Top 389 Um coordinator Jobs

Coordinator, UM Intake
Evolent Health —Remote
- $18 - $20 an hour
- Full-time
- Background check
- Computer literacy
- Pass drug screening
- Health insurance
UM Coordinator
Centers Plan for Healthy Living —Margate, FL
- Full-time
- Computer literacy
- High school diploma or GED
- Bachelor's degree
Quick Apply
Utilization Management Administration Coordinator - SNF
Humana —Remote
- $40,000 - $52,300 a year
- Full-time
- Remote
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Paid parental leave
- Paid holidays
COORDINATOR, UM (LVN)
Pomona Valley Hospital Medical Center —Pomona, CA
- $35.95 - $50.59 an hour
- Full-time
- LVN
- Hospital
- Mid-level
UM Case Manager/Appeals Coordinator
Havenwyck Hospital (UHS) —Auburn Hills, MI
- $60,000 - $69,000 a year
- Full-time
- Background check
- LMFT
- Nursing
- Loan repayment program
- Health insurance
Quick Apply
Clinical Utilization Management Coordinator (UM) $5k Sign-On
Smokey Point Behavioral Hospital —Marysville, WA
- $34 - $38 an hour
- Full-time
- Nursing
- Addiction Medicine
- Hospital
- Free parking
- Paid holidays
Quick Apply
13d
Utilization Management (UM) LVN Case Manager
CENTRIC HEALTHCARE SERVICES —Bakersfield, CA
- $30 - $34 an hour
- Full-time
- Customer service
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
Utilization Review Coordinator - Behavioral Health Setting
Confidential —Highlands Ranch, CO
- $33.33 - $49.99 an hour
- Full-time
- Acute care
- Background check
- RN License
- Free parking
- Health savings account
Quick Apply
2d
Senior Business Support Specialist, UMKC School of Medicine
University of Missouri - Kansas City —Kansas City, MO
- $23 - $26 an hour
- Full-time
- Microsoft Word
- Background check
- Microsoft Outlook
- Paid parental leave
- Disability insurance
Quick Apply
5d
Utilization Management Nurse
TEXAS INDEPENDENCE HEALTH PLAN INC —Austin, TX
- Weekends as needed
- Hybrid work
- Nursing
- Microsoft Excel
- Microsoft Outlook
Quick Apply
Quality Coordinator
Access Healthcare Physicians, LLC —Port Saint Lucie, FL
- $15 - $18 an hour
- Full-time
- Background check
- Microsoft Excel
- Computer literacy
- Health insurance
- Dental insurance
Quick Apply
2d
RN Team Lead Utilization Review
MedStar Health —Clinton, MD
- $89,065 - $162,801 a year
- Full-time
- Hybrid work
- Nursing
- RN License
- Inpatient
Quick Apply
13d
Hospitalist Medical Director | Management Bonus Incentive!
Sound Physicians —Washington, DC
- $320,000 a year
- Full-time
- Medicine
- Hospital
- Internal Medicine
4d
Registered Nurse Coordinator - Utilization Management
St. Joseph's Health —Syracuse, NY
- $41.85 - $59.00 an hour
- Full-time
- Nursing
- RN License
- Hospital
- Health insurance
Cardiac Program Nurse Coordinator
University of Maryland Medical System —Easton, MD
- $44.76 - $67.19 an hour
- Full-time
- Nursing
- Microsoft Excel
- Management
UM COORDINATOR
River Vista Behavioral Health —Madera, CA
- $37 - $55 an hour
- Full-time
- Nursing
- RN License
- Mid-level
UM Coordinator
Imperial Management Administrators Services Inc —Pasadena, CA
- $20 - $22 an hour
- Full-time
- Medical office experience
- HIPAA
- High school diploma or GED
Quick Apply
Authorization Specialist/ UM Trainer
Partnership HealthPlan of California —Fairfield, CA
- $36.00 - $45.01 an hour
- Full-time
- Mid-level
- Office
- Driver's License
Utilization Management (UM) Coordinator
Stepping Stone —Blue Ash, OH
- 8 hour shift
- Nursing
- RN License
- Mid-level
- Health savings account
- Paid holidays
Quick Apply
7d
UM Care Coordinator
Centers Plan for Healthy Living —Staten Island, NY
- $17.95 - $20.51 an hour
- Full-time
- Computer literacy
- High school diploma or GED
- Bachelor's degree
Quick Apply

