The Utilization Management Coordinator is responsible for performing retrospective monitoring and audit functions relative to WMCMH utilization management processes/systems. The Utilization ...

60 Caloptima Utilization Management Coordinator Jobs Hiring Near You
The Utilization Management Coordinator is responsible for performing retrospective monitoring and audit functions relative to WMCMH utilization management processes/systems. The Utilization ...
The Utilization Management Coordinator is responsible for performing retrospective monitoring and audit functions relative to WMCMH utilization management processes/systems. The Utilization ...
The Utilization Management Coordinator is responsible for performing retrospective monitoring and audit functions relative to WMCMH utilization management processes/systems. The Utilization ...
Utilization Management Coordinator
$25 - $28/hr
As a Utilization Management Coordinator, you'll be an integral part of our treatment team, providing continuous care, supervision, and positive role modeling to patients across various age groups ...
Utilization Management Coordinator
$25 - $28/hr
As a Utilization Management Coordinator, you'll be an integral part of our treatment team, providing continuous care, supervision, and positive role modeling to patients across various age groups ...
Utilization Management Coordinator
Monroe, GA · On-site
$25 - $28/hr
As a Utilization Management Coordinator, you'll be an integral part of our treatment team, providing continuous care, supervision, and positive role modeling to patients across various age groups ...
Utilization Management Coordinator
Monroe, GA · On-site
$25 - $28/hr
As a Utilization Management Coordinator, you'll be an integral part of our treatment team, providing continuous care, supervision, and positive role modeling to patients across various age groups ...
Utilization Management Coordinator
Piscataway, NJ · On-site
$71K/yr
Position Details Position Information Recruitment/Posting Title Utilization Management Coordinator Job Category Staff & Executive - Healthcare - Other Department University Behavioral Health Overview ...
Utilization Management Coordinator
Piscataway, NJ · On-site
$71K/yr
Position Details Position Information Recruitment/Posting Title Utilization Management Coordinator Job Category Staff & Executive - Healthcare - Other Department University Behavioral Health Overview ...
Utilization Management Coordinator PRN - Must have availability between 7am - 10pm WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to ...
Utilization Management Coordinator PRN - Must have availability between 7am - 10pm WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to ...
Utilization Management Coordinator - Full Time
Forest Park, IL · On-site
$30 - $46/hr
We are currently seeking an Utilization Management Coordinator position for Riveredge Hospital. Simply apply to the posting and discuss your interests with the hiring manager if you are selected to ...
Utilization Management Coordinator - Full Time
Forest Park, IL · On-site
$30 - $46/hr
We are currently seeking an Utilization Management Coordinator position for Riveredge Hospital. Simply apply to the posting and discuss your interests with the hiring manager if you are selected to ...
UTILIZATION MANAGEMENT COORDINATOR Location: Remote -- client site in Baltimore, MD (21224) Type: Contract (3 months to start; expected extension possible) Schedule: 40 hours/week -- must include a ...
Quick apply
UTILIZATION MANAGEMENT COORDINATOR Location: Remote -- client site in Baltimore, MD (21224) Type: Contract (3 months to start; expected extension possible) Schedule: 40 hours/week -- must include a ...
UTILIZATION MANAGEMENT COORDINATOR Location: Remote -- client site in Baltimore, MD (21224) Type: Contract (3 months to start; expected extension possible) Schedule: 40 hours/week -- must include a ...
Quick apply
UTILIZATION MANAGEMENT COORDINATOR Location: Remote -- client site in Baltimore, MD (21224) Type: Contract (3 months to start; expected extension possible) Schedule: 40 hours/week -- must include a ...
UTILIZATION MANAGEMENT COORDINATOR Location: Remote -- client site in Baltimore, MD (21224) Type: Contract (3 months to start; expected extension possible) Schedule: 40 hours/week -- must include a ...
Quick apply
UTILIZATION MANAGEMENT COORDINATOR Location: Remote -- client site in Baltimore, MD (21224) Type: Contract (3 months to start; expected extension possible) Schedule: 40 hours/week -- must include a ...
UTILIZATION MANAGEMENT COORDINATOR Location: Remote -- client site in Baltimore, MD (21224) Type: Contract (3 months to start; expected extension possible) Schedule: 40 hours/week -- must include a ...
Quick apply
UTILIZATION MANAGEMENT COORDINATOR Location: Remote -- client site in Baltimore, MD (21224) Type: Contract (3 months to start; expected extension possible) Schedule: 40 hours/week -- must include a ...
