$30.50 - $47/hr
... coordinating care across the health care continuum while monitoring and managing benefit ... utilization; and, collaborating with multi-disciplinary health care team members in identifying the ...
$30.50 - $47/hr
... coordinating care across the health care continuum while monitoring and managing benefit ... utilization; and, collaborating with multi-disciplinary health care team members in identifying the ...
$30.50 - $47/hr
... coordinating care across the health care continuum while monitoring and managing benefit ... utilization; and, collaborating with multi-disciplinary health care team members in identifying the ...
$30.50 - $47/hr
... coordinating care across the health care continuum while monitoring and managing benefit ... utilization; and, collaborating with multi-disciplinary health care team members in identifying the ...
$30.50 - $47/hr
... coordinating care across the health care continuum while monitoring and managing benefit ... utilization; and, collaborating with multi-disciplinary health care team members in identifying the ...
$30.50 - $47/hr
... coordinating care across the health care continuum while monitoring and managing benefit ... utilization; and, collaborating with multi-disciplinary health care team members in identifying the ...
$30.50 - $47/hr
... coordinating care across the health care continuum while monitoring and managing benefit ... utilization; and, collaborating with multi-disciplinary health care team members in identifying the ...
$30.50 - $47/hr
... coordinating care across the health care continuum while monitoring and managing benefit ... utilization; and, collaborating with multi-disciplinary health care team members in identifying the ...
Boerne, TX · On-site
$30.50 - $47/hr
... coordinating care across the health care continuum while monitoring and managing benefit ... utilization; and, collaborating with multi-disciplinary health care team members in identifying the ...
Boerne, TX · On-site
$30.50 - $47/hr
... coordinating care across the health care continuum while monitoring and managing benefit ... utilization; and, collaborating with multi-disciplinary health care team members in identifying the ...
San Antonio, TX · On-site
... years of inpatient case management, or utilization management is preferred. LICENSURE ... Coordination and Transition Management is highly desirable (CCM or ANCC)
San Antonio, TX · On-site
... years of inpatient case management, or utilization management is preferred. LICENSURE ... Coordination and Transition Management is highly desirable (CCM or ANCC)
Utilization Management supporting medical necessity and denial prevention; Transition Management ... Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence ...
Utilization Management supporting medical necessity and denial prevention; Transition Management ... Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence ...
Utilization Management supporting medical necessity and denial prevention; Transition Management ... Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence ...
Utilization Management supporting medical necessity and denial prevention; Transition Management ... Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence ...
Utilization Management supporting medical necessity and denial prevention; Transition Management ... Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence ...
Utilization Management supporting medical necessity and denial prevention; Transition Management ... Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence ...
$32.50 - $51/hr
POSITION SUMMARY/RESPONSIBILITIES Coordinates the interdisciplinary treatment plan of care for ... Data entry, referral management, utilization management experience is required. Case Management ...
$32.50 - $51/hr
POSITION SUMMARY/RESPONSIBILITIES Coordinates the interdisciplinary treatment plan of care for ... Data entry, referral management, utilization management experience is required. Case Management ...
... utilization management, provider and member satisfaction, and market share. Interacts with other ... Six (6) or more years' experience in project coordination for a managed care environment is ...
... utilization management, provider and member satisfaction, and market share. Interacts with other ... Six (6) or more years' experience in project coordination for a managed care environment is ...
We are seeking a Utilization Review (UR) Coordinator to join our team. The UR Coordinator is a ... manage healthcare costs while maintaining quality care. Essential Duties: Prior Authorization ...
We are seeking a Utilization Review (UR) Coordinator to join our team. The UR Coordinator is a ... manage healthcare costs while maintaining quality care. Essential Duties: Prior Authorization ...
Utilization Management supporting medical necessity and denial prevention; Transition Management ... Care Coordination by demonstrating efficient throughput while assuring care is sequenced and at ...
Utilization Management supporting medical necessity and denial prevention; Transition Management ... Care Coordination by demonstrating efficient throughput while assuring care is sequenced and at ...
