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Job Summary
This position is responsible for the day-to-day operations o...
New
LOCAL CANDIDATES ONLY
The Utilization Management (UM) Coordinator provides MSO referral management services. The UM Coordinator serves as a liaison between members, physicians, providers, and MSO staff, processing initial intake of information, assisting with authorization functions, and gathering information. Position is responsible for reviewing and processing requests for authorization and...
New
LOCAL CANDIDATES ONLY
The Utilization Management (UM) Coordinator provides MSO referral management services. The UM Coordinator serves as a liaison between members, physicians, providers, and MSO staff, processing initial intake of information, assisting with authorization functions, and gathering information. Position is responsible for reviewing and processing requests for authorization and ...
UR Authorization Coordinator - Remote
Mesa, AZ, USA Req #2576 Tuesday, June 20, 2023 Community Bridges, Inc. (CBI) is an integrated behavioral healthcare agency offering a variety of different programs throughout Arizona. CBI provides residential, outpatient, inpatient, patient-centered medical homes, medication-assisted treatment, and crisis services to individuals experiencing cris...
This position is available fully remote in Washington State.
Job Summary
Responsible for administrative functions in processing Utilization Management (UM) organization determinations for services requiring authorization and hospital notification. Utilizes knowledge of Medicare and Medicaid guidelines in order to facilitate and comply with the UM processes in data entry of authorization requ...
Become a part of our caring community and help us put health first
Humana is seeking a Utilization Management (UM) Coordinator to join the Wisconsin Medicaid Market (iCare) team. The UM Coordinator provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members. Join this dedicated team and lead change in how health car...
Job Description
Managed Care Coordinator
Location: Remote ((NY PA NJ DE CT)
Duration: 6 months
Description:
This position supports the Health Services and Utilization Management functions and acts as a liaison between Members, Physicians, Delegates, Operational Business members and Member Service Coordinators.
Responsibilities:
Performs review of service requests for completenes...
New
Utilization Management Nurse - REMOTE OPPORTUNITY
Non-profit healthcare network is looking for a utilization management registered nurse to join their team on a contract basis! Opportunity to gain experience with Medi-Cal and work REMOTELY in a fast-paced environment.
REQUIREMENTS:
* CA RN license
* Flexible to work a 3-month contract
* Medi-Cal Experience
* Utilization Mana...
New
Your career starts now. We are looking for the next generation of healthcare leaders.
At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, an...
Comagine Health is recruiting for a Program Coordinator. At Comagine Health, we work to improve health and create a better health care system so that people and communities will flourish. Our care management services result in better clinical outcomes, higher patient satisfaction, and increased cost savings. Our approach is customized for each client using evidence-based criteria and medicin...