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Coordinator, UM Intake

Evolent Health -
Remote

Apply Now

Job Details

Full-time
$18 - $20 an hour

Benefits

Health insurance

Qualifications

Computer operation
English
Windows
High school diploma or GED
Desktop applications
Typing

Full Job Description

Your Future Evolves Here

Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.

Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.

Join Evolent for the mission. Stay for the culture.

What You’ll Be Doing:

The Coordinator, Intake Utilization Management at Evolent will serve as a point of contact for processing prior authorization requests in accordance with departmental policies, regulatory requirements, and client contractual agreements.

Collaboration Opportunities:

The Coordinator, Intake Utilization Management reports directly to the Manager, Utilization Management. In support of our daily operations, this individual also works with our clinical team, which includes our medical reviews: LVNs, LPNs, and RNs along with our behavioral health reviewers: LMSWs, LCSW, and LPCs, and Clinical Reviewers. Opportunities to work collaboratively with other Utilization Management Leaders including our Associate Director and Director may also be available.

Work Schedule: 8:30 am until 5 pm PST with rotating weekends

What You Will Be Doing:

Reviewing internal workflows and policies to determine if submitted requests require a prior authorization review or redirect as required.
Entering data into a proprietary system generates cases for both the medical and behavioral health reviewers. These requests may be submitted via fax, email, or provider portal.
Working directly with physician’s offices to obtain missing information required to submit a prior authorization request.
Submitting IT tickets to address barriers to generating cases for clinical review and following the ticket through to completion.
Addressing requests promptly and courteously, honoring commitments, and displays persistence in obtaining necessary information to address issues and problems.
Meeting established Utilization Management Intake Objectives and Key Results.

Qualifications Required and Preferred:

A high school diploma or GED - Required
1 – 3 years of experience in a Coordinator role either requesting or submitting prior authorization requests. Or relevant health care experience in claims or appeal & grievance. Required
Previous background/experience with Oncology.
Ability to read, write, and speak the English language fluently with patients and providers. - Required
Ability to adapt to fluctuating situations and perform work of a detailed nature, while avoiding errors. - Required
Proficient in using computer and Windows PC applications, which includes strong keyboard and navigation skills. - Required
Team-oriented demonstrates a strong work ethic and is committed to productivity. - Required
Demonstrated ability to meet established goals while balancing a workload and prioritizing assignments in a remote environment. - Required

To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration.

Technical Requirements:

We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router.

Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status. If you need reasonable accommodation to access the information provided on this website, please contact [email protected] for further assistance.

The expected base salary/wage range for this position is $18.00 - 20.00. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.

Apply Now

Refine Your Search

um coordinator jobs

Coordinator, UM Intake

UM Coordinator

Utilization Management Administration Coordinator - SNF

COORDINATOR, UM (LVN)

UM Case Manager/Appeals Coordinator

Clinical Utilization Management Coordinator (UM) $5k Sign-On

Utilization Management (UM) LVN Case Manager

Utilization Review Coordinator - Behavioral Health Setting

Senior Business Support Specialist, UMKC School of Medicine

Utilization Management Nurse

Quality Coordinator

RN Team Lead Utilization Review

Hospitalist Medical Director | Management Bonus Incentive!

Registered Nurse Coordinator - Utilization Management

Cardiac Program Nurse Coordinator

UM COORDINATOR

UM Coordinator

Authorization Specialist/ UM Trainer

Utilization Management (UM) Coordinator

UM Care Coordinator

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