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7562 support coordinator utilization management Jobs

  • Integra Managed Care
    Director, Medicare Utilization Management
    Lake Success, NY
    $56K - $140K (Glassdoor est.)
    9d

    Director, Medicare Utilization Management, Lake Success

  • General Information
  • Commonwealth Care Alliance Logo3
    Director of Authorization and Utilization Management
    Boston, MA
    $67K - $159K (Glassdoor est.)
    2d

    Why This Role is Important to Us

    The Director of Utilization Management leads and …

  • Penn State Health Milton S. Hershey Medical Center Logo3.9
    Manager Utilization Management - Utilization Management
    Hershey, PA
    $45K - $76K (Glassdoor est.)
    8d
    Utilization management focuses on engaging payers and providers to improve the quality of care, and optimize operational efficiencies in the rapidly changing healthcare environment…Under the direction of the VP of Care Transitions, the Manager of Utilization Management will be responsible for the daily operational activities of utilization management, with oversight over…
  • Eastern Connecticut Health Network Logo3
    Manager, Managed Care Operations
    Manchester, CT
    $42K - $134K (Glassdoor est.)
    24h
    Participates as needed in revenue cycle and utilization management-related meetings in a supporting role to the Executive Director to ensure proper payment for services rendered while maximizing…Assists in the resolution of variances and escalated utilization management disputes…
  • Havenwyck Hospital (UHS) Logo2
    Manager of Utilization Management
    Auburn Hills, MI
    $40K - $68K (Glassdoor est.)
    Easy Apply
    8d
    Manager of Utilization Management Havenwyck Hospital is a Joint Commission-accredited and licensed psychiatric hospital, overlooking Lake Galloway in Auburn Hills, Michigan…Havenwyck Hospital is seeking a dynamic and talented Manager of Utilization Management to join our team of compassionate, dedicated professionals…
  • Director of Clinical Operations
    Salem, OR
    Easy Apply
    7d
    : meet standards of productivity demonstrates OASIS competency demonstrates clinical competency elicits positive patient satisfaction demonstrates effective care planning and utilization management 8…: The Director of Clinical Operations is responsible for the clinical management of First Call Home Health, overseeing the clinical direction, supervision, and management of patient care services provided by First Call…
  • VITAS Healthcare Logo2.9
    RN |Patient Care Administrator | Director Patient Care Services | Hospice
    Riverside, CA
    $47K - $118K (Glassdoor est.)
    Easy Apply
    24h
    adherence to Plan of Care and to ensure effective utilization. …Oversees management of medical supplies, including ordering, distributing, and utilization… and quality of patient care services, employee satisfaction, customer satisfaction and financial management. …
  • Atrius Health Logo
    Clinical Director - Case Management - Full Time - Newton/Riverside
    Newton, MA
    $49K - $116K (Glassdoor est.)
    Easy Apply
    1d
    for the development, implementation and leadership oversight of the case management department including Case Management, Utilization Management, and Social Work… years’ leadership experience in utilization management, case management, discharge planning or other cost…
  • Beacon Health System Logo3.6
    Director of Cardiovascular and Stroke Services | Memorial Hospital of South Bend
    South Bend, IN
    6d
    highest possible quality and lowest possible cost (best value) with appropriate utilization, case management and emphasis on prevention. …Guides the development of the overall leadership structure and strategic plan, creates goals and plans for mission effectiveness, for quality and financial management and works to ensure…
  • Kingman Regional Medical Center Logo4
    Director of Case Management
    Kingman, AZ
    $40K - $97K (Glassdoor est.)
    7d
    , to include a combination of 3 years Utilization Management and Managed Care experience, including Case Management…Oversees Discharge Planning, Utilization Review, Case Management, Social Services, Transitional Care processes and personnel…
  • Life Care Center of Port Townsend Logo3
    Care Manager (Registered Nurse/RN) | LPN Care Manager
    Port Townsend, WA