UTILIZATION MANAGEMENT COORDINATOR Location: Remote -- client site in Baltimore, MD (21224) Type: Contract (3 months to start; expected extension possible) Schedule: 40 hours/week -- must include a ...
Quick apply
UTILIZATION MANAGEMENT COORDINATOR Location: Remote -- client site in Baltimore, MD (21224) Type: Contract (3 months to start; expected extension possible) Schedule: 40 hours/week -- must include a ...
Utilization Management Coordinator. Location: Reston, VA. Purpose: * Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities ...
Utilization Management Coordinator. Location: Reston, VA. Purpose: * Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities ...
EO/AA This position is responsible for assisting with the coordination of utilization review ... Facilitates Utilization Management processes with Medical Review Officers, UM Nurses, hospitals ...
EO/AA This position is responsible for assisting with the coordination of utilization review ... Facilitates Utilization Management processes with Medical Review Officers, UM Nurses, hospitals ...
The Utilization Management Coordinator position oversees the daily activities of the Utilization Management staff including but not limited to assigning and scheduling; reviewing and approving ...
The Utilization Management Coordinator position oversees the daily activities of the Utilization Management staff including but not limited to assigning and scheduling; reviewing and approving ...
UTILIZATION MANAGEMENT COORDINATOR
GA · On-site
Responsibilities Black Bear Lodge Utilization Management Coordinator Foundations Recovery Network (FRN) is the premier provider of integrated treatment for co-occurring addiction and mental health ...
UTILIZATION MANAGEMENT COORDINATOR
GA · On-site
Responsibilities Black Bear Lodge Utilization Management Coordinator Foundations Recovery Network (FRN) is the premier provider of integrated treatment for co-occurring addiction and mental health ...
Responsibilities Black Bear Lodge Utilization Management Coordinator Foundations Recovery Network (FRN) is the premier provider of integrated treatment for co-occurring addiction and mental health ...
Responsibilities Black Bear Lodge Utilization Management Coordinator Foundations Recovery Network (FRN) is the premier provider of integrated treatment for co-occurring addiction and mental health ...
Utilization Management Coordinator I Job Location: Baltimore, MD Purpose: Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities ...
Utilization Management Coordinator I Job Location: Baltimore, MD Purpose: Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities ...
Utilization Management Coordinator - I. Location: Reston, VA . Purpose: * Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities ...
Utilization Management Coordinator - I. Location: Reston, VA . Purpose: * Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities ...
Utilization Management Coordinator I
Baltimore, MD · Remote
$24.67/hr
Utilization Management Coordinator I Type: Short-term contract (3 mos) Compensation: $24.67 Work Model: Remote - offsite. Must work east coast hours. Hours: 8 hours per day, 40 hours per week. 5 days ...
Quick apply
Utilization Management Coordinator I
Baltimore, MD · Remote
$24.67/hr
Utilization Management Coordinator I Type: Short-term contract (3 mos) Compensation: $24.67 Work Model: Remote - offsite. Must work east coast hours. Hours: 8 hours per day, 40 hours per week. 5 days ...
Caloptima Jobs Information
Do workers at CalOptima get paid breaks?
79% of people say they get paid breaks.
Based on data from 14 people who took the Breakroom Quiz between May 2025 and May 2026.
Does CalOptima pay people when they’re sick?
79% of people say they would get paid if they were sick but scheduled to work.
Based on data from 14 people who took the Breakroom Quiz between May 2025 and May 2026.
At CalOptima, are sick days and vacation days separate paid time off?
100% of people say they have to use vacation days when they’re out sick.
Based on data from 11 people who took the Breakroom Quiz between May 2025 and April 2026.
Is the health insurance from CalOptima affordable enough for their workers?
100% of people say the health insurance costs are okay
Based on data from 12 people who took the Breakroom Quiz between May 2025 and April 2026.
Do people get paid time off at CalOptima?
92% of people say they get paid time off.
Based on data from 12 people who took the Breakroom Quiz between May 2025 and April 2026.
Do workers at CalOptima worry about hours?
100% of people report they don’t worry about getting enough hours.
Based on data from 7 people who took the Breakroom Quiz between May 2025 and April 2026.
Do CalOptima workers get to choose the shifts they work?
80% report that they have enough control over which shifts they work.
Based on data from 5 people who took the Breakroom Quiz between May 2025 and April 2026.
How easy is it for CalOptima workers to change shifts?
100% of people report that it’s easy to change shifts if they need to.
Based on data from 5 people who took the Breakroom Quiz between May 2025 and April 2026.
How easy is it to get time off at CalOptima?
100% of people report it’s easy to get time off.
Based on data from 10 people who took the Breakroom Quiz between May 2025 and April 2026.
