Current jobs related to Provider Utilization Coordinator Sr - San Antonio, Texas - QTC Company

  • CLS Provider Utilization Coordinator Specialist

    3 weeks ago

    San Antonio, Texas, United States QTC Management, Inc. Full time

    Job SummaryWe are seeking a highly skilled CLS Provider Utilization Coordinator Specialist to join our team at QTC Management, Inc. This role will be responsible for coordinating with clinic office managers and business partner agencies to maximize clinic capacity.Key ResponsibilitiesCommunication and Coordination: Consistently and effectively communicate...

  • Utilization Review Coordinator

    1 day ago

    San Antonio, Texas, United States San Antonio Behavioral Health Full time

    Job SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team at San Antonio Behavioral Health. As a key member of our healthcare team, you will play a critical role in ensuring the effective and efficient use of hospital services.Key ResponsibilitiesEvaluate patient medical records to assess the appropriateness and quality of...

  • Healthcare Utilization Review Coordinator

    3 weeks ago

    San Antonio, Texas, United States Summit BHC Full time

    About the Role:The Clinical Utilization Specialist is responsible for conducting thorough reviews of assigned admissions, continued stays, and discharge planning to ensure compliance with established clinical criteria and regulatory requirements.Key Responsibilities:Perform admission, concurrent, continued stay, and retrospective reviews using established...

  • Utilization Review Coordinator

    6 days ago

    San Antonio, Texas, United States San Antonio Behavioral Health Full time

    Job SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team at San Antonio Behavioral Health. As a key member of our healthcare team, you will play a critical role in ensuring that patients receive the most appropriate care for their condition.Key ResponsibilitiesConduct thorough utilization reviews to determine the medical...

  • CLS Provider Scheduling Coordinator Specialist

    2 weeks ago

    San Antonio, Texas, United States QTC Company Full time

    Job SummaryWe are seeking a highly skilled CLS Provider Scheduling and Utilization Coordinator to join our team at QTC Company. As a key member of our team, you will be responsible for coordinating and managing the schedules of healthcare providers, ensuring optimal utilization and capacity.Key ResponsibilitiesConsistently and effectively communicate with...

  • Utilization Review Coordinator

    2 days ago

    San Antonio, Texas, United States San Antonio Behavioral Health Full time

    Job SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team at San Antonio Behavioral Health. As a key member of our healthcare team, you will play a critical role in ensuring the effective and efficient use of hospital services.Key ResponsibilitiesConduct utilization reviews to determine the medical necessity of patient care...

  • Healthcare Utilization Coordinator

    2 weeks ago

    San Antonio, Texas, United States Christus Health Full time

    Job Summary:The RN Utilization Review Specialist is responsible for ensuring the clinical appropriateness of care provided to patients and optimizing hospital resource utilization. This role involves performing pre-admission, concurrent, and retrospective reviews to ensure compliance with regulatory requirements and industry standards. The ideal candidate...

  • Clinical Operations Coordinator

    4 weeks ago

    San Antonio, Texas, United States OptumCare Full time

    Are you driven by a desire to make a meaningful impact in healthcare? At OptumCare, we believe that transforming lives begins with the values we uphold and the dedication we exhibit in our roles. The Clinical Operations Coordinator plays a crucial role in supporting the Utilization Management (UM) department by overseeing various administrative tasks related...

  • Administrative Coordinator

    2 weeks ago

    San Antonio, Texas, United States Marathon Petroleum Corporation Full time

    About the RoleWe are seeking a highly skilled and experienced Administrative Assistant to join our team at Marathon Petroleum Corporation. As an Administrative Assistant, you will play a critical role in supporting the Sr. Director of IT Analytics and Innovation, as well as other team members, in their daily operations.Key ResponsibilitiesAdministrative...

