- Fallon Health (Worcester, MA)
- **Overview** **The UM Inpatient Service Coordinator is a telphonic role working with hospital offices regarding inpatient or hospital stays prior ... **Brief Summary of Purpose:** Under the direction of the Supervisor, Inpatient Care Coordinator communicates with contracted and non-contracted… more
- Apex Health Solutions (Houston, TX)
- Summary: The UM Reviewer serves as a contact and resource person to Health Solutions' members for the utilization review (UR) of healthcare services. The UM ... or issues arise. To support care management initiatives, the UM Reviewer should also identify enrollees in need of...Case Management staff in order to be apprised of inpatient admission status and care management needs; serves as… more
- Sharp HealthCare (San Diego, CA)
- …primary care physician, and ancillary staff to ensure cost effective quality service throughout the continuum of care.** **Required Qualifications** + Other : ... readmissions to acute or visit to the Emergency Department.Informs Director, QI/ UM of any quality issues.Attends hospitalists rounds, as required, to discuss… more
- Dignity Health (Northridge, CA)
- …for more information. RN Case Manager (Care Coordinator ) Case Manager Northridge Hospital Medical Center The ... RN Care Coordinator is responsible for overseeing the progression of care...management, nursing, physicians, ancillary departments, insurers and post acute service providers to progress the care toward optimal outcomes… more
- Dignity Health (Prescott, AZ)
- …not-for-profit integrated healthcare provider that offers a broad range of inpatient and outpatient services including network-wide opportunities to advance your ... and Prescott has to offer! #hellohumankindness **Responsibilities** The Care Coordinator is responsible for assessing planning facilitating and advocating for… more
- Virginia Mason Franciscan Health (Gig Harbor, WA)
- …bonus eligibility, and more! **Responsibilities** **JOB SUMMARY / PURPOSE** The Care Coordinator RN is responsible for overseeing the progression of care and ... discharge planning for identified patients requiring these services. The Care Coordinator RN performs this role to meet the individual's health needs while promoting… more
- Virginia Mason Franciscan Health (Seattle, WA)
- …adoption assistance, annual bonus eligibility, and more! **Responsibilities** The Care Coordinator RN is responsible for overseeing the progression of care and ... discharge planning for identified patients requiring these services. The Care Coordinator RN performs this role to meet the individual's health needs while promoting… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …bonus eligibility, and more! **Responsibilities** **JOB SUMMARY / PURPOSE** The Care Coordinator RN is responsible for overseeing the progression of care and ... discharge planning for identified patients requiring these services. The Care Coordinator RN performs this role to meet the individual's health needs while promoting… more
- University of Michigan (Ann Arbor, MI)
- CLINICAL CARE COORDINATOR (Ambulatory Care: Brighton Center for Specialty Care) Apply Now **Job Summary** The Brighton Center for Specialty Care is the newest ... and communities through excellence in education, patient care, community service , research and technology development, and through leadership activities in… more
- Dignity Health (Carmichael, CA)
- …with utilization management nursing physicians ancillary departments insurers and post acute service providers to progress the care toward optimal outcomes at the ... appropriate level of care. The RN Care Coordinator advocates for the patient and family by identifying valuing and addressing patient choice spiritual needs cultural… more
- Catholic Health Initiatives (Roseburg, OR)
- …- 6pm **Core Schedule:** Sunday - Wednesday **Job Summary:** The Nurse Care Coordinator is responsible for overseeing the progression of care and discharge planning ... team to ensure progression of care and appropriate utilization of inpatient resources using established evidence based guidelines/criteria. + Collaborates with the… more
- Corewell Health (Royal Oak, MI)
- …relates to disease management, resource utilization, access, discharge planning, quality, service and efficiently across the continuum. This is an interventional ... provide effective transition for patients utilizing hospital outpatient, observation or inpatient services. 4. May review cases for medical necessity, uses InterQual… more
- Corewell Health (Farmington Hills, MI)
- …relates to disease management, resource utilization, access, discharge planning, quality, service and efficiently across the continuum. This is an interventional ... provide effective transition for patients utilizing hospital outpatient, observation or inpatient services. + May review cases for medical necessity, uses InterQual… more
- Catholic Health Initiatives (Omaha, NE)
- …team to ensure progression of care and appropriate utilization of inpatient resources using established evidence based guidelines/criteria. 5. Collaborates with the ... healthcare team and post-acute service providers to ensure timely and smooth transitions to...Certified Case Manager (CCM) Accredited Case Manager (ACM-RN) or UM Certification preferred + Able to apply clinical guidelines… more
- UTMB Health (Galveston, TX)
- …Medicaid and self pay patients + Demonstrates skill in accurately entering required UM data. Works closely with denials/appeals coordinator + Elevate to ... with Bachelor's degree in Nursing and two years of inpatient experience in a hospital environment. Current license or...of InterQual criteria; Severity of illness (SI), Intensity of service (IS), Discharge screens (DS) SI, IS, and performs… more
- Arkansas Children's (Little Rock, AR)
- …care, as well as a nationally-recognized transport service . And Arkansas Children's Northwest (https://www.archildrens.org/locations/arkansas-childrens-nw) provides ... and near misses. Assists the Director of the department with reports for UM committee. 2. Interviews and assists with hiring qualified staff. Evaluates issues… more