We are seeking an Utilization Management Coordinator to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. About the Role. The Utilization Management Coordinator plays a critical role in ensuring that healthcare services are delivered e...
Job Title: Utilization Management Coordinator. Job Description. As a Utilization Management Coordinator, you will coordinate and support activities related to authorization processing for outpatient, inpatient, and ambulatory services. Your role will involve compiling daily inpatient logs, reviewing specified utilization management reports, processing referrals, completing denial letters, and performing retro-review coordination. You will also co...
Job Description. Duties include managing and distributing information within an office. This generally includes answering phones, taking memos and maintaining files. Administrative assistants may also be in charge of sending and receiving correspondence, as well as greeting clients and customers. $ 19.00. Remote23. Remote23.
Job Description. Duties include managing and distributing information within an office. This generally includes answering phones, taking memos and maintaining files. Administrative assistants may also be in charge of sending and receiving correspondence, as well as greeting clients and customers. $ 19.00. Remote23. Remote23.
Job Overview. We are seeking a detail-oriented and highly organized Utilization Coordinator to join our team. This role is essential in ensuring that services are delivered efficiently, cost-effectively, and in alignment with organizational, regulatory, and payer requirements. The ideal candidate is skilled in clinical documentation review, workflow coordination, and communication with internal teams and external partners. Responsibilities. Revie...
Job Requisition. The Utilization Management Coordinator is responsible for supporting the department by coordinating functions and completing administrative telephonic and clerical duties as assigned. Essential Responsibilities. . Create spreadsheets with appropriate data, as requested and assigned. . Provide phone coverage and clerical support to the team. Places follow up telephone calls. . Assists staff within team to facilitate workflow and e...
Apply. Description. iCare Health Solutions is a Health Services Organization that delivers clinically integrated and coordinated eye care solutions. Our solutions embrace well-care by proactively maintaining and measuring patient health through our primary eye care model. As part of this responsibility, we are contracted by multiple national and regional health plans to provide eye care services to their members. We seek employees who are creativ...
Job Overview. The Utilization Management (UM) Clinical Intake Coordinator RN I is a registered nurse responsible for reviewing and coordinating healthcare service requests to ensure they meet clinical and regulatory standards. This role involves. Duties. Evaluating medical necessity of referrals and authorizations. Applying clinical guidelines (e.g., Medicaid, Milliman criteria). Supporting intake staff with clinical expertise. Communicating with...
Responsibilities. Join our team at Cedar Hills as a. Utilization Management Coordinator. and learn how you can make a lasting difference in your community. . The. Utilization Management Coordinator. facilitates a continuum of service while promoting positive outcome and optimal reimbursement, through coordination of patient care, daily clinical reviews, quality documentation, appeals, and reporting. . . Repsonsibilites Include. . Performs timely,...
Responsibilities. Universal Health Services, Inc. (UHS) knows what it takes to lead, inspire and succeed. One of the Nation’s largest and most respected Hospital companies, UHS achieved its success by always adhering to an effective operating philosophy: Build or acquire high quality hospitals in rapidly growing markets, then invest in the people and equipment needed to allow each facility to thrive and become a dominant healthcare provider in it...
This position is ECB status – requires a minimum number of worked hours per month as needed by the department. limited benefit offerings. Variable. This position is classified as ECB and will be scheduled on an as-needed basis according to departmental requirements. Work hours will vary but will generally fall within the standard business schedule of Monday through Friday, 8:00 a.m. to 5:00 p.m. Job Summary: Provides administrative and clinical s...
Responsibilities. Wellstone Regional Hospital. is a 100-bed acute care facility located in Jeffersonville, Indiana and has been providing quality health care to the residents of Southern Indiana and the Louisville area since 2003. Wellstone specializes in the treatment of Adolescents, Children, Adults, and the CD population. In addition to our in-patient services, we offer out-patient programs as well. Wellstone currently has an opening for a ful...
