- Trinity Health (Syracuse, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** The RN Utilization Management Nurse Coordinator is responsible for both concurrent and ... department productivity to meet targets. + Participates in all aspects of utilization management . Assist with strategies, plans and workflow development in… more
- Hackensack Meridian Health (Neptune, NJ)
- …mission to transform healthcare and serve as a leader of positive change. The **Care Coordinator , Utilization Management ** is a member of the healthcare team ... patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to manage length… more
- Hackensack Meridian Health (Holmdel, NJ)
- …mission to transform healthcare and serve as a leader of positive change. The **Care Coordinator , Utilization Management ** is a member of the healthcare team ... patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to manage length… more
- Sanford Health (SD)
- …- 28.00 **Department Details** opportunity to work remote **Job Summary** Monitors the utilization of resources, risk management and quality of care for patients ... multiple administrative duties including accurate record keeping and electronic data management when needed. Ability to work with growth and development needs… more
- Geisinger (Danville, PA)
- Job Summary Develop, implement, and maintain comprehensive drug therapy management programs which optimize patient outcomes and improve overall care across the ... day-to-day operations of the assigned pharmacy areas or clinical specialties, including management of pharmacy staff and workflow processes. Is expected to provide… more
- Centers Plan for Healthy Living (Margate, FL)
- …with the guidance and plans they need for healthy living. JOB SUMMARY: The Utilization Management Care Coordinator works within a multidisciplinary care team ... UM Coordinator 5297 W Copans Rd, Margate, FL 33063, USA Req #1209 Monday, December 2, 2024 Centers Plan for Healthy Living's goal is to create the ultimate… more
- Humana (Columbus, OH)
- …first** The UM Administration Coordinator 2 contributes to administration of utilization management . The UM Administration Coordinator 2 performs varied ... assignments. **Achieve your best at Humana. Join Us!** The UM Administration Coordinator 2 provides non-clinical support for the policies and procedures ensuring… more
- St. Luke's University Health Network (Allentown, PA)
- …utilization management of psychiatric cases in the absence of the utilization management coordinator . PHYSICAL AND SENSORY REQUIREMENTS: Able to ... and the Manager regarding variances, aspects of patient care management . + Facilitates insurance authorization, pre-certification, and concurrent reviews for… more
- Fairview Health Services (Edina, MN)
- …service coordination and referral, transition management , utilization management and quality assurance. The care coordinator promotes holistic, high ... Convenes interdisciplinary team members, as needed, for complex case management + Consults with FVP Nurse Care Coordinator... management + Consults with FVP Nurse Care Coordinator for members with complex health care needs +… more
- Fairview Health Services (Princeton, MN)
- …service coordination and referral, transition management , utilization management and quality assurance. The care coordinator promotes holistic, high ... Convenes interdisciplinary team members, as needed, for complex case management + Consults with FVP Nurse Care Coordinator... management + Consults with FVP Nurse Care Coordinator for members with complex health care needs +… 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
- Baystate Health (Palmer, MA)
- …Team and documents findings of the Interdisciplinary Care Plan. Collaborates with the Utilization Management Coordinator and other members of the healthcare ... DIVERSE LOCATIONS. **Education:** Bachelor of Science (Required) **Certifications:** Case Management Certification - Other, Registered Nurse - State of Massachusetts… 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
- Lawrence General Hospital (Lawrence, MA)
- …for decision support. + Provides ongoing departmental education in arenas of utilization management , discharge planning and inter-rater reliability. + Identifies ... The Utilization Review Coordinator in Integrated Care...operations within the department with a specific focus on utilization review management . Responsible for establishing appropriate… 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
- 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) ... Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities Responsible for the quality and resource management of all patients that are admitted to inpatient… 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! ... to work a 3-month contract + Medi-Cal Experience + Utilization Management WHAT'S IN IT FOR YOU:...a leading healthcare organization Description: The Health Plan Nurse Coordinator (HPNC) is a Registered Nurse who is assigned… more
- Beth Israel Lahey Health (Burlington, MA)
- …of three years of medical/surgical nursing care experience. -Two years of Case Management or Utilization Management experience desirable. - Demonstrated ... to ensure a timely process. Registered Nurses (RNs) with utilization review experience, case management experience, and...patient discharge. 14) Works with the Post Acute Care Coordinator to facilitate timely patient access to post acute… more
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