Talent.com
New York Licensed Utilization Coordinator

New York Licensed Utilization Coordinator

VirtualVocationsNewark, Delaware, United States
job_description.job_card.1_day_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for a Utilization Management Coordinator - Compliance.

Key Responsibilities

Review and analyze member cases for medical necessity and appropriateness of treatment authorizations

Conduct internal audits and readiness assessments for accreditation reviews, ensuring compliance with standards

Serve as a liaison between internal and external partners, coordinating documentation and communication for authorization requests

Required Qualifications

Bachelor's degree in nursing

1+ year of fertility nursing experience required

Minimum 2 years of experience in UM compliance or accreditation preparation preferred

Current licensed professional registered nurse

Familiarity with URAC / NCQA standards and state-specific UM regulations

serp_jobs.job_alerts.create_a_job

Utilization Coordinator • Newark, Delaware, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Credentialing Operations Coordinator

Credentialing Operations Coordinator

VirtualVocationsNewark, Delaware, United States
serp_jobs.job_card.full_time
A company is looking for a Practice Operations Coordinator focused on credentialing.Key Responsibilities Prepare and maintain provider enrollment applications and track credentialing timelines S...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Florida Licensed Utilization Management RN

Florida Licensed Utilization Management RN

VirtualVocationsNewark, Delaware, United States
serp_jobs.job_card.full_time
A company is looking for a Utilization Management RN PRN.Key Responsibilities Analyze patient records to assess hospital admissions, treatment legitimacy, and appropriate care levels Facilitate ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Utilities Superintendent

Utilities Superintendent

WuXi AppTecMiddletown, DE, US
serp_jobs.job_card.full_time
We are seeking a skilled and experienced Utilities Superintendent to oversee the operation, maintenance, and reliability of all utilities, facilities, and grounds for our pharmaceutical manufacturi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Georgia Licensed Utilization Management RN

Georgia Licensed Utilization Management RN

VirtualVocationsNewark, Delaware, United States
serp_jobs.job_card.full_time
A company is looking for an RN Central Utilization Management.Key Responsibilities Conduct medical necessity reviews and clinical assessments for patient admissions and ongoing care Ensure timel...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Licensed Utilization Management Case Manager

Licensed Utilization Management Case Manager

VirtualVocationsNewark, Delaware, United States
serp_jobs.job_card.full_time
A company is looking for a UM Case Manager.Key Responsibilities Provide case management services including pre-certification, assessment, and coordination of care for assigned members Document a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Specialty Infusion Account Coordinator

Specialty Infusion Account Coordinator

VirtualVocationsNewark, Delaware, United States
serp_jobs.job_card.full_time
A company is looking for a Specialty Infusion Account Coordinator, fully remote.Key Responsibilities Coordinate multiple facets of patient accounts including insurance / benefit verification and de...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
California Licensed Utilization Management Supervisor

California Licensed Utilization Management Supervisor

VirtualVocationsNewark, Delaware, United States
serp_jobs.job_card.full_time
A company is looking for a Supervisor of Utilization Management to oversee a clinical review team ensuring appropriate care for members. Key Responsibilities Supervises the day-to-day activities o...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Tax Associate - Local

Tax Associate - Local

IntuitClayton, DE, United States
serp_jobs.job_card.full_time
Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Associates in one of our new TurboTax locations across the United States on...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Delaware Licensed Resource Coordinator

Delaware Licensed Resource Coordinator

VirtualVocationsNewark, Delaware, United States
serp_jobs.job_card.full_time
A company is looking for a Resource Coordinator II.Key Responsibilities Assist Behavioral Health members post-emergency department visits with appointment setting and service linkages Coordinate...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Utilization Management Technician

Utilization Management Technician

VirtualVocationsNewark, Delaware, United States
serp_jobs.job_card.full_time
A company is looking for a Utilization Management Technician.Key Responsibilities Coordinate, generate, and track correspondence, faxes, and authorizations related to service review functions In...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Job File Coordinator - Construction Division

Job File Coordinator - Construction Division

IICRCBear, DE, US
serp_jobs.job_card.full_time
Job File Coordinator - Construction Division.SERVPRO of Bear / New Castle is hiring a Job File Coordinator in our Construction Division. SERVPRO is a renowned leader in the restoration industry, speci...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Licensed Therapist (LCSW / LPCMH / LMFT)

Licensed Therapist (LCSW / LPCMH / LMFT)

LifeStance HealthMillington, MD, US
serp_jobs.job_card.full_time
At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Unit Manager, RN

Unit Manager, RN

Wallingford Nursing & RehabWallingford, PA, United States
serp_jobs.job_card.full_time
Overview : At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care indus...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Scheduling Coordinator

Scheduling Coordinator

Greater Works Companion CareWilmington, DE, US
serp_jobs.job_card.full_time
Job Title : Scheduling Coordinator.We are seeking a highly organized and detail-oriented Scheduling Coordinator to join our dynamic team. The ideal candidate will be responsible for managing and opti...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
RN Coordinator - Utilization Review

RN Coordinator - Utilization Review

VirtualVocationsNewark, Delaware, United States
serp_jobs.job_card.full_time
A company is looking for an RN Coordinator - Utilization Review Behavioral Health Remote PRN Days.Key Responsibilities Identify clinical, financial, and psychosocial needs of patients and develop...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
New Jersey Licensed Program Coordinator

New Jersey Licensed Program Coordinator

VirtualVocationsNewark, Delaware, United States
serp_jobs.job_card.full_time
A company is looking for a Program Coordinator for the 988 Lifeline Services.Key Responsibilities Plans, trains, and supervises staff engaged in program-specific services Ensures compliance with...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Coordinator, Care Operation Center

Coordinator, Care Operation Center

Main Line HealthBroomall, PA, US
serp_jobs.job_card.full_time
Per Diem, Virtual Care Operation Center (VCOC) Bed Coordinator.Could you be our next Per Diem, Virtual Care Operation Center (VCOC) Bed Coordinator?. Why work as a VCOC Bed Coordinator with Main Lin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Texas Licensed Care Coordinator

Texas Licensed Care Coordinator

VirtualVocationsNewark, Delaware, United States
serp_jobs.job_card.full_time
A company is looking for a Call Center Care Coordinator to join their team in a remote position supporting the Gulf Region. Key Responsibilities Ensure a positive experience for patients by focusi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Operations Coordinator

Operations Coordinator

Encore Fire ProtectionPaoli, PA, US
serp_jobs.job_card.full_time
Do you thrive in a fast-paced environment, love solving problems, and have a can-do attitude? Are you motivated by the challenge of being the best at what you do? If so, Encore Fire Protection migh...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Tax Associate - Onsite

Tax Associate - Onsite

IntuitClayton, DE, United States
serp_jobs.job_card.full_time
Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Associates in one of our new TurboTax locations across the United States on...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days