- San Antonio Behavioral Health (San Antonio, TX)
- The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient ... charts and records to evaluate care concurrent with patients' treatment. Reviews treatment plans and status of approvals from insurers. Responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and efficient use of… more
- UR Medicine Home Care (Rochester, NY)
- …home. + Communicates and coordinates referral process with the interdisciplinary team at UR Medicine Home Care and at institutions as well as with patients including ... documentation per institution and UR Medicine Home Care standards. + Actively participates in...Medicine Home Care standards. + Actively participates in marketing UR Medicine Home Care services to referral sources ongoing.… more
- WMCHealth (Poughkeepsie, NY)
- …Successfully shortens a patient's LOS with these interventions. + Collaborates with UR Data Coordinator to ensure timely concurrent and retrospective reviews ... for payers, and to provide any information that would assist the hospital in appealing a denial. + Completes insurance reviews in a timely manner, resulting in no denials that are attributable to a delay in review. + Communicates effectively with payers by… more
- McLaren Health Care (Lapeer, MI)
- …morning report to Patient Care Services Manager of Nursing Support or UR /Patient Placement Coordinator . 8. Initiates continuous communication with Scheduling ... Office staff. 9. Communicates with ER and PACU frequently to prevent a back up of admissions and to put into place process that might stop a backlog. 10. Participates in the evaluation of the metrics and communicates the information to the appropriate people.… more
- Trinity Health (Maywood, IL)
- …and Epic EMR are highly desired as well as experience with inpatient UR and/or outpatient referral authorizations. **Great opportunity for a Lead Care Coordinator ... whole person, physically, emotionally and spiritually.** We are seeking a **Lead Care Coordinator ** who is dedicated to providing exceptional care to those we serve… more
- University of Rochester (Rochester, NY)
- …**PRICE ESTIMATION AND INTAKE:** Act as the main contact and coordinator for incoming referrals: + Retrieve and evaluate incoming Durable Medical ... and prior authorization.Renew prior authorizations. + When needed, work with UR Financial Assistance Team to communicate detailed financial information to better… more
- Behavioral Center of Michigan (Warren, MI)
- Under general supervision, the Utilization Review Coordinator provides professional assessment, planning, coordination, implementation and reporting of complex ... the operations of Samaritan Behavioral Center. The Utilization Review Coordinator reviews the patient's chart and records clinical information...since those duties include all tasks requested by the UR Manager, CEO or Medical Director to meet the… more
- Baptist Memorial (Memphis, TN)
- Summary The Authorization Coordinator is responsible for facilitating information documentation and transmission vital to the effectiveness of utilization review and ... supporting Baptist's reimbursement strategy. Specifically the managed care techniques the Coordinator uses focuses on prior authorization for services using evidence… more
- Acacia Network (Bronx, NY)
- United Bronx Parents Outreach Coordinator Bronx, NY : 4/18/2024 Job Description Job ID#: 3876 Job Category: United Bronx Parents Position Type: Full Time Details: ... transparent, and is accountable for the tasks of the position. The Outreach Coordinator must have excellent customer service skills and able to develop internal and… more
- University of Rochester (Rochester, NY)
- …Facilities Operations, Environmental Health & Safety, Department of Public Safety, UR IT, and Central Utilities (including Energy Operations) constituents are ... limited to Hazardous Materials, Fire Safety, OSHA, Public Safety, Utility Interruptions, UR IT needs, and Energy Operations Building Automation Systems. 05% +… more
- BayCare Health System (Largo, FL)
- …respect, responsibility and clinical excellence. **The Utilization Coordinator (Homecare) responsibilities include:** + Coordinates utilization appropriateness and ... + Communicates to and educates staff regarding utilization and paperwork issues. + One UR will be responsible for a minimum of 100 Medicare Admissions per month.… more
- Adecco US, Inc. (The Woodlands, TX)
- **Adecco is Now hiring for a Customer Care Coordinator ** Monday- Friday 8am - 5pm **Pay Rate:** $23 - $26/ho ** ur (Depending on experience)** **Airfreight ... **Job Description:** We are seeking a highly organized and detail-oriented Airfreight Coordinator to manage and oversee air cargo operations. The ideal candidate… more
- University of Rochester (Rochester, NY)
- …for a fast-paced procedural area to take on the role of patient experience coordinator for the Department of Imaging Sciences, Interventional Radiology, at UR ... deliver nursing care, directs others, and assumes the role as a care coordinator or preceptor. **How To Apply** Current University of Rochester employees need only… more
- Corewell Health (Taylor, MI)
- Care Coordinator for Rehab Services PRN/Casual position- hours will be very flexible depending on the amount of coverage is needed. Scope of work Under general ... review cases for medical necessity, uses InterQual and/or other UR /UM Committee-approved medical necessity screening criteria, when appropriate. Works… more
- University of Rochester (Rochester, NY)
- …1. Responsible for managing department referrals. Serves as liaison, appointment coordinator , and patient advocate between the referring office, specialists and ... via facsimile or mail. Processes incoming referrals not generated within the UR system. Completes referral entry for all external referrals into Epic following… more
- Seafield Center, Inc. (Westhampton Beach, NY)
- Title:Intake Representative/ Level of Care Coordinator ID:5930-01 Department:Admissions Location:Westhampton Beach Description MAIN FUNCTION: + Initial contact for ... completing PAS forms and authorizations to release information. + Work closely with UR and Medical as needed. + Work closely with Transportation as needed for… more
- Florida Atlantic University (Boca Raton, FL)
- …account. Position Summary: Florida Atlantic University is seeking an Admissions/Registration Coordinator - Boca Raton, FL. Summary of Responsibilities: + Evaluate ... that requires attention to detail. Salary: $50,000 per year. College or Department: UR : Compliance / Dual Enrollment Location: Boca Raton Work Days and Hours: Monday… more
- RWJBarnabas Health (Jersey City, NJ)
- Social Worker LCSW, Program Coordinator , Mental Health Adult OPReq #:0000155179 Category:Behavioral and Mental Health Status:Full-Time Shift:Day Facility:Jersey City ... Prepares and submits monthly statistical reports. + Collects data for monthly QA/PI/ UR reports as delegated. + Provides documented clinical supervision of assigned… more
- Covenant Health (Lubbock, TX)
- …Social Workers (SW), RN Care Managers (RN-CM), Utilization Review RN's ( UR -RN) and Payer Denial Specialists by performing multiple administrative supportive duties ... that facilitate a seamless transition of patients from the inpatient hospital setting, using current knowledge of hospital processes and community services. This position requires frequent contact with patients and families including but not limited to… more