- The Cigna Group (Bloomfield, CT)
- …term acute care , skilled nursing and inpatient rehab facilities, home health care , care management, and utilization review . + Implement, evaluate and ... and operational processes related to transition / coordination of care and utilization / case management of Post-Acute ...coordinate the plan of care for all assigned patients. Develop care … more
- InnovaCare (San Juan, PR)
- …focus to the business. MMM Holdings, Inc.Job Description Inpatient Unit POSITION: Concurrent Review Nurse (CRN) POSITION DESCRIPTION Manages the inpatient ... plan, to ensure that the coordination and continuity of care results in optimal patient outcomes. Will adhere to...within forty-eight (48) hours of having performed the first concurrent review of notified admission cases.4. On… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …primary therapists and discharge planners regarding transition to alternative levels of care . + Perform concurrent utilization review applying identified ... knowledge and understanding of behavioral health resource management to review and coordinate the care for a...team to insure optimal reimbursement for services provided. + Review concurrent denials from third party payers… more
- Spokane County (Spokane, WA)
- …and discharges or lack of movement toward discharge. + Collaborates with Utilization Review Integrated Care Coordinator regarding continued inpatient stay ... related duties as required/assigned. Behavioral Health Administrative Services Organization Utilization Review Integrated Care Coordinator : + Performs… more
- Trinity Health (Athens, GA)
- …THIS POSITIONS IS LOCATED IN LAVONIA, GEORGIA **Position Summary:** The Care Coordinator /UR, in collaboration with other healthcare professionals, is ... the community for a specific caseload of patients. The care coordinator is also responsible for conducting...coordinator is also responsible for conducting initial and concurrent chart reviews on Federal and self-payers for the… more
- UNC Health Care (Hendersonville, NC)
- …(NC-COT). * Identifies performance improvement issues through direct observation of clinical care , concurrent chart review , staff reporting, and attendance ... The Trauma Process Improvement Coordinator evaluates and monitors the quality of clinical care of the injured patient across the continuum of care from point… more
- Prime Healthcare (Boonton Township, NJ)
- …and cost-effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, ... management. Responsible for contacting external case managers and managed care organizations for pre-authorization, concurrent reviews and appeals/denials… more
- Stanford Health Care (Palo Alto, CA)
- …initiate the authorization process and perform concurrent reviews for ongoing care . The ECT Program Coordinator communicates and collaborates with patients ... Care job.** **A Brief Overview** The ECT Program Coordinator maintains a high standard of care ...for patient and ECT service issues. + Utilization and review - Reviews prospectively, concurrently, and retrospectively for ECT patient's… more
- Acacia Network (Bronx, NY)
- …Provide notification to Nursing Home Leadership Team regarding status & deadline of concurrent review . + . Coordinate with Social Services and Medical Department ... Casa Promesa Nursing Home Admissions Coordinator Bronx, Ne : 9/17/2024 Job Description Job...obtain clinical notes & social work documentation to compile concurrent review package. + . Submitting … more
- Cedars-Sinai (Beverly Hills, CA)
- …their needs, coordinating care , communicating with health plans, including concurrent review to determine the appropriateness of services rendered and ... **Job Description** The RN Care Coordinator is responsible for the...review and follow up. + Communicates transition of care to the member or responsible party including: i)… more
- Hackensack Meridian Health (Hackensack, NJ)
- …healthcare and serve as a leader of positive change. The **Case Management Care Coordinator , Utilization Management** is a member of the healthcare team ... of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to manage… more
- Hackensack Meridian Health (Neptune, NJ)
- …mission to transform healthcare and serve as a leader of positive change. The ** Care Management, Care Coordinator , Utilization Management** is a member of ... of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to manage… more
- Hackensack Meridian Health (Holmdel, NJ)
- …mission to transform healthcare and serve as a leader of positive change. The ** Care Management, Care Coordinator , Utilization Management** is a member of ... of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to manage… more
- Hackensack Meridian Health (Hackensack, NJ)
- …mission to transform healthcare and serve as a leader of positive change. The ** Care Coordinator , Utilization Management** is a member of the healthcare team and ... of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to manage… more
- Hackensack Meridian Health (Hackensack, NJ)
- …transform healthcare and serve as a leader of positive change. The Case Management Care Coordinator , Utilization Management is a member of the healthcare team ... of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to manage… more
- Nuvance Health (Danbury, CT)
- …to the appropriate level within the care continuum. Provides clinically based concurrent review of the medical record to assess and procure accurate and ... offered through various affiliates, Hours: per diem Shift: variable Summary: The Clinical Care Coordinator - Unit is responsible for providing direction and… more
- Nuvance Health (Danbury, CT)
- *Description* Clinical Care Coordinator -BH LCSW Summary: Performs assessments and formulates discharge/transition plans in collaboration with patient, family and ... and intervention in cases involving complex family/patient dynamics. 9. Utilization Review Care Coordinators reviews all admissions and continued stays… more
- HCA Healthcare (Tallahassee, FL)
- …data collection and follow up for multiple quality measures. Abstraction consists of concurrent review of in-house patients for multiple populations; eg, Heart ... you want to join an organization that invests in you as a(an) RN Coordinator Outcomes? At HCA Florida Capital Hospital, you come first. HCA Healthcare has committed… more
- Hackensack Meridian Health (Red Bank, NJ)
- …Medical Services (EMS), communities, referring hospitals. + Provides concurrent and retrospective review and analysis of the care of stroke patients at the ... as a leader of positive change. The **Stroke Program Coordinator ** is an expert clinician who provides leadership for...an expert clinician who provides leadership for the nursing care and management of patients experiencing stroke in adult… more
- Access Dubuque (Dubuque, IA)
- …and systems necessary for a multi-disciplinary approach throughout the continuum of stroke care . The Stroke Program Coordinator oversees and manages the stroke ... Coordinator works closely with patients and families, health care providers, EMS personnel, physicians, co-workers, volunteers and community agencies/service,… more