    Easy Apply
    22d
    ) year of clinical experience in post acute care setting preferred Prior case management, utilization review, and discharge planning experience preferred Certified Case Manager (CCM…) or Board Certification in Nursing Case Management (RN BC) preferredSpecific Job Requirements…
  • HHS, Hospital Housekeeping Systems Logo3.3
    Line Cook/Prep Cook
    Peoria, AZ
    $7 - $11 Per Hour(Glassdoor est.)
    Easy Apply
    21d
    Today, we provide best-in-class housekeeping, culinary, patient flow, linen utilization management, facilities management, and clinical engineering services to a wide range of hospitals and healthcare providers…Our approach to services management is patient-focused and performance-driven. …
  • Palomar Health Logo3.4
    Director Home Health
    Escondido, CA
    4d
    Responsible for the provision of the overall administration, operation, direction, design, financial performance, human resource management, regulatory compliance, quality, utilization management…Develops and mentors a high performing management team for all areas of responsibility…
  • Director of Case Management - 5K SIGN-ON BONUS
    West Orange, NJ
    Easy Apply
    7d
    , coordination of care across the continuum; promotion of cost-effective care within the allotted time frame; assuring payments of hospital-based services meeting patient-related utilization management…Overview: Kessler Institute for Rehabilitation Select Medical West Orange, NJ Director of Case Management ($5,000 Sign-On Bonus) Responsibilities…
  • Vidant Health Logo3.4
    RN - Utilization Review Specialist - Potential for Sign On Bonus - Utilization Management
    Greenville, NC
    $15 - $29 Per Hour(Glassdoor est.)
    11d
    Position Summary The Utilization Review Specialist will ensure regulatory compliance with CMS Conditions of Participation with regard to Utilization Management… and gynecology, surgery, pain management and psychiatry. …
  • Northwest Community Healthcare Logo3.7
    Clinical Care Coordinator
    Arlington Heights, IL
    $32K - $73K (Glassdoor est.)
    12d
    -level providers, utilization management, and other ancillary and support services departments as required to identify and resolve issues that affect patient progression and the team. 2… (inpatient, outpatient, and observations) and length of stay (LOS) targets for changes and confers with staff nurses, physicians, utilization management
  • Bethesda Hospital, Inc. Logo3.9
    Supervisor Care Coordination
    Boynton Beach, FL
    $38K - $85K (Glassdoor est.)
    13d
    Serves as a resource to the hospital for utilization management issues. …Functions as the lead member and supervisor of the care coordination team to ensure high quality patient care, appropriate length of stay, excellent resource utilization, and ensure reimbursement…
  • Hillside Rehabilitation Hospital Logo2.5
    Director of Case Management - Hillside Rehabilitation Hospital
    Warren, OH
    $45K - $102K (Glassdoor est.)
    24h
    of case management, utilization management, discharge planning, social work, and clinical… offices to facilitate timely patient flow, safe and effective patient care, documentation, and appropriate reimbursement Facilitates Utilization Management Committee meetings on a quarterly plus as needed basis…
  • Clinical Supervisor-Crisis and Stabilization Located in Alpena, Michigan
    Michigan
    Easy Apply
    24h
    Work with Compliance Officer and actively participates in the Utilization Management Committee…
  • HealthPoint Logo2.8
    Family Medicine Physician
    Renton, WA
    $165K - $249K (Glassdoor est.)
    10d
    Improvement, Risk Management and Utilization Management programs. …Our supportive programs include behavioral health, nutrition counseling, acupuncture, urgent care, peer support, and case management
  • Valley Community Healthcare Logo2.5
    Behavioral Health Clinician II (LCSW, LMFT)
    North Hollywood, CA
    Easy Apply
    13d
    Examples include: understanding and educating consumers about healthcare benefits; navigating utilization management processes; and adjusting the delivery…; matching the type and intensity of services to consumers’ needs; providing patient navigation services; and implementing symptom management. …
  • WINFertility Logo3.6
    Director of Clinical Services (Health Plan)
    Greenwich, CT
