- Elliot Health System (Candia, NH)
- MSW Social Worker Care Coordinator for Pathways Full Time 8-430pm Eligible for a Sign on Bonus up to $5,000! POSITION SUMMARY The Inpatient Behavioral Health ... team in the ongoing clinical social work assessment of patient's status/ care management . Participates in the development, implementation and evaluation… more
- Hackensack Meridian Health (North Bergen, NJ)
- …our mission to transform healthcare and serve as a leader of positive change. The ** Care Coordinator , Utilization Management ** is a member of the ... of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to… more
- Catholic Health (Buffalo, NY)
- …with rotation to 8-4pm Summary: This position is accountable for the document management , workflow, and data entry of the concurrent review process associated with ... the management of communication received from the payers. This individual...a minimum of five (5) years of previous health care related experience accepted in lieu of degree KNOWLEDGE,… more
- Providence (Torrance, CA)
- …Under the supervision of Regional Director of Care Management , the Utilization Management Coordinator is responsible for providing support to the ... Care Management team who coordinates care . This position...Multiple shifts available **Career Track:** Admin Support **Department:** 7000 UTILIZATION MGMT CA SOCAL **Address:** CA Torrance 4180 W… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …with the guidance and plans they need for healthy living. JOB SUMMARY: The Utilization Management Care Coordinator works within a multidisciplinary ... UM Care Coordinator 75 Vanderbilt Ave, Staten Island, NY 10304, USA... care team to assist with the care of members enrolled in our Managed Long Term … more
- MetroHealth (Brooklyn Heights, OH)
- …activities. Works with selected patients as assigned. Assists the Care Coordinator with access and utilization management , proactive patient panel ... emergency departments and more than 20 health centers.** **Summary:** **Assists the Care Coordinator and the interdisciplinary medical home care team in the… more
- ManpowerGroup (Rancho Cucamonga, CA)
- Our client, a leading healthcare organization, is seeking a Coordinator - Utilization Management Outpatient to join their team. As a Coordinator - ... which will align successfully in the organization. **Job Title:** Coordinator - Utilization Management Outpatient...and CPT codes is essential. + Experience in managed care or a physician office is a must. +… more
- Catholic Health Services (Melville, NY)
- … and Appeals Coordinator will perform activities to help facilitate utilization management and appeals functions to include coordination of specific process ... payment related activities. Position Responsibilities: | Prepares necessary documentation for utilization management and appeals processes, performs data … more
- Behavioral Center of Michigan (Warren, MI)
- …all state mandated regulations. Maintains compliancy with regulation changes affecting utilization management . Reviews patient recrods and evaluates patient ... Under general supervision, the Utilization Review Coordinator provides professional assessment,...and advises physicians and other departments of regulations affecting utilization management . Consults with Social Services Department… more
- 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: 02/25/25 to 03/10/25 Assistant Utilization Coordinator Summary: Under general supervision, an incumbent of… more
- CareFirst (Washington, DC)
- **Resp & Qualifications** **PURPOSE:** Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and ... responsibilities related to pre-service, utilization review, care ...(all benefits/incentives are subject to eligibility requirements). **Department** Clinical Utilization Management **Equal Employment Opportunity** CareFirst BlueCross… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Under the supervision of the Utilization Management (UM) Operations Supervisor, the UM Coordinator I's primary job function is to support UM ... EZ Cap, Word, Outlook, and data entry systems Previous experience in the health care field, such as hospital, medical group, health insurance, or other Risk Bearing… more
- Equinox, Inc (Albany, NY)
- Intake & Utilization Coordinator - Adult Residential Services Albany, NY (http://maps.google.com/maps?q=Albany+NY+USA) Job Type Full-time Description Equinox is ... illness and an addiction that need 24/7 support. Position Summary:The Intake Utilization Coordinator will be responsible for managing housing intakes,… more
- Prime Healthcare (Joliet, IL)
- …and communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work independently and ... CMO (Chief Medical Officer). Actively participates in the Case management and UR meetings. Serves as on-going educator to...PA, or Nursing Graduate required. 2. Three years of Utilization Review experience as a Medical Review Coordinator… more
- Sanford Health (SD)
- …to work remote. **Job Summary** Monitors the utilization of resources, risk management and quality of care for patients in accordance to established ... multiple administrative duties including accurate record keeping and electronic data management when needed. Ability to work with growth and development needs… more
- Prime Healthcare (Boonton Township, NJ)
- …With Us! (https://careers-primehealthcare.icims.com/jobs/195356/ utilization -review- coordinator -%28pd%29/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... the point of their admission and across the continuum of the health care management . Responsible for contacting external case managers and managed care … more
- University of Washington (Seattle, WA)
- …and supervise front desk staff and patient care coordinator . + Patient care and utilization management . + Interpretation and utilization of ... Internal relations and team planning. + Supervision of staff (front-desk, patient care coordinator , dental assistants, dental hygienists). + Work assignment and… more
- Fairview Health Services (Maplewood, MN)
- …team! This is a casual position at our St. John's location. This Patient Care Management Coordinator provides comprehensive care coordination of ... patients as assigned. The care coordinator assesses the patient's plan of care ...**:** Have an understanding of hospital, community resources and resource/ utilization management . Have solid understanding of use… more
- Fairview Health Services (Maplewood, MN)
- …for you to join our outstanding team! This is a **casual position.** This Patient Care Management Coordinator provides comprehensive care coordination of ... patients as assigned. The care coordinator assesses the patient's plan of care ...**:** Have an understanding of hospital, community resources and resource/ utilization management . Have solid understanding of use… more
- Community Based Care of Brevard, Inc. (Rockledge, FL)
- Starting Salary: $45,000/year Position Summary: The Diversion Care Coordinator will be responsible for managing a caseload of families served in Non Judicial In ... served in North and Central Brevard County. The Diversion Care Coordinator will coordinate the delivery and...application for daily entry of case activity and the utilization management of service authorizations. 2+ years'… more
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