Utilization Management Coordinator - I. Location: Reston, VA . Purpose: * Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities ...

60 Caloptima Utilization Management Coordinator Jobs Hiring Near You
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
Chatsworth, CA · On-site
$20 - $24/hr
Company Description Thrifty Management Services is the dedicated MSO for Preferred IPA of California, providing the best possible care management, care coordination, and claims processing services to ...
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Utilization Management Coordinator
Chatsworth, CA · On-site
$20 - $24/hr
Company Description Thrifty Management Services is the dedicated MSO for Preferred IPA of California, providing the best possible care management, care coordination, and claims processing services to ...
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 ...
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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 ...
Utilization Management Coordinator
Chatsworth, CA · On-site
$20 - $24/hr
Company Description Thrifty Management Services is the dedicated MSO for Preferred IPA of California, providing the best possible care management, care coordination, and claims processing services to ...
Quick apply
Utilization Management Coordinator
Chatsworth, CA · On-site
$20 - $24/hr
Company Description Thrifty Management Services is the dedicated MSO for Preferred IPA of California, providing the best possible care management, care coordination, and claims processing services to ...
The Lead Utilization Management Coordinator (UMC) assists in driving the strategic oversight, execution, and mitigation of concurrent denials to secure timely authorizations, prevent costly and ...
The Lead Utilization Management Coordinator (UMC) assists in driving the strategic oversight, execution, and mitigation of concurrent denials to secure timely authorizations, prevent costly and ...
Utilization Management Coordinator PRN - Must have weekday availability between 7am - 7pm WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is ...
Utilization Management Coordinator PRN - Must have weekday availability between 7am - 7pm WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is ...
Utilization Management Coordinator PRN - Must have weekday availability between 7am - 7pm WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is ...
Utilization Management Coordinator PRN - Must have weekday availability between 7am - 7pm WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is ...
The Lead Utilization Management Coordinator (UMC) assists in driving the strategic oversight, execution, and mitigation of concurrent denials to secure timely authorizations, prevent costly and ...
The Lead Utilization Management Coordinator (UMC) assists in driving the strategic oversight, execution, and mitigation of concurrent denials to secure timely authorizations, prevent costly and ...
Utilization Management Coordinator Company Overview: At River Edge Behavioral Health in Macon, GA, employees are expected to develop meaningful relationships with patients, establishing trust and ...
Utilization Management Coordinator Company Overview: At River Edge Behavioral Health in Macon, GA, employees are expected to develop meaningful relationships with patients, establishing trust and ...
Utilization Management Coordinator PRN - Must have weekday availability between 7am - 7pm WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is ...
Utilization Management Coordinator PRN - Must have weekday availability between 7am - 7pm WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is ...
Responsibilities Utilization Management Coordinator PRN- As Needed Monday - Friday (Not Remote) Quail Run Behavioral Health Hospital in Phoenix is seeking a dynamic and talented UM Coordinator to ...
Responsibilities Utilization Management Coordinator PRN- As Needed Monday - Friday (Not Remote) Quail Run Behavioral Health Hospital in Phoenix is seeking a dynamic and talented UM Coordinator to ...
Utilization Management Coordinator PRN - Must have weekday availability between 7am - 7pm WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is ...
Utilization Management Coordinator PRN - Must have weekday availability between 7am - 7pm WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is ...
Utilization Management Coordinator Company Overview: At River Edge Behavioral Health in Macon, GA, employees are expected to develop meaningful relationships with patients, establishing trust and ...
Utilization Management Coordinator Company Overview: At River Edge Behavioral Health in Macon, GA, employees are expected to develop meaningful relationships with patients, establishing trust and ...
Utilization Management Coordinator - Philadelphia
Philadelphia, PA · On-site
$28 - $35/hr
Malvern Treatment Centers is currently seeking a full time Utilization Management Coordinator for our location in Philadelphia! This position is a full time, benefit eligible position and reports to ...
Utilization Management Coordinator - Philadelphia
Philadelphia, PA · On-site
$28 - $35/hr
Malvern Treatment Centers is currently seeking a full time Utilization Management Coordinator for our location in Philadelphia! This position is a full time, benefit eligible position and reports to ...
Utilization Management Coordinator - Philadelphia
Philadelphia, PA · On-site
$28 - $35/hr
Malvern Treatment Centers is currently seeking a full time Utilization Management Coordinator for our location in Philadelphia! This position is a full time, benefit eligible position and reports to ...
Utilization Management Coordinator - Philadelphia
Philadelphia, PA · On-site
$28 - $35/hr
Malvern Treatment Centers is currently seeking a full time Utilization Management Coordinator for our location in Philadelphia! This position is a full time, benefit eligible position and reports to ...
