- CHRISTUS Health (Wake Village, TX)
- Description Summary: The Registered Nurse Clinical Care Coordinator is responsible for evaluating, coordinating, processing, screening, and documentation of patient ... entry into the CHRISTUS Health System. The Registered Nurse Clinical Care Coordinator will collaborate with relevant providers and partners to determine the… more
- New York State Civil Service (Buffalo, NY)
- NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator , (NY HELPS), Buffalo Psychiatric Center, P25397 Occupational Category Health ... 14213 Minimum Qualifications Buffalo Psychiatric Center is recruiting for a Utilization Review Coordinator to analyze and evaluate quality, effectiveness,… more
- Behavioral Center of Michigan (Warren, MI)
- Under general supervision, the Utilization Review Coordinator provides professional assessment, planning, coordination, implementation and reporting of ... clinical data and supports the operations of Samaritan Behavioral Center. The Utilization Review Coordinator reviews the patient's chart and records clinical… more
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment # 241106-5613FP-001 Location East Hartford, CT Date Opened 11/7/2024 12:00:00 AM ... (https://portal.ct.gov/dds/searchable-archive/northregion/north-region/welcome-to-the-north-region?language=en\_US) - is accepting applications for a full-time Utilization Review Nurse Coordinator … more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Utilization Review Quality Assurance Coordinator is responsible for all compliance related paperwork and ensures paperwork is completed in a ... Monitor open encounters and report any issues to the Business Manager. Review utilization of services in order to comply with regulatory and institutional… more
- UCHealth (Aurora, CO)
- …and take appropriate action. Requirements: + Bachelor's degree. + Experience in Utilization Review preferred. + Experience in substance abuse preferred. We ... improve lives. In big ways through learning, healing, and discovery. In small, personal ways through human connection. But in all ways, we improve lives. UCHealth invests in its Workforce. UCHealth offers a Five Year Incentive Bonus to recognize employee's… more
- Covenant Health Inc. (Louisville, TN)
- Overview Utilization Review Coordinator , Quality Management Full Time, 80 Hours Per Pay Period, Day Shift Peninsula Overview: Peninsula, a division of ... review or retrospective utilization data. + Monitors current utilization review criteria and length of stay norms. + Assists with education of physicians… more
- Bitterroot Health (Hamilton, MT)
- …EMPLOYER 2022 & 2023 State of Montana "EMPLOYER OF CHOICE" 2022 RN - Utilization Review Coordinator opportunity in beautiful Hamilton, Montana!! Bitterroot ... Health is seeking candidates to fill a Utilization Review (UR) Coordinator Registered Nurse position. The UR Coordinator ensures that patients get the… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …resources and benefits on a case by case basis. Applies case management and utilization review principles in monitoring the delivery of care and promoting ... and serve as a leader of positive change. The Utilization Management Coordinator utilizes clinical knowledge and...transition to alternative levels of care. + Perform concurrent utilization review applying identified criteria at prescribed… more
- Spokane County (Spokane, WA)
- …and discharges or lack of movement toward discharge. + Collaborates with Utilization Review Integrated Care Coordinator regarding continued inpatient ... other related duties as required/assigned. Behavioral Health Administrative Services Organization Utilization Review Integrated Care Coordinator : + Performs… more
- Comunilife (Hempstead, NY)
- …and maintain Comunilife policies and procedures, quality assurance, utilization review and outreach activities. The Program Coordinator will collaborate with ... LIP Program Coordinator - Long Island Job Details Job Location Hempstead,...Description Comunilife Inc. is looking to fill a Program Coordinator position for its Life is Precious, Long Island,… more
- Hackensack Meridian Health (Neptune, NJ)
- …**Hackensack Meridian** **_Health_** includes: + Follows departmental workflows for utilization review activities including admission reviews, admission denials, ... a leader of positive change. The **Care Management, Care Coordinator , Utilization Management** is a member of...as required by payer agencies and initiates physician advisor's review as necessary for unwarranted admissions. + Performs chart… more
- Hackensack Meridian Health (Holmdel, NJ)
- …at Hackensack Meridian _Health_ includes: + Follows departmental workflows for utilization review activities including admission reviews, admission denials, ... serve as a leader of positive change. The **Care Coordinator , Utilization Management** is a member of...as required by payer agencies and initiates physician advisor's review as necessary for unwarranted admissions. + Performs chart… more
- Select Medical (Los Angeles, CA)
- …caseload. + Coordinates with other departments, ie: Pre-Admissions, Admissions, Patient Accounts, Utilization Review , PPS Coordinator , etc., to assure ... time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and appropriate… more
- LifeCenter Northwest (Bellevue, WA)
- Organ Utilization Coordinator I Job Details Job Location Bellevue - Bellevue, WA Position Type Full Time Salary Range $66,122.00 - $95,904.00 Salary Description ... and Qualifications The Organ Utilization Coordinator (OUC) is accountable for all...after one year of service is complete. A comprehensive review of benefits can be found at https://lcnw.org/about/employment-opportunities/. The… more
- LifeCenter Northwest (Bellevue, WA)
- Organ Utilization Administrative Coordinator Job Details Job Location Bellevue - Bellevue, WA Position Type Full Time Salary Range $23.55 - $34.15 Hourly ... Description and Qualifications The Organ Utilization Administrative Coordinator is responsible for supporting the Organ Utilization Director and the… more
- Evolent Health (Columbus, OH)
- …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 ... requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly to the… more
- Sharp HealthCare (San Diego, CA)
- … Coordinator , under the direct supervision of the Supervisor, Utilization Management Care Coordinators, prepares referral requests for outpatient services, ... well as the SCMG operation documents as appropriate for approval at the UM Care Coordinator level of review .Appropriately identify claims for review by the… more
- Trinity Health (Pontiac, MI)
- …RN licensure within the State of Michigan. Certified Professional in Utilization Review /Management preferred. **C** **Special Skill / Aptitudes** Understanding ... care utilization management experience. Knowledge of regulations relative to utilization review . Knowledge of Federal, State and Local regulations sources.… more
- UCLA Health (Los Angeles, CA)
- …can do all this and more at UCLA Health. Under the direction of the Utilization Management, Assistant Manager, you will play a key role in processing and managing ... referrals and authorizations following established procedures within the medical group utilization department + Prepare and process referrals according to Delegation… more
