- Hackensack Meridian Health (Belle Mead, NJ)
- …resources and benefits on a case by case basis. Applies case management and utilization review principles in monitoring the delivery of care and promoting ... and serve as a leader of positive change. The Utilization Management Coordinator utilizes clinical knowledge and...transition to alternative levels of care. + Perform concurrent utilization review applying identified criteria at prescribed… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …Plan Solutions provides Utilization Management services to its clients. Senior UM Coordinators facilitate utilization review by performing data ... requests for preservice, prospective, and concurrent reviews. The Senior UM Coordinator reports to the Manager, Utilization Management and/or Supervisor, … more
- ManpowerGroup (Columbia, SC)
- + **Title:** Managed Care Coordinator UM II + **Location:** Initial on-site work required for the first week, followed by remote work. + **Hours:** ... health, chronic or acute illnesses. **Key Responsibilities** + **Medical or Behavioral Review & Authorization Process (50%)** + Perform review and authorization… more
- Covenant Health Inc. (Louisville, TN)
- Overview Utilization Review Coordinator , Quality Management Full Time, 80 Hours Per Pay Period, Day Shift Peninsula Overview: Peninsula, a division of ... chooses to appeal decision. + Collects data related to UM activities and prepares ongoing statistical reports. + Performs...or retrospective utilization data. + Monitors current utilization review criteria and length of stay… more
- Access Dubuque (Dubuque, IA)
- …payers to assist in planning and executing a safe discharge. + Collaborate with Utilization Management team on continued stay review . + Educates patients and ... RN-Care Coordinator **UnityPoint Health Finley Hospital** 1 Positions ID:...education. ** Utilization Management/Revenue Cycle** + Applies the utilization management ( UM ) plan by functioning in… more
- University of Michigan (Flint, MI)
- Administrative and Testing Accommodations Coordinator (Onsite) Apply Now **Job Summary** **How to Apply** A cover letter is required for consideration for this ... to this position. **Job Summary** The Administrative and Testing Accommodations Coordinator manages and oversees the coordination of testing services for students… more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... Recovery Agency https://www.laora.org/ is currently seeking a full time Organ Allocation Coordinator 2. The Organ Allocation Coordinator 2 (OAC) coordinates the… more
- Actalent (Santa Barbara, CA)
- …Plan Nurse Coordinator Non-profit healthcare network is looking for a utilization management registered nurse to join their team on a contract basis! Opportunity ... to work a 3-month contract + Medi-Cal Experience + Utilization Management WHAT'S IN IT FOR YOU: + Remote...a leading healthcare organization Description: The Health Plan Nurse Coordinator (HPNC) is a Registered Nurse who is assigned… more
- Corewell Health (Taylor, MI)
- …patients. 1. Identifies patients that need care management services (ie utilization review ; care coordination; and/or discharge/transition planning). 2. ... Care Coordinator for Rehab Services PRN/Casual position- hours will...experience Three to five years' experience in care management, utilization review , home care and/or discharge planning.… more
- Virginia Mason Franciscan Health (Seattle, WA)
- …located within hospital + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. Preferred + Bachelor's Degree in Nursing ... adoption assistance, annual bonus eligibility, and more! **Responsibilities** The Care Coordinator RN is responsible for overseeing the progression of care and… more
- Catholic Health Initiatives (Omaha, NE)
- …pertaining to their practice. 13. Performs other duties as assigned, including utilization review as necessary. **Qualifications** **Required** + Graduate of an ... **Overview** The RN Care Coordinator is responsible for overseeing the progression of...will be on care coordination, communication and collaboration with utilization management, nursing, physicians, ancillary departments, insurers and post… more
- Dignity Health (Long Beach, CA)
- …+ AHA BLS card + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ensure ... our hospitals and out in the community. **Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …to their practice. 13. Performs other duties as assigned, including utilization review as necessary. **Qualifications** **Education and Experience** **Required** ... Sign on bonus available! **Responsibilities** **JOB SUMMARY / PURPOSE** The Care Coordinator RN is responsible for overseeing the progression of care and discharge… more
- Dignity Health (Los Angeles, CA)
- …90 days of hire. + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ensure ... Visit https://www.dignityhealth.org/socal/locations/californiahospital for more information. **Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of care… more
- Virginia Mason Franciscan Health (Burien, WA)
- …to their practice. 13. Performs other duties as assigned, including utilization review as necessary. **Qualifications** **Education and Experience** Required ... FTE- min 0.6 FTE required) **Responsibilities** **JOB SUMMARY / PURPOSE** The Care Coordinator RN is responsible for overseeing the progression of care and discharge… more
- Corewell Health (Farmington Hills, MI)
- …patients. + Identifies patients that need care management services (ie utilization review ; care coordination; and/or discharge/transition planning). + ... years of relevant experience Three to five years' experience in care management, utilization review , home care and/or discharge planning. Preferred + Registered… more
- Corewell Health (Grosse Pointe, MI)
- …Functions + Identifies patients that need care management services (ie utilization review ; care coordination; and/or discharge/transition planning). + ... of relevant experience Three to five years' experience in care management, utilization review , home care and/or discharge planning. Preferred + LIC-Registered… more
- University of Michigan (Ann Arbor, MI)
- Patient Placement Coordinator Apply Now **Job Summary** Within the Capacity Management division, the Admission Triage Associates, in partnership with Patient Flow ... of policies and procedures related to patient flow and utilization management. + Assess and evaluate new or revised...posted for a minimum of seven calendar days. The review and selection process may begin as early as… more
- University of Michigan (Ann Arbor, MI)
- Administrative and Events Coordinator Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as the first ... workflows across MEng/ME teams and stakeholders. + Contribute to the utilization of holistic problem-solving, best practices, and effective mechanisms. + Translate… more
- Catholic Health Initiatives (Omaha, NE)
- …pertaining to their practice. 13. Performs other duties as assigned including utilization review as necessary. **Qualifications** **Required** + Graduate of an ... within hospital + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. **Preferred** + Bachelor's Degree in Nursing… more