- Spokane County (Spokane, WA)
- …or lack of movement toward discharge. + Collaborates with Utilization Review Integrated Care Coordinator regarding continued inpatient stay requests ... required/assigned. Behavioral Health Administrative Services Organization Utilization Review Integrated Care Coordinator : +...Services Organization Utilization Review Integrated Care Coordinator : + Performs utilization … more
- Dignity Health (San Andreas, CA)
- …striving to achieve high levels of patient satisfaction. The RN Care Coordinator consistently conducts the utilization review process and the discharge ... of dignity collaboration justice stewardship and excellence. **Responsibilities** The RN Care Coordinator is responsible for assessing planning facilitating and… more
- Dignity Health (Prescott, AZ)
- …while striving to achieve high levels of patient satisfaction. The Care Coordinator consistently conducts the utilization review process and the ... Dignity Health-YRMC and Prescott has to offer! #hellohumankindness **Responsibilities** The Care Coordinator is responsible for assessing planning facilitating… more
- Dignity Health (Oxnard, CA)
- …striving to achieve high levels of patient satisfaction. The RN Care Coordinator consistently conducts the utilization review process and the discharge ... our communities. Learn more at www.dignityhealth.org/StJohnsRegional. **Responsibilities** The RN Care Coordinator is responsible for assessing planning… more
- New York State Civil Service (Bronx, NY)
- NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator , (NY HELPS), NYC Children's Center, Bronx Campus, P25875 Occupational ... Minimum Qualifications NYC Children's Center is recruiting for a Utilization Review Coordinator to analyze...services field and 3 years of utilization review experience in a health care facility… more
- Behavioral Center of Michigan (Warren, MI)
- Under general supervision, the Utilization Review Coordinator provides professional assessment, planning, coordination, implementation and reporting of ... and supports the operations of Samaritan Behavioral Center. The Utilization Review Coordinator reviews the...with Social Services Department regarding the level of nursing care and collaborates with other departments in evaluation of… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …on a case by case basis. Applies case management and utilization review principles in monitoring the delivery of care and promoting optimal communication ... and serve as a leader of positive change. The Utilization Management Coordinator utilizes clinical knowledge and...and discharge planners regarding transition to alternative levels of care . + Perform concurrent utilization review… more
- Hackensack Meridian Health (Neptune, NJ)
- …healthcare and serve as a leader of positive change. The ** Care Management, Care Coordinator , Utilization Management** is a member of the healthcare team ... of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order… 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 healthcare ... of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Utilization Review Quality Assurance Coordinator is responsible for all compliance related paperwork and ensures paperwork is completed in a ... encounters and report any issues to the Business Manager. Review utilization of services in order to...to comply with regulatory and institutional requirements. Insure patient care services are appropriately documented and utilized. Review… 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 ... according to NYS requirements. + Ten years progressive experience in acute/critical care and/or utilization management may be substituted for a bachelor's… more
- LifeCenter Northwest (Bellevue, WA)
- Organ Utilization Coordinator I Job Details Job Location Bellevue - Bellevue, WA Position Type Full Time Salary Range $66,122.00 - $95,904.00 Salary Description ... and Qualifications The Organ Utilization Coordinator (OUC) is accountable for all...that allow him/her/them to have effective communication with health care professionals and donor families. + Must have the… 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...an office environment required. + Experience in a health care environment or related field is preferred. + Understanding… more
- Humana (Columbus, OH)
- …member service or customer service telephone experience desired + Experience with Utilization Review and/or Prior Authorization, preferably within a managed ... and help us put health first** The UM Administration Coordinator 2 contributes to administration of utilization ...policies and procedures ensuring best and most appropriate treatment, care or services for members. Decisions are typically focus… more
- Trinity Health (Pontiac, MI)
- …RN licensure within the State of Michigan. Certified Professional in Utilization Review /Management preferred. **C** **Special Skill / Aptitudes** Understanding ... customers and community groups. **D.** **Experience** Three years recent acute care utilization management experience. Knowledge of regulations relative to… more
- UCHealth (Aurora, CO)
- …Summary: Facilitates coordination of reimbursement processes for all levels of care to include authorizations, data collection and tracking, internal and external ... communications. Responsibilities: + Manages and tracks reimbursement for treatment via certification and authorization processes. Completes data tracking to monitor authorization status, complete reports, denials and notes. + Completes initial authorization… more
- Wellpath (Fort Lauderdale, FL)
- …point of care support. **How you make a difference** The Utilization Review Coordinatorwill perform admission and continued-stay reviews. This position also ... care setting, preferably inpatient preferred. + Minimum one (1) year clinical or utilization review or case management preferred. + Knowledge of managed … more
- CareFirst (Baltimore, MD)
- …teams by assisting with non-clinical administrative tasks and responsibilities related to pre-service, utilization review , care coordination and quality of ... Reviews authorization requests for initial determination and/or triages for clinical review and resolution. + Provides general support and coordination services for… more
- TEKsystems (Baltimore, MD)
- …teams by assisting with non-clinical administrative tasks and responsibilities related to pre-service utilization review care coordination and quality of ... Reviews authorization requests for initial determination and/or triages for clinical review and resolution. 20 Provides general support and coordination services for… more
- UCLA Health (Los Angeles, CA)
- …health organization. Help ensure smooth and efficient case management processes to support quality care . Take your expertise to the next level. You can do all this ... more at UCLA Health. Under the direction of the Utilization Management, Assistant Manager, you will play a key...and prepare necessary documents for the next level of review + Maintain and prepare specific reports and manage… more
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