UTILIZATION MANAGEMENT COORDINATOR

Responsibilities JOB SUMMARY: Performs timely, daily clinical reviews with all payer types, to secure authorization for initial and continued treatment based on payer's criteria and in accordance with the hospital wide Utilization Management Plan. Serves as liaison to 3rd and 4th party reviewers, effectively coordinating collection of all supporting data to...

Responsibilities JOB SUMMARY: Performs timely, daily pre-certifications, to secure initial authorization based on payer's criteria and in accordance with the hospital wide Utilization Management Plan. Coordinates with the Business Office, Admissions Department and Utilization Management Department. Obtains billing and insurance information, verification of...

Responsibilities JOB SUMMARY: Performs timely, daily pre-certifications, to secure initial authorization based on payer's criteria and in accordance with the hospital wide Utilization Management Plan. Coordinates with the Business Office, Admissions Department and Utilization Management Department. Obtains billing and insurance information, verification of...

ResponsibilitiesJOB SUMMARY: Responsible for all denial and appeal activities for the Utilization Management department, including Expedited Appeals, Standard Appeals, External Independent Reviews, Retrospective Reviews, and State Fair Hearings. Review clinical information for all appeals utilizing nationally recognized criteria to determine medical...

Responsibilities JOB SUMMARY: Responsible for all denial and appeal activities for the Utilization Management department, including Expedited Appeals, Standard Appeals, External Independent Reviews, Retrospective Reviews, and State Fair Hearings. Review clinical information for all appeals utilizing nationally recognized criteria to determine medical...

Responsibilities JOB SUMMARY: Responsible for all denial and appeal activities for the Utilization Management department, including Expedited Appeals, Standard Appeals, External Independent Reviews, Retrospective Reviews, and State Fair Hearings. Review clinical information for all appeals utilizing nationally recognized criteria to determine medical...

Association Management Center (AMC) is a trusted partner to more than 28 leading associations and professional societies. Our talented team of more than 150 professionals provides the day-to-day operational management our clients need to achieve their business goals. We are proud to support our clients in the impactful work they do and to create a workplace...

Job DescriptionJob DescriptionResponsible for performing specific tasks required for an efficient and effective hospital utilization review program for Behavioral Health (Psychiatric or Addiction) Services. The incumbent is responsible for carrying out activities that meet the objectives of the hospital utilization review program. The hospital Utilization...

Job DescriptionJob DescriptionAssociation Management Center (AMC) is a trusted partner to more than 28 leading associations and professional societies. Our talented team of more than 150 professionals provides the day-to-day operational management our clients need to achieve their business goals. We are proud to support our clients in the impactful work they...

Project Manager/Coordinator Job Summary: Talent Software Services is searching for a Project Manager/Coordinator for a contract-to-hire position in Chicago, IL(Hybrid). The opportunity will be six months with a strong chance for a long-term extension. Position Summary: Performs a variety of administrative and clerical tasks, financial and human resources...

The Sales, Events, & Marketing Coordinator will participate as a member of the Sales, Events, & Marketing Department. This position must utilize skills including team-based interaction, project management, community outreach, and administrative support. The Sales, Events, & Marketing Coordinator is the onsite contact at parties and events, assists in the...

The Sales, Events, & Marketing Coordinator will participate as a member of the Sales, Events, & Marketing Department. This position must utilize skills including team-based interaction, project management, community outreach, and administrative support. The Sales, Events, & Marketing Coordinator is the onsite contact at parties and events, assists in the...

Job DescriptionJob DescriptionThe Sales, Events, & Marketing Coordinator will participate as a member of the Sales, Events, & Marketing Department. This position must utilize skills including team-based interaction, project management, community outreach, and administrative support. The Sales, Events, & Marketing Coordinator is the onsite contact at parties...

The Sales, Events, & Marketing Coordinator will participate as a member of the Sales, Events, & Marketing Department. This position must utilize skills including team-based interaction, project management, community outreach, and administrative support. The Sales, Events, & Marketing Coordinator is the onsite contact at parties and events, assists in the...

Job DescriptionJob DescriptionThe Sales, Events, & Marketing Coordinator will participate as a member of the Sales, Events, & Marketing Department. This position must utilize skills including team-based interaction, project management, community outreach, and administrative support. The Sales, Events, & Marketing Coordinator is the onsite contact at parties...

Description: Our Telecommunications Company is a full-service communications general contractor with a steadfast commitment to doing what's right for the project and our customers. We are currently looking to add to our team and are searching for a qualified Project Coordinator for our Bloomington, IL office.The ideal candidate for the Project Coordinator...

**Looking for a career at a company that cares about you? Look no further! Preservation Management, Inc. is committed to creating a caring community for our employees and residents.** PMI is currently looking for a passionate individual to join our team in the Chicago, ILarea as our **Assistant Property Manager.** - What we offer you: _a full-time position...

Ardmore Roderick is a full-service civil engineering firm providing infrastructure design, construction services and program management to a variety of agencies.Headquartered in Chicago, we have offices in Champaign, IL, Orlando, FL, and Philadelphia, PA. Ardmore Roderick was recently named by Crain’s Chicago as one of the fastest growing companies in the...

This is a remote position. Synergy Management Group is a premier boutique consulting firm that specializes in providing outsourced/fractional corporate finance and growth strategy consulting services to institutional investors (private equity & venture capital), portfolio companies, and growing businesses across various industries. We partner with our...

Job DescriptionJob DescriptionArdmore Roderick is a full-service civil engineering firm providing infrastructure design, construction services and program management to a variety of agencies. Headquartered in Chicago, we have offices in Champaign, IL, Orlando, FL, and Philadelphia, PA. Ardmore Roderick was recently named by Crain’s Chicago as one of the...