97 results for Utilization Management Coordinator Jobs

Job DescriptionCoordinates utilization review activities to ensure clinical documentation is accurate to secure mental health and addiction treatment authorizations for patients from their government or commercial health plans. This position is the primary liaison between Medical Staff, Treatment Te...

The Health Plan Nurse Coordinator is responsible for supporting Utilization Management, Case Management, and Pediatric-Whole Child Model Unit activities. Key responsibilities include conducting clinical reviews, care coordination, managing transitions, and collaborating in quality improvement initia...

Job DescriptionESSENTIAL DUTIES:Inpatient Support Coordinator:Calling hospitals to verify if patients are still in the hospital or have discharged. Entering and processing hospital face sheets. Maintaining an updated census for assigned case manager. Issuing approval letters for admissionsDischarge ...

Responsible for supporting the Medical Management department by ensuring timely outpatient or inpatient referral/authorization processing, troubleshooting issues, and coordinating with leadership. Requires experience in medical billing and utilization management processing.

Outpatient Utilization Management Coordinator: HealthCare Support seeks Outpatient Utilization Management Coordinator to fill a Fortune 100 company opening. Daily Responsibilities For Outpatient Utilization Management CoordinatorProcess and manage authorization requests by monitoring the fax server,...

This position is a temporary role facilitated through one of our contracted agencies and is not a direct employment opportunity with IEHP. The contracted agency offers an assignment length of up to six months, during which the candidate will provide support for IEHP.What you can expect! Find joy in ...

Job Title: Utilization Management (UM) CoordinatorTarget Compensation Range: $26.00 - $36.00/hour, depending on the level of relevant qualifications and experience.About Us:Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a f...

The Outpatient UM Coordinator processes authorization requests, verifies eligibility, and obtains information for Medical Management. Requires organization, multitasking, and knowledge of ICD-9/10, CPT Coding, and Medical Terminology. Ensures timely responses to provider calls while maintaining high...

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and expe...

Responsible for coordinating patient admissions, performing preauthorization for acute rehab units, and acting as a liaison between the hospital and external payers. Monitors referrals, assesses patient eligibility, collaborates with case managers, and ensures compliance with Medicare guidelines. Do...