Utilization Management Coordinator

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...

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...

**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...

We are seeking a Utilization Review Supervisor to lead a team of specialists in obtaining appropriate insurance authorization for our patients to receive Behavioral Health treatment at high levels of care. In addition to overseeing and providing direction to the team, the UR Supervisor must possess exemplary organizational skills, and have a clear passion in...

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...

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

Assistant Project Manager (Utility) What we are looking for: Aldridge is seeking an Assistant Project Manager to join our dynamic and energetic team. This role will work collaboratively with the project team to ensure that a quality project is produced safely, on time, and within budget. What you'll do: Support essential project duties including:...

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we...