Talent.com
No se aceptan más aplicaciones
New York Licensed Utilization Coordinator

New York Licensed Utilization Coordinator

VirtualVocationsOntario, California, United States
Hace 3 días
Tipo de contrato
  • A tiempo completo
Descripción del trabajo

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

Crear una alerta de empleo para esta búsqueda

Utilization Coordinator • Ontario, California, United States

Ofertas relacionadas
  • Oferta promocionada
1st Shift - Unit Coordinator

1st Shift - Unit Coordinator

Stanley Black & DeckerBrea, CA, US
A tiempo completo
Come build the world with us! Joining the Stanley Black & Decker team means working in an innovative, tech-driven and highly collaborative team environment supported by over 58,000 professionals in...Mostrar másÚltima actualización: hace 2 días
  • Oferta promocionada
  • Nueva oferta
Intake Coordinator

Intake Coordinator

Orbit Infusion SolutionsOntario, CA, US
A tiempo completo +1
Come Join the Orbit Infusion Solutions Family!.Orbit Infusion Solutions (OIS).Compassion, Integrity, Respect, and Excellence. This is more than a jobits a mission to uplift lives through the power o...Mostrar másÚltima actualización: hace 15 horas
  • Oferta promocionada
RN Utilization Review - Lakewood - PT Days Exempt

RN Utilization Review - Lakewood - PT Days Exempt

University of California - Irvine HealthLakewood, CA, United States
A tiempo completo
University of California, Irvine, and the only academic health system based in Orange County.UCI Health is comprised of its main campus,. UCI Health Community Network in Orange and Los Angeles count...Mostrar másÚltima actualización: hace más de 30 días
  • Oferta promocionada
Intake Coordinator for Home Health

Intake Coordinator for Home Health

ANGEL CARE HOSPICE OF ARCADIA INCArcadia, CA, US
A tiempo completo
Care Net Home Health is a patient-centric organization whose goal is to promote quality home health services throughout Los Angeles County. The ideal candidate is team oriented, diligent, and able t...Mostrar másÚltima actualización: hace más de 30 días
  • Oferta promocionada
  • Nueva oferta
Performance Improvement Coordinator (Anaheim)

Performance Improvement Coordinator (Anaheim)

Providence ServiceAnaheim, CA, United States
A tiempo completo
Under the supervision of the Director of Operational Excellence the Quality Incentive Programs Coordinator will be accountable for the daily duties related to achieving deliverables for government ...Mostrar másÚltima actualización: hace menos de 1 hora
  • Oferta promocionada
New Jersey Licensed Program Coordinator

New Jersey Licensed Program Coordinator

VirtualVocationsCorona, California, United States
A tiempo completo
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...Mostrar másÚltima actualización: hace 2 días
  • Oferta promocionada
Coordinator

Coordinator

IICRCMurrieta, CA, US
A tiempo completo
Reconstruction / Mitigation Coordinator.Are you a coordinator who wants to work for a thriving company where you can grow, be recognized, and be rewarded for your work? You can't believe how great th...Mostrar másÚltima actualización: hace más de 30 días
  • Oferta promocionada
Coordinator

Coordinator

Paul Davis RestorationMurrieta, CA, US
A tiempo completo
Reconstruction / Mitigation Coordinator.Are you a coordinator who wants to work for a thriving company where you can grow, be recognized, and be rewarded for your work? You can't believe how great th...Mostrar másÚltima actualización: hace más de 30 días
  • Oferta promocionada
New York Licensed Utilization Nurse Consultant

New York Licensed Utilization Nurse Consultant

VirtualVocationsCorona, California, United States
A tiempo completo
A company is looking for a Utilization Management Nurse Consultant.Key Responsibilities Assess, plan, implement, coordinate, monitor, and evaluate healthcare services for members Gather clinical...Mostrar másÚltima actualización: hace 1 día
  • Oferta promocionada
Credentialing Operations Coordinator

Credentialing Operations Coordinator

VirtualVocationsPasadena, California, United States
A tiempo completo
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...Mostrar másÚltima actualización: hace 2 días
  • Oferta promocionada
  • Nueva oferta
South Carolina Licensed Managed Care Coordinator

