- Hackensack Meridian Health (Neptune, 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 (Holmdel, 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
- 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
- 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 ... ** Care Navigator- Care Management ** **Location:**...and more than 20 health centers.** **Summary:** **Assists the Care Coordinator and the interdisciplinary medical home… more
- 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
- 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
- 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: 01/21/25 to 02/03/25 Assistant Utilization Coordinator Summary: Under general supervision, an incumbent of… more
- Geisinger (Danville, PA)
- …and multidisciplinary committees. + Ensures efficient operations and appropriate medication therapy management across the continuum of care and in collaboration ... Job Summary Develop, implement, and maintain comprehensive drug therapy management programs which optimize patient outcomes and improve overall care across the… more
- Lawrence General Hospital (Lawrence, MA)
- The Utilization Review Coordinator in Integrated Care is responsible for assisting the Assistant Director in overseeing day-to-day operations within the ... for decision support. + Provides ongoing departmental education in arenas of utilization management , discharge planning and inter-rater reliability. + Identifies… more
- Prime Healthcare (Passaic, NJ)
- …and communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work independently and ... Excellent critical thinking skills. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/189060/ utilization -review- coordinator /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilitySt. Mary's General Hospital… 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
- Henry Ford Health System (Troy, MI)
- …Nursing, required. + Minimum 3-5 years of clinical experience preferred. + Previous utilization management or case management experience preferred. + ... Under minimal supervision, reviews and screens the appropriateness of services, the utilization of hospital resources and the quality of patient care rendered.… more
- Desert Parkway Behavioral Healthcare Hospital (Las Vegas, NV)
- …notes are documented, and the authorization detail is set up in Case Management . The information is subsequently verified in the payor websites where applicable. ... all days are authorized and identify denied days, coordinate with Director of Utilization Review and add to Denial Tracker when appropriate. Monitor and update file… more
- Prime Healthcare (Boonton Township, NJ)
- …With Us! (https://careers-primehealthcare.icims.com/jobs/185117/ 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
- Actalent (Santa Barbara, CA)
- …Health Plan Nurse Coordinator Non-profit healthcare network is looking for a utilization management registered nurse to join their team on a contract basis! ... a leading healthcare organization Description: The Health Plan Nurse Coordinator (HPNC) is a Registered Nurse who is assigned...but are not limited to, the Utilization Management , Case Management , Enhanced Care … 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
- 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
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