- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- …North Region - is accepting applications for one (1) full -time Utilization Review Nurse Coordinator ... Utilization Review Nurse Coordinator (40 Hour)...Location: North Region Regional Directors Office, East Hartford + Full -time | 1st Shift | 80 Hours bi-weekly +… more
- Hackensack Meridian Health (Edison, NJ)
- …and serve as a leader of positive change. The **Care Management , Care Coordinator , Utilization Management ** is a member of the healthcare team and ... treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively...Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package. The… more
- CVS Health (Baton Rouge, LA)
- …we do it all with heart, each and every day. **Position Summary** The Utilization Management Coordinator /UMNC assists in ensuring that authorization request ... for vented children, ie generators, housing, rentals) * Collaborate with care management and utilization management teams in monitoring behavioral… more
- South Middlesex Opportunity Council (Framingham, MA)
- …casual Working Conditions: As part of the responsibilities of this position, the Utilization Management Coordinator will have direct or incidental contact ... and families. This position will coordinate billing and monitor utilization review for the Clinic and Residential Recovery Programs....Why Work for SMOC? + Paid Time Off: All full -time employees can accrue up to 3 weeks of… more
- Georgetown Behavioral Health Institute (Georgetown, TX)
- …Institute is a 118 bed inpatient behavioral health hospital and seeking a full -time Outpatient Utilization Review Coordinator . This position is responsible ... authorization process to proactively identify potential problems to help patients access the full range of their benefits through the utilization review process.… more
- Devereux Advanced Behavioral Health (Viera, FL)
- …our team where you can take your career to the next level. **Being the Utilization Review Coordinator at Devereux has its Advantages!** Devereux Florida is a ... environments with ongoing family involvement and support. As the Utilization Review Coordinator at Devereux Florida, you...skills and financial assistance you need to reach your full potential. This program includes 100% of tuition covered… more
- Henry Ford Health System (Troy, MI)
- …other delegated pharmacist. Facilitates the operations of the Pharmacy Care Management Department by organizing, improving, and implementing pharmacy benefit ... management policies and procedures. Major areas of responsibility include...Additional Information + Organization: Community Care Services + Department: Pharmacy- Utilization Mgmt + Shift: Day Job + Union Code:… more
- Katmai (Fort Carson, CO)
- **SUMMARY** Provide a comprehensive utilization review (UR) and utilization management (UM) program for all TRICARE eligible beneficiaries within the CMHS. ... and the TRICARE Operations Manual (TOM) access to care standards for appropriate utilization of services. Perform utilization management /review for medical… more
- LifeCenter Northwest (Bellevue, WA)
- … (OUM) provides strategic leadership and operational oversight for the Organ Utilization Coordinator Team (OUCT), directing key aspects of abdominal organ ... Responsibilities + Lead and engage daily with the Organ Utilization Coordinator (OUC) team in donor case...or operational needs. + Collaborate with the Director, Organ Utilization , to manage departmental budgets and identify cost- management… more
- The County of Los Angeles (Los Angeles, CA)
- …SELECTION REQUIREMENTS: OPTION I:One year of experience performing the duties of a Utilization Review Nurse* or Medical Service Coordinator , CCS.** -OR- OPTION ... UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW NURSE SUPERVISOR I… more
- Humana (Jackson, MS)
- …a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are...room, trauma units, etc. + Experience as an MDS Coordinator or discharge planner in an acute care setting… more
- University of Utah Health (Salt Lake City, UT)
- …communication skills. + Demonstrated knowledge of payers, payer systems, cost effective utilization management and InterQual criteria. + The ability to ... and as a team member. **Qualifications** **Qualifications** **Required** + One year Utilization Review or Case Management experience. **Licenses Required** +… more
- John Muir Health (Walnut Creek, CA)
- **Job Description:** The Pharmacy 340B Coordinator acts as the 340B subject matter expert and provides oversight to all 340B Program Covered Entities, ensuring that ... are met. Responsible for day-to-day compliant medication procurement, billing, and inventory management to ensure compliance standards are being upheld and that cost… more
- Veterans Affairs, Veterans Health Administration (Biloxi, MS)
- …knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care ... Summary The Community Care Coordinator Nurse is responsible for executing a streamlined...of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community… more
- HCA Healthcare (Overland Park, KS)
- …Do you want to join an organization that invests in you as a Materials Management Coordinator ? At Overland Park Surgery Center, you come first. HCA Healthcare ... Health Assistance Fund that offers free employee-only coverage to full -time and part-time colleagues based on income. Learn more...a difference. We are looking for a dedicated Materials Management Coordinator like you to be a… more
- HCA Healthcare (Ogden, UT)
- …colleagues invested over 156,000 hours volunteering in our communities. As a Materials Management Coordinator with Ridgeline Surgicenter you can be a part of ... Health Assistance Fund that offers free employee-only coverage to full -time and part-time colleagues based on income. Learn more...our organization. We are looking for an enthusiastic Materials Management Coordinator to help us reach our… more
- Community Health Systems (Las Cruces, NM)
- As a AMR Coordinator at Mountainview Regional Medical Group you'll join a team and be a part of a culture that's dedicated to providing top quality care to our ... patients. Our full -time employees enjoy a robust benefits package which may...loan assistance for eligible roles. **Job Summary** The AMR Coordinator Clinics provides AMR education and development that promotes… more
- PeaceHealth (Ketchikan, AK)
- …Clinical nursing experience in an acute care hospital and + Preferred: Utilization management /quality management experience **Credentials** + Required: ... **Description** **PeaceHealth is seeking a RN Care Coordinator Inpatient - Care Management for...inpatient populations across the continuum of illness, promote effective utilization and monitoring of health care resources, and assumes… more
- HCA Healthcare (Ogden, UT)
- …**_Note: Eligibility for benefits may vary by location._** We are seeking a Materials Management Coordinator for our team to ensure that we continue to provide ... Health Assistance Fund that offers free employee-only coverage to full -time and part-time colleagues based on income. Learn more...compelling, we encourage you to apply for our Materials Management Coordinator opening. We promptly review all… more
- Houston Methodist (Houston, TX)
- …targets for quality and safety. **FINANCE ESSENTIAL FUNCTIONS** + Assists department management in product evaluations and utilization of existing products. ... At Houston Methodist, the Respiratory Services Coordinator position is an advanced clinician who functions within a specific service line patient population or as… more
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