    Easy Apply
    13d
    Participates in the development, implementation, and monitoring of all patient care programs including Utilization Management…ESSENTIAL FUNCTIONS Leads the clinical activities of the utilization management team by direct supervision of Care Managers, leads and administrative staff Conducts clinical peer reviews of UM…
  • Hamilton Health Center Logo2.9
    Pediatric Medical Director
    Harrisburg, PA
    $111K - $206K (Glassdoor est.)
    Easy Apply
    14d
    Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements…Assists the Chief Medical Officer to direct and coordinate the medical management, quality improvement and staffing functions for the Pediatrics Department…
  • Insight Enterprises, Inc. Logo3.9
    Manager, Operations 2nd shift
    Hanover Park, IL
    $50K - $157K (Glassdoor est.)
    12d
    for receiving product, equipment utilization, inventory management, and shipping Meets warehouse operations financial objectives by forecasting requirements; preparing an annual budget; scheduling…Management of employees to ensure operational expectations are met for Insight’s internal and external customers…
  • Psychotherapist
    San Jose, CA
    Easy Apply
    7d
    Calls insurance companies for authorizations and ongoing utilization management
  • Woods Services Logo2.9
    Residential Counselor (Experience with Children Required)
    Langhorne, PA
    14d
    supervision of and instruction regarding age-appropriate independent living skills, such as laundering, personal money management, utilization of community…Prepare incident reports as directed Implements behavior management and / or level system protocols as directed by the Residential Director in consultation…
  • Covenant HealthCare Logo3.9
    Utilization Management Specialist (RN)
    Saginaw, MI
    $26K - $41K (Glassdoor est.)
    Easy Apply
    19d
    VARIABLE SHIFT FULL TIME BENEFITED Summary: The Utilization Management Specialist demonstrates excellent customer service performance in that his…The Utilization Management Specialist provides support for the Clinical Resource Management Department by serving as a liaison with external agencies and third party payers…
  • Havenwyck Hospital (UHS) Logo2
    Director of Regulatory, Quality and Utilization
    Auburn Hills, MI
    $51K - $108K (Glassdoor est.)
    Easy Apply
    8d
    Director of Regulatory, Quality and Utilization Management Havenwyck Hospital is a Joint Commission-accredited and licensed psychiatric hospital, overlooking Lake Galloway in Auburn Hills, Michigan…Havenwyck Hospital is seeking a dynamic and talented Director of Regulatory, Quality and Utilization Management to join our team of compassionate and dedicated clinical professionals…
  • Northwest Community Healthcare Logo3.7
    Behavioral Health Intake Counselor (Full time) Nights
    Arlington Heights, IL
    $14 - $19 Per Hour(Glassdoor est.)
    Easy Apply
    5d
    of behavioral health reimbursement systems including managed care contracts, utilization management processes, EMTALA, Confidentiality Act and HIPPA, Medicare… of information; follow up with Utilization Review Department as needed, and resolves any issues with insurance companies to determine eligibility…
  • SAC Health System Logo2.9
    Utilization Management RN
    San Bernardino, CA
    Easy Apply
    13d
    Position- Utilization Management RN Department- Referrals Schedule-Monday- Friday Hours 8:00am-5…: Under the general direction of the Referrals Director, the Utilization Management Nurse is responsible for concurrent…
  • Centurion Logo3.2
    Assistant Regional Director of Nursing
    Jessup, MD
    14d
    and procedures, as well as standards of practice; responsible for mental health quality improvement and utilization management program…Qualifications Five (5) years’ experience in an inpatient psychiatric treatment setting, including management and supervision preferred…
  • Amedisys Home Health Logo3.4
    Clinical Manager - RN - Sign on Bonus Available Virtual Hiring Event
    Biloxi, MS
    $34K - $64K (Glassdoor est.)
    7d
    Responsible to oversee the management and delivery of patient care, including utilization management, episode management and patient outcomes…What You Will Do Responsible for the supervision, management, coordination…
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