- Memorial Hermann (Houston, TX)
- …Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When ... / Skills: * Minimum six (6) years of acute care , hospital-based clinical experience in area of intended practice....peer review data is entered into the Integrated Credentialing Management Program in a timely and accurate manner. *… more
- Marion County (Salem, OR)
- …further notice.Marion County Adult Behavioral Health is hiring an Exceptional Needs Care Coordinator . This position provides services to individuals with serious ... but are not limited to the following The Choice Model Exceptional Needs Care Coordinator (ENCC) provides services to individuals with serious and persistent… more
- Medina Center for Rehabilitation (Valley City, OH)
- …ie therapies, utilization review. - Reviews and maintains Medicare, Managed Care and Medicaid reference materials. Financial Management - Monitors and ... - - - - - - Coordinates Medicare, Managed Care and Medicaid activities at the facility. - Educates...Administrator and facility staff on innovative procedures to maximize utilization and reimbursement through the completion of the MDS,… more
- Altru Health (Grand Forks, ND)
- …Rd.Grand Forks, ND 58201Pay Range: $60,715.20 - $91,083.20Summary:The Value Analysis Coordinator is the clinical liaison between Supply Chain and the Health ... Value Analysis Committee, associated VA Teams, clinical staff and Supply Chain Management to achieve cost savings by focusing on appropriate supply standardization, … more
- Hackensack Meridian Health (Neptune, NJ)
- …to transform healthcare and serve as a leader of positive change. The ** Care Management , Care Coordinator , Utilization Management ** is a member ... 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 (Hackensack, NJ)
- …New Jersey regulations for Nursing. **Responsibilities** A day in the life of a **Case Management Care Coordinator , Utilization Management ** at ... mission to transform healthcare and serve as a leader of positive change. The ** Care Coordinator , Utilization Management ** is a member of the healthcare… more
- Hackensack Meridian Health (Edison, NJ)
- …our mission to transform healthcare and serve as a leader of positive change. The Case Management Care Coordinator , Utilization Management is a ... 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 (Brick, NJ)
- …healthcare and serve as a leader of positive change. The ** Care Management , 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
- 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...**Job Shift:** Day **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
- Trinity Health (Darby, PA)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** The Appeals and Utilization Management Coordinator under direction and in collaboration ... Care Coordination Manager, provides support to the utilization management , denials and appeals process for...process for the THMA South hospitals. The Appeals and Utilization Management Coordinator ensures the… more
- YesCare Corp (Bartow, FL)
- …Veterans._ **Responsibilities** Below is a list of your responsibilities as a ** Utilization Management Coordinator ** with YesCare: + Confirms admissions ... with outside hospitals and notifies the Utilization Management Department of need to report...to reach your career potential, and contribute to the care and well-being of an underserved population. There is… more
- Dignity Health (Northridge, CA)
- … care centers. Visit dignityhealth.org/northridgehospital for more information. The RN Utilization Management Coordinator (UMC) is responsible for ... + Current CA Registered Nurse (RN) license + Prior Utilization Management experience in a clinical or...in a fast-paced environment with changing priorities. + Case Management certification preferred. + LA City Fire Care… more
- MetroHealth (Cleveland, 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
- System One (Owings Mills, MD)
- ALTA IT Services is staffing a contract to hire opportunity for a Utilization Management Coordinator to support a leading health insurance customer. The ... individual will supports the Utilization Management clinical teams by assisting with...with non-clinical administrative tasks and responsibilities related to pre-service, utilization review, care coordination and quality of… more
- Trinity Health (Livonia, MI)
- …Under the direction of the System Office Pharmacy Directors, the Medication Utilization Coordinator is responsible for coordinating and facilitating formulary ... adherence and compliance, monitoring of medication management , and tracking financial benefits, revenue capture optimization, and medication shortage mitigation… more
- Tenderheart Health Outcomes (Austin, TX)
- Utilization Coordinator - Bilingual Job ID...the lives of those we serve with high-quality incontinence care management . We start with each individual ... Because of these better outcomes and our value-based model, managed care organizations (MCOs) realize substantial savings while also improving the health… more
- Trinity Health (Livonia, MI)
- …or retrospective review using InterQual / MCG criteria to determine appropriate level of care . * Follows the hospital Utilization Review Plan to ensure effective ... party payer. Demonstrates sound clinical judgement that supports IP level of care for appropriate reimbursement to the hospital. * Demonstrates expertise in… more
- Stanford Health Care (Redwood City, CA)
- …of America) **This is a Stanford Health Care job.** **A Brief Overview** The Patient Care Coordinator functions as a member of the patient care team. The ... performs all clerical duties required to complete patient Check-in/Check-out. The Patient Care Coordinator is responsible for assisting patients obtain services… 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
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