• Daiichi Sankyo, Inc. (Bernards, NJ)
    …creation and supply of innovative pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging ... reporting, and close out) including timeline, quality, and budget management . Drives and leads the successful execution of all...risk related plans and ensure study team adherence and utilization . Be aware of and be able to predict… more
    HireLifeScience (02/06/25)
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  • PIH Health (Whittier, CA)
    The primary responsibility of the Schedule Coordinator /Therapy Technician is to coordinate therapy schedules to assure correct treatment frequency and assist in ... appropriate utilization of therapy staff resources across the continuum of care . This position also assists therapy personal with patient related care and… more
    JobGet (02/17/25)
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  • Care Coordinator

    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
    Hackensack Meridian Health (02/06/25)
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  • Care Coordinator - SCMG…

    Sharp HealthCare (San Diego, CA)
    Care Coordinator , under the direct supervision of the Supervisor, Utilization Management Care Coordinators, prepares referral requests for outpatient ... operation documents as appropriate for approval at the UM Care Coordinator level of review.Appropriately identify claims...related to the position.Bring to attention of the Supervisor, Utilization Management Care Coordinators, and… more
    Sharp HealthCare (02/06/25)
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  • Clinical Care Coordinator

    Columbus Regional Hospital (Columbus, IN)
    …+ The Clinical Care Coordinator role integrates and coordinates utilization management , care facilitation and discharge planning function in ... Resource Specialist, a Social Work Specialist and a Clinical Care Coordinator work together to achieve optimal...experience in a clinical practice area + Knowledge of utilization review and InterQual (CRH provides training & time… more
    Columbus Regional Hospital (01/23/25)
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  • UM Care Coordinator

    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
    Centers Plan for Healthy Living (12/03/24)
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  • Care Navigator - Care

    MetroHealth (Brooklyn Heights, OH)
    …activities. Works with selected patients as assigned. Assists the Care Coordinator with access and utilization management , proactive patient panel ... ** Care Navigator - Care Management...and more than 20 health centers.** **Summary:** **Assists the Care Coordinator and the interdisciplinary medical home… more
    MetroHealth (02/07/25)
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  • Delegating RN

    Amergis (Salisbury, MD)
    …+ Assistant Director of Nursing (ADON) + Clinical Nurse Educator + Patient Care Coordinator + Utilization Management Clinical Reviewer + Staff RN - Float ... attachments with all details provided) + Health Assessments + Care Coordination + Medication Management + Training...Health Assessments + Care Coordination + Medication Management + Training and Supervision + Resident Interaction +… more
    Amergis (01/10/25)
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  • Registered Nurse Coordinator

    Trinity Health (Syracuse, NY)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** The RN Utilization Management Nurse Coordinator is responsible for both concurrent and ... preferred, according to NYS requirements. + Ten years progressive experience in acute/critical care and/or utilization management may be substituted for a… more
    Trinity Health (11/29/24)
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  • Utilization Review Coordinator

    Lawrence General Hospital (Lawrence, MA)
    …in an acute care setting with discharge planning, continuing care , care management , and utilization review. + Five years clinical nursing experience ... utilization and quality trends and make recommendations to management on improvement opportunities. DUTIES AND RESPONSIBILITIES: + Ensures...staff at the facility. + Works with the Clinical Care Coordinator and Complex Care more
    Lawrence General Hospital (01/19/25)
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  • CHS Utilization and Appeals…

    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
    Catholic Health Services (02/14/25)
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  • Utilization Management

    Houston Behavioral Healthcare Hospital (Houston, TX)
    …together. Houston Behavioral Healthcare Hospital (HBHH) currently has an opening for Full-time Utilization Management Coordinator . The Utilization ... by delivering quality services to those entrusted in our care . By embarking on a path with our community... Coordinator will report to the Director of Utilization Review and will be responsible to provide quality… more
    Houston Behavioral Healthcare Hospital (02/05/25)
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  • Utilization Review Coordinator

    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
    Behavioral Center of Michigan (01/21/25)
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  • Asst Utilization Coordinator

    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: 01/21/25 to 02/03/25 Assistant Utilization Coordinator Summary: Under general supervision, an incumbent of… more
    WMCHealth (01/22/25)
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  • Intake & Utilization Coordinator

    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
    Equinox, Inc (01/31/25)
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  • Coordinator Utilization

    HonorHealth (Scottsdale, AZ)
    …of Care Coordination and Clinical Value, assists in the administration of Utilization Management functions to include, but not limited to, organization and ... you'll be part of a team, creating a multi-dimensional care experience for our patients. You'll have opportunities to...peer to peer review with payer as directed. Retrieves utilization management clinical requests and handles each… more
    HonorHealth (02/18/25)
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  • Utilization Management

    CareFirst (Baltimore, MD)
    **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 ...which may include benefit & eligibility verification, authorization creation management and case documentation while adhering to TAT. +… more
    CareFirst (02/15/25)
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  • Utilization Review Coordinator (PD)

    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
    Prime Healthcare (02/06/25)
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  • Patient Care Management

    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 (02/05/25)
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  • Patient Care Management

    Fairview Health Services (Minneapolis, MN)
    …is a casual position, 2 weekend shifts/month requirement, 1 holiday/year. 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 (02/05/25)
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