- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Admissions Liaison RN II (After Hours Evening) Job Category: Clinical Department: Utilization Management Location: Los ... required to achieve that purpose. Job Summary The Utilization Management (UM) Admissions Liaison RN II is primarily responsible for receiving/reviewing… more
- Johns Hopkins University (Baltimore, MD)
- …+ Working with the Office of Institutional Technology (OIT), assists with the admissions office's annual cycle prep, data management planning, and execution of ... WebAdMIT application platform, student information systems (SIS/Ellucian) and client relationship management (CRM), and admissions software systems (Slate), SAP,… more
- Fordham University (Bronx, NY)
- …system-related issues for external and internal users. + Assists with workflow management and priorities of the admissions operations group including accurate ... the business school as requested. + Serves as a liaison to Financial Services, Student Accounts, and Enrollment Services...+ Minimum 2 years of experience in financial aid, admissions , or enrollment management ; or related experience.… more
- Cedars-Sinai (CA)
- …Assists with investigation and follow-up regarding customer complaints. + Serves as liaison with other units in the Admissions department. \#Jobs-Indeed ... of service cash collections and cash flow, and provide efficient and appropriate utilization of resources. Acts as a resource for team members by assisting with… more
- Elevance Health (Tampa, FL)
- RN Utilization Management Nurse Sr. (Medicaid-InPatient) JR130851 **Location:** Must be within 50 miles / 1 hour commute of Tampa or Miami, FL offices. This is ... of Florida. + Requires minimum of 5 years acute care clinical experience, utilization management or managed care experience; or any combination of education… more
- Guthrie (Binghamton, NY)
- LPN - Utilization Management (Days) Full Time Position Summary: The Utilization Management (UM) Reviewer, in collaboration with other internal and ... and providers and staff, is responsible for the coordinates Utilization Management (UM) processes and requirements for...the level of care or service for hospital inpatient admissions and short procedures by translating clinical information to… more
- CaroMont Health (Gastonia, NC)
- …to MCO via fax, Provider Link, or telephonically. Gathers and disseminates Utilization Management information to medical staff departments, Nursing departments, ... to practice in NC (NC license or multi-state (compact) license). Certification in Utilization Review / Management , Quality and/or Case Management preferred.… more
- Sutter Health (Berkeley, CA)
- …systems for the appeal/denial process, tracks and trends data, and coordinates utilization management activities for the assigned area. Collaborates with ... of services and appropriate service reimbursement. Monitors and acts as a liaison between external payers, internal business office, admissions staff, and… more
- Martin's Point Health Care (Portland, ME)
- …Nurse required; BSN preferred. + 3+ (total) years clinical nursing experience + Utilization management experience in a managed care or hospital environment ... has been certified as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as a member of a team responsible for ensuring the… more
- Somatus (Columbus, OH)
- …accessing resources to adhering to a physician's treatment plan upon discharge. The Hospital Liaison will work with the RNCM, case management and care givers to ... leadership and/or provider engagement to build relationships with case management teams at strategic facilities in assigned area as...ongoing conversations and plans to address areas to reduce admissions and cost utilization + Other duties… more
- Somatus (Augusta, ME)
- …admissions and develop ongoing conversations and plans to address areas to reduce admissions and cost utilization _Please note this job description is not ... engagement opportunities + And more! Builds relationships with case management teams at strategic facilities in assigned area as...to a physician's treatment plan upon discharge. The Hospital Liaison will work to identify any barriers in safe… more
- Corus Health (Albuquerque, NM)
- …Corus is currently seeking an energetic, connected, and organized Hospice Community Liaison to join our marketing team. This individual is responsible for providing ... and evaluating service information related to admissions utilizing clinical knowledge and expertise to determine patients who would benefit from our services. Under… more
- HCA Healthcare (El Paso, TX)
- …role or related health care experience. Working knowledge of case management philosophy/process/role, needs assessment, principles of utilization review/quality ... Our Las Palmas Medical Center team is looking for a(an) Manager of Case Management RN. HCA Healthcare is an advanced healthcare network that has committed up to… more
- Spokane County (Spokane, WA)
- …Services Organization Utilization Review Integrated Care Coordinator: + Performs utilization management , utilization review, or concurrent review of ... of hospital daily census and of the reasons for admissions and discharges or lack of movement toward discharge....substance use disorder assessment and treatment. + Knowledge of utilization management of public behavioral health. +… more
- Ventura County (Ventura, CA)
- …medical policy with the Health Care Agency Director and Insurance Administrator, Utilization Management staff and Quality Assurance Staff. + Participates, as ... surgical procedures, referrals, tests, medication approvals requiring authorization.) + Develops utilization management standards and guidelines for approval by… more
- Logan Health (Kalispell, MT)
- Job Description Summary: Logan Health Wellness & Pain Management is proud to offer some of the most comprehensive pain and wellness care in the United States. This ... and experience in assessment, crisis assessment, brief therapies, and clinical case management preferred. + Ability to analyze, intervene and evaluate a range of… more
- University of Rochester (Rochester, NY)
- …financial eligibility, secures account for billing and coordinates account management through discharge Completes appropriate forms to complete Death Certificate ... the software system used by UR for all activities concerning Bed Management . **SUPERVISION AND DIRECTION EXERCISED** **:** Monitors own performance on assigned tasks… more
- Hackensack Meridian Health (Edison, NJ)
- … admissions and observations as specified by the facility's Utilization Management /Review Committee for documentation completeness and compliance with ... with physicians, nursing staff, other patient caregivers, Health Information Management Department coding staff, and Emergency Trauma Department (ETD), to… more
- Utica College (Utica, NY)
- …via the Slate system. + Serve as primary point of contact for Slate in the Admissions area and liaison with IT Slate support. + Support assessment of ... Summary Information Position Summary Reporting to the Vice President for Enrollment Management and in coordination with the Associate Vice President for Enrollment … more
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