Do CalOptima managers change schedules at the last minute?
100% of people say their manager doesn’t change their shift schedule at the last minute.
Based on data from 6 people who took the Breakroom Quiz between May 2025 and April 2026.
Do jobs at CalOptima spill into time workers aren’t paid for?
33% of people report that their job takes up time that they don’t get paid for.
Based on data from 6 people who took the Breakroom Quiz between May 2025 and April 2026.
How easy is it to take sick days at CalOptima?
92% of people report that it’s easy to take time off if they are sick.
Based on data from 13 people who took the Breakroom Quiz between May 2025 and May 2026.
Is working at CalOptima good if you’re a parent or caregiver?
80% of people who care for a child or other relative report this is a good place to work.
Based on data from 5 people who took the Breakroom Quiz between May 2025 and April 2026.
Do people at CalOptima feel treated with respect by their managers?
86% of people say they’re treated with respect by their managers.
Based on data from 14 people who took the Breakroom Quiz between May 2025 and May 2026.
Do people at CalOptima get to take their breaks without interruption?
93% of people report that they get to take their breaks without interruption.
Based on data from 14 people who took the Breakroom Quiz between May 2025 and May 2026.
Is it stressful to work at CalOptima?
73% of people say they often feel stressed out at work.
Based on data from 15 people who took the Breakroom Quiz between May 2025 and May 2026.
Do people at CalOptima enjoy their jobs?
71% of people report they enjoy their job.
Based on data from 14 people who took the Breakroom Quiz between May 2025 and May 2026.
Do people at CalOptima recommend working with their team?
47% of people report that they wouldn’t recommend working with their immediate team to a friend.
Based on data from 15 people who took the Breakroom Quiz between May 2025 and May 2026.
Do people get enough training when they start at CalOptima?
43% of people report they didn’t get enough training when they started working here.
Based on data from 14 people who took the Breakroom Quiz between May 2025 and May 2026.
Do people get support to advance at CalOptima?
In the last year, 80% of people report being given support to advance their career here.
Based on data from 15 people who took the Breakroom Quiz between May 2025 and May 2026.
Do people think CalOptima’s headquarters understands what’s happening where they work?
58% of people think that this employer’s headquarters or owners don’t have a good understanding of what’s really happening where they work.
Based on data from 12 people who took the Breakroom Quiz between May 2025 and April 2026.
Do workers feel well informed about how CalOptima is doing?
93% of people feel that they are kept well informed about how the company is doing as a whole.
Based on data from 15 people who took the Breakroom Quiz between May 2025 and May 2026.
Utilization Management Coordinator
Ludington, MI • On-site
Full-time
Posted 27 days ago
Job description
The Utilization Management Coordinator is responsible for performing retrospective monitoring and audit functions relative to WMCMH utilization management processes/systems. The Utilization Management Coordinator will monitor and audit the effectiveness of the WMCMH Utilization Management processes/systems, provide data to support organizational utilization decision-making, facilitate the WMCMH Utilization Management Committee and be an active participant in the Lakeshore Regional Entity UM ROAT and other regional and state UM workgroups/committees as appropriate.
The Utilization Management Coordinator will be housed on the Operations Team and will work very closely with other members of the organization.
JOB DUTIES:
- Utilization Management – Through retrospective review and use of both strong QI principles and strong data aggregation and analysis skills, the Utilization Management Coordinator will:
- Perform monitoring and audit functions (objective examination) relative to utilization management and/or effectiveness of WM utilization management (i.e., size and composition and accessibility of WM network; appropriateness of authorization bundles; compliance with WM authorization decision guidelines; ensure presence of golden thread; ensure consistent and compliant authorization decisions and supporting documentation, etc.).
- In response to monitoring and audit functions, facilitate the development and monitoring of performance improvement plans as appropriate.
- Provide/Aggregate data to support the need for new programs and/or discontinuing programs that are ineffective or inefficient.
- Provide/Aggregate data to support the need for incorporating new or discontinuing the use of evidence-based practices.
- Provide/Aggregate data to support maintenance/updates to authorization decision guidelines.
- Facilitate the WMCMH Utilization Management Committee
- Participate in the Lakeshore Regional Entity UM ROAT and other state/regional UM workgroups as appropriate.
- Back-Up Coverage - Provide limited, short-term/backup coverage for other Operations or organizational Coordinators as needed.
About West Michigan Community Mental Health
Sourced by ZipRecruiter
Industry
Offices of mental health practitioners
Company size
51 - 200 Employees
Headquarters location
Ludington, MI, US
Year founded
1982