UTILIZATION MANAGEMENT COORDINATOR

ResponsibilitiesJOB 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 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...

Job DescriptionBe a part of a world-class academic healthcare system at UChicago Medicine as a Care Coordinator for our Transformative Care division. As a Care Coordinator you will provide high risk care coordination for our risk and value based care contracts. The Care Coordinator, as part of a multidisciplinary team, including physicians, and payers,...

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...

We are recruiting for a Utilization Management Coordinator (UMC) for an established healthcare organization in Sacramento. The UM Coordinator supports activities related to authorization processing for outpatient, inpatient and ambulatory services. T Management, Coordinator, Medical Director, Staffing, Health

The Resident Services Coordinator (RSC) is responsible for planning, developing, coordinating, and implementing all activities, programs, and services in The Habitat Company-managed communities. The RSC makes appropriate referrals, markets and recruits' residents to participate in the activities, programs, and services offered by resident services and...

**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...

Performs timely, daily clinical reviews with all payer types, to secure authorization for initial and continued treatment based on payers criteria and in accordance with the hospital wide Utilization Management Plan. Serves as liaison to 3rd and 4th Management, Behavioral Health, Coordinator, Operations, Healthcare, Hospital

ResponsibilitiesCollaborative Bridges Discharge Care CoordinatorPurpose:The purpose of this position is to coordinate discharges with community-based hospital transition team for patients discharging from emergency room and inpatient psychiatric units. The Discharge Care Coordinator will be responsible for ensuring successful transitions of care through...

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...

OverviewGood enough isn't for us. Duly Health and Care's team members show up every day driven to exceed expectations. We see and support the remarkable in every person within and beyond the walls of our work.Duly Health and Care works to understand what matters most to you. We recruit and retain team members who share a relentless passion and pride for...

PURPOSE: Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to pre-service, utilization review, care coordination and quality of care. ESSENTIAL FUNCTIONS: 35% Performs member or provider related administrative support, which may include benefit verification,...

Job DescriptionWe are recruiting for a Utilization Management Coordinator (UMC) for an established healthcare organization in Sacramento. The UM Coordinator supports activities related to authorization processing for outpatient, inpatient and ambulatory services. This is a contract to hire opportunity! The ideal candidate has experience with medical...

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 a Appeals, Management, Behavioral Health, Coordinator, Healthcare

OverviewDignity Health Medical Foundation established in 1993 is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health - one of the largest health systems in the nation - with hospitals and care centers in California Arizona and Nevada. Today Dignity...

**Overview**Dignity Health Medical Foundation established in 1993 is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health - one of the largest health systems in the nation - with hospitals and care centers in California Arizona and Nevada. Today Dignity...

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...

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...

Company OverviewShriners Children's is a family that respects, supports, and values each other. We are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion,...