Utilization Management supporting medical necessity and denial prevention; Transition Management ... Care Coordination by demonstrating efficient throughput while assuring care is sequenced and at ...
Utilization Management supporting medical necessity and denial prevention; Transition Management ... Care Coordination by demonstrating efficient throughput while assuring care is sequenced and at ...
Utilization Management supporting medical necessity and denial prevention; Transition Management ... Care Coordination by demonstrating efficient throughput while assuring care is sequenced and at ...
Utilization Management supporting medical necessity and denial prevention; Transition Management ... Care Coordination by demonstrating efficient throughput while assuring care is sequenced and at ...
Utilization Management supporting medical necessity and denial prevention; Transition Management ... Care Coordination by demonstrating efficient throughput while assuring care is sequenced and at ...
Utilization Management supporting medical necessity and denial prevention; Transition Management ... Care Coordination by demonstrating efficient throughput while assuring care is sequenced and at ...
Utilization Management supporting medical necessity and denial prevention; Transition Management ... Care Coordination by demonstrating efficient throughput while assuring care is sequenced and at ...
Utilization Management supporting medical necessity and denial prevention; Transition Management ... Care Coordination by demonstrating efficient throughput while assuring care is sequenced and at ...
Utilization Management supporting medical necessity and denial prevention; Transition Management ... Care Coordination by demonstrating efficient throughput while assuring care is sequenced and at ...
Utilization Management supporting medical necessity and denial prevention; Transition Management ... Care Coordination by demonstrating efficient throughput while assuring care is sequenced and at ...
Utilization Management supporting medical necessity and denial prevention; Transition Management ... Care Coordination by demonstrating efficient throughput while assuring care is sequenced and at ...
Utilization Management supporting medical necessity and denial prevention; Transition Management ... Care Coordination by demonstrating efficient throughput while assuring care is sequenced and at ...
Utilization Management supporting medical necessity and denial prevention; Transition Management ... Care Coordination by demonstrating efficient throughput while assuring care is sequenced and at ...
Utilization Management supporting medical necessity and denial prevention; Transition Management ... Care Coordination by demonstrating efficient throughput while assuring care is sequenced and at ...
$13.47 - $15.84
7% of jobs
$18.02 is the 25th percentile. Wages below this are outliers.
$15.84 - $18.22
19% of jobs
$18.22 - $20.59
22% of jobs
The median wage is $20.83 / hr.
$20.59 - $22.96
11% of jobs
$22.96 - $25.34
4% of jobs
$25.34 - $27.71
5% of jobs
$28.72 is the 75th percentile. Wages above this are outliers.
$27.71 - $30.09
14% of jobs
$30.09 - $32.46
10% of jobs
$32.46 - $34.84
4% of jobs
$34.84 - $37.21
2% of jobs
$37.21 - $39.58
1% of jobs
$13
$25
$39
Cities near Spring Branch, TX with the most Utilization Management Coordinator job openings:
$30.50 - $47/hr
Full-time
Posted 12 days ago
8.0
Based on 64 frontline employees who took The Breakroom Quiz
89th of 898 rated healthcare providers
POSITION SUMMARY/RESPONSIBILITIES
Assists Community First Health Plan (CFHP) members regain optimum health or improved functional capacity by ensuring that members have access to all of the health care services they need in the most efficient and effective manner possible. Responsibilities include but are not limited to overseeing the allocation of resources, cost and quality of health care for members; coordinating care between the primary care physician, community resources, family and member; coordinating care across the health care continuum while monitoring and managing benefit utilization; and, collaborating with multi-disciplinary health care team members in identifying the educational and discharge needs of members.
EDUCATION/EXPERIENCE
Registered Nurse (RN) is required. Bachelor of Science in Nursing (BSN) or Master’s degree is preferred. Minimum three (3) years nursing, acute care, quality management or managed care experience is required. Basic knowledge of Medicaid, Medicare, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD and CPT coding is preferred.
LICENSURE/CERTIFICATION
Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. Current certification from an appropriate professional agency, such as Case Management Society, is preferred.
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