100 results for Utilization Management Coordinator Jobs

Responsible for overseeing the utilization of services for patients, coordinating authorizations with third-party payers, evaluating admissions and discharge plans, ensuring high-quality patient care through quality assurance practices, and maintaining effective communication regarding patient treat...

The Behavioral Health UM Care Coordinator provides comprehensive service and support to providers and members as needed. The primary responsibilities include but are not limited to: responding to all provider inquiries for Behavioral Health Core and HARP authorizations, documenting such contacts int...

Responsible for conducting utilization reviews, ensuring compliance with JCAHO, state and federal regulations, and maintaining reports and policies. Requires excellent organizational and communication skills to coordinate with staff.

Please note that this position is based on our campus in Madison, WI, and requires relocation to the area. We recruit nationally and provide financial relocation assistance.Implementing software that saves lives.Use your nursing expertise to help guide the evolution of our clinical software, and hel...

Please note that this position is based on our campus in Madison, WI, and requires relocation to the area. We recruit nationally and provide financial relocation assistance.Implementing software that saves lives.Use your nursing expertise to help guide the evolution of our clinical software, and hel...

Please note that this position is based on our campus in Madison, WI, and requires relocation to the area. We recruit nationally and provide financial relocation assistance.Implementing software that saves lives.Use your nursing expertise to help guide the evolution of our clinical software, and hel...

Please note that this position is based on our campus in Madison, WI, and requires relocation to the area. We recruit nationally and provide financial relocation assistance.Implementing software that saves lives.Use your nursing expertise to help guide the evolution of our clinical software, and hel...

The UM Appeals Coordinator is responsible for denial and appeal activities in the Utilization Management department, including reviewing clinical information for appeals, preparing letters for appeals, analyzing and reporting on appeals, maintaining files, ensuring compliance with UM regulations, wo...

Please note that this position is based on our campus in Madison, WI, and requires relocation to the area. We recruit nationally and provide financial relocation assistance.Implementing software that saves lives.Use your nursing expertise to help guide the evolution of our clinical software, and hel...

Please note that this position is based on our campus in Madison, WI, and requires relocation to the area. We recruit nationally and provide financial relocation assistance.Implementing software that saves lives.Use your nursing expertise to help guide the evolution of our clinical software, and hel...