UTILIZATION MANAGEMENT COORDINATOR I MSO
Burlingame, CA · On-site
$38/hr
The Utilization Management Coordinator I functions under the direct supervision of a physician or Registered Nurse, performing utilization management (UM) and care coordination duties for the NEMS ...
UTILIZATION MANAGEMENT COORDINATOR I MSO
Burlingame, CA · On-site
$38/hr
The Utilization Management Coordinator I functions under the direct supervision of a physician or Registered Nurse, performing utilization management (UM) and care coordination duties for the NEMS ...
UTILIZATION MANAGEMENT COORDINATOR I MSO
Burlingame, CA · On-site
$38/hr
The Utilization Management Coordinator I functions under the direct supervision of a physician or Registered Nurse, performing utilization management (UM) and care coordination duties for the NEMS ...
UTILIZATION MANAGEMENT COORDINATOR I MSO
Burlingame, CA · On-site
$38/hr
The Utilization Management Coordinator I functions under the direct supervision of a physician or Registered Nurse, performing utilization management (UM) and care coordination duties for the NEMS ...
The Utilization Management Coordinator I functions under the direct supervision of a physician or Registered Nurse, performing utilization management (UM) and care coordination duties for the NEMS ...
The Utilization Management Coordinator I functions under the direct supervision of a physician or Registered Nurse, performing utilization management (UM) and care coordination duties for the NEMS ...
The Utilization Management (UM) Coordinator provides MSO referral management services. The UM Coordinator serves as a liaison between members, physicians, providers, and MSO staff, processing initial ...
The Utilization Management (UM) Coordinator provides MSO referral management services. The UM Coordinator serves as a liaison between members, physicians, providers, and MSO staff, processing initial ...
Utilization Management Coordinator PRN - Must have weekday availability between 7am - 7pm WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is ...
Utilization Management Coordinator PRN - Must have weekday availability between 7am - 7pm WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is ...
Caloptima Jobs Information
Do workers at CalOptima get paid breaks?
79% of people say they get paid breaks.
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71% of people report they enjoy their job.
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47% of people report that they wouldn’t recommend working with their immediate team to a friend.
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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.
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In the last year, 80% of people report being given support to advance their career here.
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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.
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93% of people feel that they are kept well informed about how the company is doing as a whole.
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What other companies are hiring for Utilization Management Coordinator jobs?
Job description
Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team.
Job Title: Utilization Management Coordinator – I.
Location: Reston, VA.
Purpose:
- Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to pre-service, utilization review, care coordination and quality of care.
- 35% Performs member or provider related administrative support which may include benefit verification, authorization creation and management, claims inquiries and case documentation.
- 35% Reviews authorization requests for initial determination and/or triages for clinical review and resolution.
- 20% Provides general support and coordination services for the department including but not limited to answering and responding to telephone calls, taking messages, letters and correspondence, researching information and assisting in solving problems.
- 10% Assists with reporting, data tracking, gathering, organization and dissemination of information such as Continuity of Care process and tracking of Peer-to-Peer reviews.
- Previous authorization experience.
- Strong analytical skills.
- Good communication skills.
- Electronic efficiency.
- Reliability/Dependability.
- To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
- Ability to effectively participate in a multi-disciplinary team including internal and external participants., Proficient.
- Excellent communication, organizational and customer service skills., Proficient.
- Knowledge of basic medical terminology and concepts used in managed care., Proficient.
- Knowledge of standardized processes and procedures for evaluating medical support operations business practices. Proficient.
- Excellent independent judgment and decision-making skills, consistently demonstrating tact and diplomacy., Proficient.
- Ability to pay attention to the minute details of a project or task, Proficient.
- Experience in the use of web-based technology and Microsoft Office applications such as Word, Excel, and Power Point, Proficient.
- High School Diploma.
- 3 years’ experience in health care claims/service areas or office support.
- Two years’ experience in health care/managed care setting or previous work experience within division.
- Knowledge of CPT and ICD-10 coding.
Ampcus is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veterans or individuals with disabilities.
About Bravens
Sourced by ZipRecruiter
Bravens is an Information Technology Consulting and Services company with the vast experience, full of success stories in the service of many companies and organizations in general. The experience in consulting, our work philosophy and high qualification of our professionals consolidate us in an outstanding position in our sector. We specialize in Web Technologies and offer a comprehensive range of proprietary solutions and advanced services that add value to the innovation. We are the partner that companies seek to be supported in their business strategies through technology.
Industry
It services
Company size
11 - 50 Employees
Headquarters location
Chantilly, VA, US
Year founded
2010