Utilization Management Coordinator

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. This position is responsible performing initial,...

About the JobWe are seeking an experienced Utility Project Manager to join our team. The successful candidate will be responsible for managing and coordinating utility project activities from initiation to completion. This includes planning, executing, and controlling projects to meet specified objectives.Key responsibilities include developing project...

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary This position is responsible...

Job TitleAbout the RoleThe Utilization Management Appeals Coordinator will be responsible for overseeing all denial and appeal activities, ensuring compliance with nationally recognized criteria for medical necessity determinations.Duties and ResponsibilitiesReview clinical information for appeals, utilizing nationally recognized criteria to determine...

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary This position is responsible...

About the RoleWe are seeking an experienced Utilization Management Coordinator to join our team. The ideal candidate will possess strong communication skills, knowledge of utilization management, and experience working with payers. This role requires a Bachelor's degree in a behavioral health field, with a Master's degree preferred.The successful candidate...

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...

Role OverviewWe are seeking a utility project coordinator to join our team. The ideal candidate will have experience in managing utility projects and a proven track record of delivering high-quality results on time and within budget.Key Responsibilities:Assist in developing and managing project plans, including budgets, schedules, and resource...

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...

About the TeamWe are a dynamic team seeking an experienced Enterprise Utilities Coordinator to join our group. The successful candidate will be responsible for managing the Authority's Accounts Payable, Internal Controls, and Accounting Compliance functions.Key Responsibilities:Oversee the approval process, cash disbursements, and vendor management to ensure...

The Opportunity Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable...

You'll be responsible for leading and managing projects, directing and coordinating the activities of multiple disciplines on a project of moderate scope or a combination of smaller projects. You'll also work with great people and have a good time doing it.WHO WE AREWe value knowledge and learning. We believe in the power of connection and collaboration and...

You'll be responsible for leading and managing projects, directing and coordinating the activities of multiple disciplines on a project of moderate scope or a combination of smaller projects. You'll also work with great people and have a good time doing it. WHO WE ARE We value knowledge and learning. We believe in the power of connection and collaboration...

You'll be responsible for leading and managing projects, directing and coordinating the activities of multiple disciplines on a project of moderate scope or a combination of smaller projects. You'll also work with great people and have a good time doing it. WHO WE ARE We value knowledge and learning. We believe in the power of connection and collaboration...

Job Description:We are seeking a skilled Healthcare Utilization Review Coordinator to join our team. In this role, you will be responsible for coordinating and facilitating patient services across various levels of the continuum.The ideal candidate will have strong communication skills, with the ability to effectively collaborate with patients, families,...

Manager of Utility Relations Job OverviewWe are seeking a highly experienced Manager of Utility Relations to manage capital budgets for electrical infrastructure and energy projects. You will collaborate with internal teams and regulated utilities on the implementation and management of energy and projects in a timely and accurate fashion.Main...

About the RoleThe Utilization Specialist plays a critical role in ensuring the efficiency, effectiveness, and quality of medical services. This position performs initial and concurrent review activities, discharge care coordination, and serves as a liaison between providers and medical management divisions.Registered Nurse (RN) with a valid, current,...

Position: Subsurface Utility Engineering (SUE) Field ManagerLocation: Tampa, FLJob Id: 4800# of Openings: 1Subsurface Utility Engineering (SUE) Field Manager – Tampa, FLPosition Summary:Halff Associates has an immediate opening for a Subsurface Utility Engineering (SUE) Field Manager for our Tampa, FL office. The successful incumbent will oversee the...

At Leidos Holding, we are seeking a Utility Sector Project Coordinator to manage a dynamic team working in a fast-paced environment. This role involves solving challenging problems and collaborating with cross-functional teams.The successful candidate will have a strong educational background in civil engineering design and experience in managing projects,...

We are looking for a talented High Voltage Utility Project Manager to lead and manage high voltage utility civil substation projects from concept to completion. As a key member of our team, you will be responsible for overseeing site development, including land development permitting, research, site layout, grading, and drainage design.You will work closely...