  • Administrative Support Specialist

    5 days ago

    San Antonio, Texas, United States Southwest Research Institute Full time

    About the RoleWe are seeking a highly skilled and experienced Sr. Secretary - Event and Administrative Support to join our growing team at the Machinery Department at Southwest Research Institute.Key ResponsibilitiesPlan, coordinate, and execute administrative tasks to support the department's research and development activities.Provide exceptional event...

  • Marketing Coordinator

    5 days ago

    San Antonio, Texas, United States AEG Full time

    Job Title: Franchise Marketing Sr. CoordinatorAt AEG, we're seeking a highly skilled Franchise Marketing Sr. Coordinator to join our team. This role will be responsible for developing and executing strategic marketing efforts for San Antonio FC (USL) and assisting in the marketing efforts of the Austin Spurs (G-League).Key Responsibilities:Develop and...

  • Utility Designer

    1 week ago

    San Antonio, Texas, United States Pape-Dawson Engineers, Inc Full time

    Job SummaryPape-Dawson Engineers, Inc. is seeking a skilled Utility Designer to provide design support to engineers for site/commercial and residential land development projects.Key ResponsibilitiesUtilize ArcGIS functions to create and edit design documents.Coordinate with project teams to develop Electrical and Gas Subdivision Designs that meet project...

  • Utilization Review Nurse

    4 days ago

    San Antonio, Texas, United States Christus Health Full time

    Job Summary:The RN Utilization Review II is a key member of the healthcare team, responsible for ensuring the clinical appropriateness of care provided to patients and optimizing hospital resource utilization. This role involves performing pre-admission, concurrent, and retrospective reviews to ensure that patients receive the most effective and efficient...

  • Clinical Utilization Manager

    2 days ago

    San Antonio, Texas, United States Christus Health Full time

    Job SummaryThe Utilization Management Nurse III is a key member of the healthcare team, responsible for ensuring the clinical appropriateness of care provided to patients and optimizing hospital resource utilization. This role requires a strong clinical background, excellent communication skills, and the ability to navigate complex regulatory...

  • Production Utility Associate

    2 weeks ago

    San Antonio, Texas, United States Texas Thrift Full time

    {"title": "Production Utility Role", "description": "Job SummaryWe are seeking a highly organized and detail-oriented Production Utility to join our team at Texas Thrift. As a key member of our production team, you will be responsible for maintaining a clean and organized work area, ensuring a smooth workflow, and supporting our production team in achieving...

  • Utilization Management Nurse III

    3 days ago

    San Antonio, Texas, United States Christus Health Full time

    Job SummaryThe Utilization Management Nurse III is a key member of the healthcare team at Christus Health, responsible for ensuring the clinical appropriateness of care provided to patients and optimizing hospital resource utilization. This role requires a strong clinical background, excellent communication skills, and the ability to work in a fast-paced...

  • Utility Construction Supervisor

    2 weeks ago

    San Antonio, Texas, United States AR Utilities & Excavation Full time

    **Job Summary**AR Utilities & Excavation is seeking a highly skilled and experienced Foreman to join our team. As a Foreman, you will be responsible for overseeing the construction of site utility projects, ensuring that all work is completed to the highest standards and in compliance with relevant regulations.**Key Responsibilities:**Supervise and...

  • Clinical Utilization Review Specialist

    1 week ago

    San Antonio, Texas, United States CHRISTUS Health Full time

    Job SummaryThe RN Utilization Review II is a key member of our healthcare team, responsible for ensuring the clinical appropriateness of care provided to patients and optimizing hospital resource utilization. This role involves performing pre-admission, concurrent, and retrospective reviews to ensure compliance with regulatory requirements and industry...

  • Community Coordinator

    1 week ago

    San Antonio, Texas, United States Westcare Full time

    Job SummaryWe are seeking a highly skilled and experienced Community Coordinator to join our team at WestCare. The successful candidate will provide technical expertise, program direction, and overall project management tasks associated with the WestCare Texas Laredo Programs.Key ResponsibilitiesProvide direction to the coalition in assessing community needs...

