- WMCHealth (Valhalla, NY)
- Asst Utilization Coordinator Company: Westchester Medical Center City/State: Valhalla, NY Category: Nursing/Nursing Management Department: Clinical Care ... Internal Applicant link Job Details: Internal Posting: 09/04/24 to 09/17/24 Assistant Utilization Coordinator Summary: Under general supervision, an incumbent of… more
- WMCHealth (Valhalla, NY)
- Asst Utilization Coordinator - Cardiovascular Company: Westchester Medical Center City/State: Valhalla, NY Category: Nursing/Nursing Management Department: ... link Job Details: Internal Posting: 08/29/24 to 09/11/24 Assistant Utilization Coordinator for Cardiovascular **Cardiovascular Experience Preferred Summary:… more
- New York State Civil Service (New York, NY)
- NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator , (NY HELPS), Manhattan Psychiatric Center, P25480 Occupational Category ... Minimum Qualifications Manhattan Psychiatric Institue is recruiting for a Utilization Review Coordinator to analyze and evaluate quality, effectiveness,… 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
- Dignity Health (Northridge, CA)
- …care in accordance with and in compliance of the Behavioral Health Dignity Health Utilization Review Policy. + The UMC will participate on the Behavioral Health ... 400 care centers. Visit dignityhealth.org/northridgehospital for more information. The RN Utilization Management Coordinator (UMC) is responsible for assessing… 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
- Humana (Columbus, OH)
- …our caring community and help us put health first** Humana is seeking a Utilization Management (UM) Coordinator to join the Wisconsin Medicaid Market team. The ... UM Coordinator provides non-clinical support for policies and procedures related...for policies and procedures related to the administration of utilization management, ensuring the best and most appropriate treatment,… more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment # 240830-5613FP-001 Location Middletown, CT Date Opened 9/5/2024 12:00:00 AM Salary ... Hospital - is accepting applications for one (1) full-time Utilization Review Nurse Coordinator (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5613FP&R1=&R3=)… more
- Hackensack Meridian Health (Hackensack, 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
- 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, ... 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 (Hackensack, NJ)
- …regulations for Nursing. **Responsibilities** + Follows departmental workflows for utilization review activities including admission reviews, admission denials, ... a leader of positive change. The Case 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
- Conviva (Tallahassee, FL)
- …member service or customer service telephone experience desired + Experience with Utilization Review and/or Prior Authorization, preferably within a managed care ... Coordinator - Phone Intake contributes to administration of utilization management. The UM Administration Coordinator performs varied activities… more
- Trinity Health (Athens, GA)
- …and concurrent chart reviews on Federal and self-payers for the purpose of utilization review as well as identifying patients requiring case management ... POSITIONS IS LOCATED IN LAVONIA, GEORGIA **Position Summary:** The Care Coordinator /UR, in collaboration with other healthcare professionals, is responsible for… 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
- Prime Healthcare (Boonton Township, NJ)
- …#LI-MS3 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/173490/ utilization - review - coordinator ... outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service… more
- Devereux Advanced Behavioral Health (Berwyn, PA)
- …joining our Team at Devereux Advanced Behavioral Health!_ **Being an** **Admissions & Utilization Review Coordinator ** **at Devereux has its Advantages** We ... customers - Professional development and job advancement. As an admission and utilization coordinator you will ensure efficient admissions process to meet… more
- San Antonio Behavioral Health (San Antonio, TX)
- The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors ... of approvals from insurers. Responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and efficient use of hospital… more
- Hackensack Meridian Health (Hackensack, NJ)
- …_Hackensack Meridian Health_ may include: + Follows departmental workflows for utilization review activities including admission reviews, admission denials, ... a leader of positive change. The **Case 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
- 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