South Carolina Licensed Managed Care Coordinator

VirtualVocationsGarden Grove, California, United States
A tiempo completo
A company is looking for a Managed Care Coordinator I to evaluate medical or behavioral eligibility regarding benefits and clinical criteria. Key Responsibilities Perform medical or behavioral rev...Mostrar másÚltima actualización: hace 15 horas
  • Oferta promocionada
Scheduling Coordinator

Scheduling Coordinator

HCAOAPasadena, CA, US
A tiempo completo
Are you looking for a challenging role that allows development opportunities while improving the quality of life for those you serve? Do you value having personal connections with those you work wi...Mostrar másÚltima actualización: hace más de 30 días
  • Oferta promocionada
Indiana Licensed Project Coordinator

Indiana Licensed Project Coordinator

VirtualVocationsFullerton, California, United States
A tiempo completo
A company is looking for a Project Coordinator - PRN.Key Responsibilities Provides project management support to leaders and team members Assists with team planning, execution, monitoring progre...Mostrar másÚltima actualización: hace 1 día
  • Oferta promocionada
  • Nueva oferta
Missouri Licensed Utilization Review Lead

Missouri Licensed Utilization Review Lead

VirtualVocationsOntario, California, United States
A tiempo completo
A company is looking for a Utilization Review Coordinator, Lead.Key Responsibilities Serve as a liaison among physician, nursing staff, and ancillary departments to facilitate patient processing ...Mostrar másÚltima actualización: hace 7 horas
  • Oferta promocionada
LTD - Authorization Coordinator - Central Authorization Unit - P / T Days, 6 Month Appointment

LTD - Authorization Coordinator - Central Authorization Unit - P / T Days, 6 Month Appointment

University of California - Irvine HealthIrvine, CA, United States
A tiempo completo
University of California, Irvine, and the only academic health system based in Orange County.UCI Health is comprised of its main campus,. UCI Health Community Network in Orange and Los Angeles count...Mostrar másÚltima actualización: hace 28 días
  • Oferta promocionada
Intake Coordinator

Intake Coordinator

Loving Touch Hospice And Palliative DBA Verdes PraderasTustin, CA, US
A tiempo completo
An Intake Coordinator operating within the framework of the mission, standards and philosophy of.Supports the Perfect Phone Encounter structure. Supports the Community Relations Team and the Clinica...Mostrar másÚltima actualización: hace más de 30 días
  • Oferta promocionada
  • Nueva oferta
North Carolina Licensed Utilization Management Nurse

North Carolina Licensed Utilization Management Nurse

VirtualVocationsGarden Grove, California, United States
A tiempo completo
A company is looking for a Utilization Management Nurse.Key Responsibilities Performs clinical utilization reviews using evidence-based guidelines and internal policies Collaborates with healthc...Mostrar másÚltima actualización: hace 15 horas
  • Oferta promocionada
Intake Coordinator

Intake Coordinator

AmeriPharmaLaguna Hills, CA, US
A tiempo completo
AmeriPharma is a rapidly growing healthcare company where you will have the opportunity to contribute to our joint success on a daily basis. We value new ideas, creativity, and productivity.We like ...Mostrar másÚltima actualización: hace más de 30 días
  • Oferta promocionada
  • Nueva oferta
Texas Licensed Utilization Management RN

Texas Licensed Utilization Management RN

VirtualVocationsOrange, California, United States
A tiempo completo
A company is looking for a Fertility Utilization Management RN - Remote.Key Responsibilities Determine the appropriateness of inpatient and outpatient services based on medical guidelines and ben...Mostrar másÚltima actualización: hace 9 horas
  • Oferta promocionada
Coordinator - Earn Up to $37 / hr

Coordinator - Earn Up to $37 / hr

TradeJobsWorkforce92708 Fountain Valley, CA, US
A tiempo completo +1
Key Job Functions : Processes all store shipments and administers recall.Ensures maintenance and housekeeping of stockroom. Job Duties : Maintains a neat, organized and well-stocked back room.Compli...Mostrar másÚltima actualización: hace más de 30 días