  • RN Utilization Review Specialist

    2 weeks ago

    San Antonio, Texas, United States Christus Health Full time

    Job Summary:The RN Utilization Review Specialist is responsible for ensuring the clinical appropriateness of care provided to patients and optimizing hospital resource utilization. This role involves performing pre-admission, concurrent, and retrospective reviews to ensure compliance with regulatory requirements and industry standards. The RN Utilization...

Provider Utilization Coordinator Sr

3 months ago

San Antonio, Texas, United States QTC Company Full time
Are you someone who has a knack for details and a passion for helping others? If so, we would love to speak with you

Leidos QTC Health Services is seeking a Provider Utilization Coordinator Sr. to support our Veteran Affairs Operations.

Who is Leidos QTC Health Services?

Leidos QTC Health Services is the nation's largest provider of disability and occupational health examination services. We are PASSIONATE about our country's veterans, UNITED as a team and INSPIRED to make a difference. To provide high-quality, timely, and customer-focused medical examination service solutions, we honor our core values of integrity, innovation, agility, collaboration, inclusion and commitment. We celebrate diverse thinking and welcome contributions from all.

This is a Remoteposition with Leidos QTC Health Services, must be with in the Central Standard Time Zone.

What part would you play in this role?

As a Provider Utilization Coordinator Sr, you will support our Veteran Affairs operations and its providers by building and adjusting Independent Physician Affiliates (IPA's) schedules to prevent gaps and overbooking in order to achieve Leidos QTC Health Service's operational goals of timeliness, quality, and customer-focused medical examinations.

In this rewarding role, you will:
  • Schedule/Reschedule appointments.
  • Build and manage IPA's schedules to prevent gaps and over booking.
  • Proactively communicate issues/concerns with IPA provider schedules to leadership team and other internal departments as necessary
  • Communicate directly with providers and their office staff.
  • Utilize electronic tools and workflows in order to manage schedules and resources.
  • Participate in collaborative efforts with our provider recruitment and training teams to build our provider network.
  • Complete additional assignments as designated by leadership team.
You must have:
  • High School diploma, or equivalent (GED) or 2 years of experience in lieu
  • 1 to 3 years of experience utilizing electronic tools and workflows in order to manage schedules and resources of IPAs.
  • Exceptional customer service principles and practices to both internal and external customers
Preferred:
  • Experience coordinating appointments for patients and medical practitioners.
  • Proficiency in utilizing various computer applications (i.e. MS Office), EMRs and other scheduling software.
  • Highly skilled in multi-tasking while managing multiple priorities.
Typical Day:
  • Monday - Friday: 8:00 am - 5:00 pm (CST)
  • Remote
Pay and Benefits:

Pay Range: $ $23.87 per hour.

*The Leidos QTC Health Services pay range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to): geographic location, responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law.

Pay and benefits are fundamental to any career decision. That's why we craft compensation packages that reflect the importance of the work we do for our customers. As a result, we offer meaningful and engaging careers to support you and your career goals, all while nurturing a healthy work-life balance. Employment benefits include competitive compensation, Health and Wellness programs, Income Protection, Paid Leave and Retirement. More details are available here.

Commitment to Diversity:

Leidos QTC Health Services is a VEVRAA Federal contractor and an Equal Opportunity Employer. The company has an ongoing commitment to affirmative action and the creation of a workplace free of discrimination, harassment and retaliation. The company recruits, hires, trains, and promotes individuals in all job titles without regard to race, color, creed, religion, ancestry, national origin, age, sex, sexual orientation, people with disabilities protected under law, andprotected veteran status.

Don't meet every single requirement? Studies have shown that women and people of color are less likely to apply to jobs unless they meet every single qualification. At Leidos QTC Health Services, we are dedicated to building a diverse, inclusive and authentic workplace, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR c)