fostering a culture of respect and attracting top talent. They are seeking a Resource Utilization Coordinator to coordinate clinical care, assess patient needs, and ensure optimal clinical and financial outcomes.

Resource Utilization Coordinator - Outcome Management - 500521

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Utilization Management Denial Coordinator LVN

Texas Children's Hospital is the nation's first health maintenance organization created just for children, providing health plans to various demographics. They are seeking a UM Denial Coordinator Licensed Vocational Nurse to manage the clinical evaluation and processing of cases not meeting medical necessity criteria, ensuring compliance with legal and accrediting standards.

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Coordinator, Utilization Management

CorroHealth is dedicated to helping clients achieve their financial health goals through scalable solutions and clinical expertise. The Coordinator, Utilization Management will manage the authorization process, maintain documentation, verify eligibility, and act as a liaison between hospital staff and health payers.

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Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. They are in search of a highly motivated candidate to join their talented team as a Utilization Management Coordinator, supporting the clinical teams with non-clinical administrative tasks related to utilization review and care coordination.

Chief Financial Officer

Garfield Park Behavioral Hospital is dedicated to providing behavioral health and psychiatric support to children and teens. The Utilization Management Coordinator will perform clinical reviews to secure authorization for treatment and serve as a liaison to various reviewers, while also participating in quality assurance and data reporting activities.

Utilization Management Coordinator- Full time

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MedStar Health is seeking a detail-oriented and customer-focused Utilization Management Coordinator to provide essential administrative and operational support to the Utilization Management and Clinical Operations team. In this role, you will serve as a key liaison between providers, members, and internal clinical staff, ensuring timely authorization intake, accurate documentation, and seamless communication.

Akido is a pioneering AI-native care provider focused on enhancing healthcare access through technology. The Utilization Management Coordinator will support the Utilization Management function by monitoring service utilization and managing referral requests to ensure efficient healthcare delivery.

Tivity Health is a leading provider of healthy life-changing solutions, and they are seeking a Utilization Management Coordinator to support clinical, management, and client activities within the UM Program. The role involves processing pre-authorizations, managing case assignments, and ensuring compliance with regulatory requirements.

Utilization Management (UM) Coordinator - remote opportunity

Utilization Management Coordinator II

North East Medical Services is seeking a Utilization Management Coordinator II to perform utilization management and care coordination duties. The role involves reviewing authorization requests, guiding junior coordinators, and ensuring compliance with clinical guidelines.

UTILIZATION MANAGEMENT COORDINATOR II MSO

Utilization Management Coordinator - LPN

Smokey Point Behavioral Hospital is seeking an LPN Utilization Management Coordinator to play a pivotal role in contacting external case managers for certification and recertification of insurance benefits. The role involves advocating for patient services, maintaining contact with the treatment team, and ensuring appropriate patient care levels.

Utilization Management Coordinator – I

Utilization Management Coordinator – I in united states (1000+)