UM Coordinator Salary at Medical Data Exchange Inc BETA

Job Description Job Description Summary The Outpatient UM Coordinator provides effective communication between MSO, IPA providers, and members to coordinate member care. Communication to include accessibility to care, validating contract entities, and ensuring timeliness standards are met. The Outpatient UM Coordinator reports directly to the Outpatient Lead Coordinator under the guidance of the manager. Duties and Responsibilities · Process authorization requests per state and federal timeliness regulations · Validate data entry process for errors · Verify member benefits and eligibility upon receipt of treatment authorization request · Utilizes authorization matrix, ancillary rosters, DOFR and/or delegation agreements to drive decision-making · Coordinates with referral Clinician and/or Medical Director for timely processing · Communicate with Medical Directors to facilitate Medical Reviews for non-clinical medical review referrals · Outreach to members on adjudication decisions · Ou

Mentor Community Services, a part of the Sevita family, provides community-based services for individuals with intellectual and developmental disabilities. Here we believe every person has the right to live well, and everyone deserves to have a fulfilling career. You’ll join a mission-driven team and create relationships that motivate us all every day. Join us today, and experience a career well lived. Day Program Supervisor Do you have experience in human services administration and an interest in working for an organization dedicated to making a positive impact in the lives of others? Bring your commitment and skills to a team-based workplace that puts people first. Oversee, monitor, and coordinate the daily operations of a day program providing services to individuals. Communicate with the staff, serviced individuals, parents/guardians, and team members to ensure that appropriate services and supports are provided; coordinate day program activities consistent with personal support/h

Job Description Job Description The Utilization Management Coordinator is responsible for supporting clinical, management, and client activities that comprise the UM Program. The Utilization Management Coordinator must be proficient in all UM processes such as and understanding of the CCS process, what requires precertification from health plan, Division of Financial Responsibilities, Delegation agreements and Health Plan contracts. The UM Coordinator will ensure we are processing quality referrals in a timely manner meeting the health plan standards. ESSENTIAL DUTIES AND RESPONSIBILITIES Comply with all UM policies and procedures. Annual review of selected UM policies. Process Routine, Urgent & Retro treatment authorization requests according to the S&S Policy & Procedure and Health Plan turn-around time standards. S&S will use these timeframes for consistency Pharmacy requests 24 hrs Urgent 72 hrs- Calendar days Routines 5 days- Business days Part B Drugs 24 hrs Maintain understandin

At Gentle Dental, we value our teammate’s smile as much as our patient’s smile. Our vision is to provide exceptional, lifelong, integrated oral healthcare services. We enhance the quality of our patients’ lives by providing accessible oral healthcare, which is paramount to overall health and wellbeing. We focus on a commitment to patient care, operational and clinical excellence, personal accountability, building relationships, and seeking out innovative and creative approaches to support our patients and teams. We are hiring immediately for full and part time positions in our dental offices and are seeking teammates who care, listen, and are motivated to help our patients and communities. At Gentle Dental, our Treatment Coordinators manage patients full cycle from clinical diagnosis to treatment acceptance. You will successfully communicate financial planning and available options based on the proposed treatment. From the first appointment to the last, our Treatment Coordinators lead

Explore Numerous Nearby Locations for Your Convenience! Schedule an Interview First - Apply Afterwards DISCOVER CAREERS, WELL LIVED. Our mission at Sevita is to create a world where every person has the right to live well. As a Caregiver, you’ll provide assistance and strategies to the individuals we serve to help them live well in their community and environment. Each day, the connections you make and the compassion you bring make a difference in the lives of our participants. You’ll work alongside a dedicated team of clinical staff and supportive supervisors, while you grow your career. Supervisor Program IDD As a mission-driven organization, we are intensely focused on expanding access to services and developing new and more effective ways of delivering supports and services to individuals we serve. Manage services within a designated program, including site operations, case management, and implementation of individual service plans Supervise/coordinate the daily activities of Direc

What you will do Under general supervision, coordinates customer service requests, from initiation to service completion, and maximizing technical resource productivity and profitability by efficiently scheduling and dispatching Technicians with guidance from the Team Leads. Partners effectively with the Service Team Manager to ensure technical service work is completed in a reasonable timeframe and to the customer’s expectations. Analyzes and assesses technical team performance and adjusts as needed to enhance customer satisfaction in a cost-effective manner. How you will do it Receives customer requests for unscheduled or scheduled service. Determines customer needs and matches appropriate Technician or Team Lead to the need. Communicates the action plan and services to be provided directly to the customer. Ensures work has been performed to the customer’s expectations and performs follow-up with the customer, as needed. Answers any customer inquiries and resolves or escalates custom

Mentor Community Services, a part of the Sevita family, provides community-based services for individuals with intellectual and developmental disabilities. Here we believe every person has the right to live well, and everyone deserves to have a fulfilling career. You’ll join a mission-driven team and create relationships that motivate us all every day. Join us today, and experience a career well lived. Program Supervisor As a mission-driven organization, we are intensely focused on expanding access to services and developing new and more effective ways of delivering supports and services to individuals we serve. Manage services within a designated program, including site operations, case management, and implementation of individual service plans Supervise/coordinate the daily activities of Direct Care Staff, maintain schedules of Direct Care Staff, and oversee the day-to-day operation of the program Deliver direct care services and support to assigned individuals we serve on an ongoing

WHAT WE DO As a premier provider of environmental services in the Western United States, Patriot Environmental Services provides a wide range of industrial, emergency response and remediation services. We are committed to the principles of safety, superior customer service and experience, and unyielding quality and dedication. We provide a broad array of environmental services to meet any need that our clients may have. From emergency spill response to hazardous waste transportation to wastewater treatment, or from industrial cleaning to full facility closure and remediation, Patriot can do it all with our own internal resources and do so while accomplishing every metric of success. Our mission is to always be Prepared and Professional. Join the team that makes a difference! JOB SUMMARY The Fleet Equipment Coordinator reports to the Director, DOT and is responsible for ensuring the effective operation, maintenance, and compliance of the company’s fleet of vehicles and equipment. This r