Talent.com
New York Licensed Utilization Coordinator

New York Licensed Utilization Coordinator

VirtualVocationsNewport News, Virginia, 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 • Newport News, Virginia, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Licensed Therapist (LCSW, LPC, LMFT)

Licensed Therapist (LCSW, LPC, LMFT)

LifeStance HealthBena, VA, 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
Drive with DoorDash - Flexible Schedule

Drive with DoorDash - Flexible Schedule

DoorDashMathews, VA, United States
serp_jobs.job_card.full_time +1
Why Become a Shopper with DoorDash?.Turn your shopping skills into extra income.Whether you’re helping someone stock up on groceries or delivering a last-minute convenience order, as a Shoppe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Specialty Infusion Account Coordinator

Specialty Infusion Account Coordinator

VirtualVocationsNorfolk, Virginia, 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
RN Coordinator - Utilization Review

RN Coordinator - Utilization Review

VirtualVocationsVirginia Beach, Virginia, 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
Oklahoma Licensed Utilization Manager

Oklahoma Licensed Utilization Manager

VirtualVocationsPortsmouth, Virginia, United States
serp_jobs.job_card.full_time
A company is looking for a Manager, Utilization Management to oversee two Utilization Management teams and ensure compliance with healthcare guidelines. Key Responsibilities Manage prior authoriza...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Logistics Manager

Logistics Manager

U.S. NavyRescue, VA, United States
serp_jobs.job_card.full_time +1
To be eligible to enlist in the U.Navy, candidates must be between the ages of 18-34.In this field, your efforts are critical in delivering what the Navy needs for mission success.Youll always be t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Search & Rescue

Search & Rescue

U.S. NavySeaford, VA, United States
serp_jobs.job_card.full_time +1
To be eligible to enlist in the U.Navy, candidates must be between the ages of 18-34.When lives are on the line, Navy Aviation Rescue Swimmers (AIRRs) are exceptionally adept at answering the call....serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Licensed Utilization Management Case Manager

Licensed Utilization Management Case Manager

VirtualVocationsNewport News, Virginia, 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
Utilization Management Technician

Utilization Management Technician

VirtualVocationsChesapeake, Virginia, 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
  • serp_jobs.job_card.new
California Licensed Clinical Coordinator

California Licensed Clinical Coordinator

VirtualVocationsVirginia Beach, Virginia, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Coordinator (RN).Key Responsibilities Support quality patient care by collaborating with the Care Team and Director of Nursing Handle clinical inquiries from ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Flexible Schedule - Deliver with Uber Eats

Flexible Schedule - Deliver with Uber Eats

Uber eatsNassawadox, VA, United States
serp_jobs.job_card.full_time +1
Delivering with Uber is an alternative to a part-time or full-time job and can get you earning cash quickly.Delivering with Uber allows you to earn quick cash while maintaining the flexibility your...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
New York Licensed Utilization Coordinator

New York Licensed Utilization Coordinator

VirtualVocationsNorfolk, Virginia, United States
serp_jobs.job_card.full_time
A company is looking for a Utilization Management Coordinator - Compliance.Key Responsibilities Review and analyze member cases for medical necessity and appropriateness of treatment authorizatio...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Florida Licensed Utilization Management RN

Florida Licensed Utilization Management RN

VirtualVocationsPortsmouth, Virginia, 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
EPL Cycle Coordinator

EPL Cycle Coordinator

VirtualVocationsVirginia Beach, Virginia, United States
serp_jobs.job_card.full_time
A company is looking for an EPL Cycle Coordinator to join their Revenue Cycle team.Key Responsibilities : Perform daily EPL encounter entry across all locations Abstract Practice Fusion reports f...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Naval Aviator

Naval Aviator

U.S. NavySeaford, VA, United States
serp_jobs.job_card.full_time +1
To be eligible to enlist in the U.Navy, candidates must be between the ages of 18-34.Navy operates more than 3,700 aircraft, making it the second largest air force in the world second only to the U...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Travel Nuclear Medicine Tech - $2,480 per week in Roanoke, VA

Travel Nuclear Medicine Tech - $2,480 per week in Roanoke, VA

AlliedTravelCareersChesapeake, Virginia, US
serp_jobs.job_card.full_time
AlliedTravelCareers is working with CrossMed Healthcare Staffing to find a qualified Nuclear Medicine Tech in Roanoke, Virginia, 24014!. At CrossMed Healthcare Staffing, we aim to create lasting imp...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Credentialing Operations Coordinator

Credentialing Operations Coordinator

VirtualVocationsNorfolk, Virginia, 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
Georgia Licensed Utilization Management RN

Georgia Licensed Utilization Management RN

VirtualVocationsPortsmouth, Virginia, 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_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
New Jersey Licensed Program Coordinator

New Jersey Licensed Program Coordinator

VirtualVocationsVirginia Beach, Virginia, 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
Drive with DoorDash - Sign Up in Minutes

Drive with DoorDash - Sign Up in Minutes

DoorDashCarrollton, VA, United States
serp_jobs.job_card.full_time +1
Why Become a Shopper with DoorDash?.Turn your shopping skills into extra income.Whether you’re helping someone stock up on groceries or delivering a last-minute convenience order, as a Shoppe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30