- Behavioral Center of Michigan (Warren, MI)
- Under general supervision, the Utilization Review Coordinator provides professional assessment, planning, coordination, implementation and reporting of ... clinical data and supports the operations of Samaritan Behavioral Center. The Utilization Review Coordinator reviews the patient's chart and records clinical… more
- Prime Healthcare (Passaic, NJ)
- …skills. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/189060/ utilization - review - coordinator ... both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able...standards set forth by the Hospital/ Department at UR Coordinator position for at least 6 months.4. 1+ year… more
- Desert Parkway Behavioral Healthcare Hospital (Las Vegas, NV)
- …that 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 for accounts without discharge diagnosis. KEY RESPONSIBILITIES: Initial Authorizations Runs the morning report and identifies all accounts where an authorization doesn't exist and enters appropriate data in the appropriate field to identify the… more
- Prime Healthcare (Boonton Township, NJ)
- …#LI-TS1 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/185117/ utilization - review - coordinator ... outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service… more
- UCHealth (Aurora, CO)
- …Location: UCHealth UCHlth CeDAR, US:CO:Aurora Department: CeDAR Administration FTE: Full Time, 1.0, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $24.11 - ... $36.17 / hour. Pay is dependent on applicant's relevant experience Summary: Facilitates coordination of reimbursement processes for all levels of care to include authorizations, data collection and tracking, internal and external communications.… more
- Lawrence General Hospital (Lawrence, MA)
- … Utilization Review Specialist, under supervision and in collaboration with the Utilization Review Coordinator , Utilization Review Nurses, ... well as the integrated care team and supports the case management/ utilization review team on system-wide quality improvement/performance improvement initiatives.… more
- 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 ... of approvals from insurers. Responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and efficient use of hospital… more
- 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
- Spokane County (Spokane, WA)
- …and discharges or lack of movement toward discharge. + Collaborates with Utilization Review Integrated Care Coordinator regarding continued inpatient ... other related duties as required/assigned. Behavioral Health Administrative Services Organization Utilization Review Integrated Care Coordinator : + Performs… more
- Louisiana Department of State Civil Service (LA)
- …include, but not limited to: Infection Control, Discharge Planning, Quality Assurance, DRG Coordinator , Utilization Review , and Support Service Review . ... including, but not limited to: Infection Control, Discharge Planning, Quality Assurance, DRG Coordinator , Utilization Review , and Support Service Review .… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Utilization Review /Quality Assurance Sr. Coordinator will be responsible for providing clinical information to managed care companies as ... agencies, and other health care related entities. Preferred Qualifications: Utilization Review /Managed Care/Quality Assurance experience. Experience in the… more
- Prime Healthcare (Kankakee, IL)
- …2. Three years of Utilization Review experience as a Medical Review Coordinator - I required. 3. Knowledge of Clinical Pathophysiology and Pharmacology ... and communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work independently and… more
- Comunilife (New York, NY)
- …and maintain Comunilife policies and procedures, quality assurance, utilization review and outreach activities. The Program Coordinator will collaborate with ... Program Coordinator -(OMH) LIP Washington Heights Job Details Job Location...Description Comunilife Inc. is looking to fill a Program Coordinator position for its Life is Precious, Washington Heights… more
- Hackensack Meridian Health (Neptune, NJ)
- …**Hackensack Meridian** **_Health_** includes: + Follows departmental workflows for utilization review activities including admission reviews, admission denials, ... a leader of positive change. The **Care Management, Care Coordinator , Utilization Management** is a member of...as required by payer agencies and initiates physician advisor's review as necessary for unwarranted admissions. + Performs chart… more
- Hackensack Meridian Health (Holmdel, NJ)
- …at Hackensack Meridian _Health_ includes: + Follows departmental workflows for utilization review activities including admission reviews, admission denials, ... serve as a leader of positive change. The **Care Coordinator , Utilization Management** is a member of...as required by payer agencies and initiates physician advisor's review as necessary for unwarranted admissions. + Performs chart… more
- Select Medical (Los Angeles, CA)
- …caseload. + Coordinates with other departments, ie: Pre-Admissions, Admissions, Patient Accounts, Utilization Review , PPS Coordinator , etc., to assure ... time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and appropriate… more
- LifeCenter Northwest (Bellevue, WA)
- Organ Utilization Coordinator I Job Details Job Location Bellevue - Bellevue, WA Position Type Full Time Salary Range $66,122.00 - $95,904.00 Salary Description ... and Qualifications The Organ Utilization Coordinator (OUC) is accountable for all...after one year of service is complete. A comprehensive review of benefits can be found at https://lcnw.org/about/employment-opportunities/. The… more
- Trinity Health (Syracuse, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** The RN Utilization Management Nurse Coordinator is responsible for both concurrent and ... retrospective inpatient and outpatient services, in accordance with the utilization requirements and 3rd party payor contracts. The UM department is responsible for… 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: 09/04/24 to 09/17/24 Assistant Utilization Coordinator Summary: Under general supervision, an incumbent of… more
- Integra Partners (Troy, MI)
- The UM Coordinator assists and supports the clinical team (UM Nurses/Medical Director) with administrative and non-clinical tasks related to processing ... Utilization Management prior authorization sand appeals. JOB RESPONSIBILITIES +...RESPONSIBILITIES + Monitor incoming faxes + Enter UM authorizations review requests in UM platform using ICD-10 and HCPCS… more
Related Job Searches:
Care Coordinator Utilization Review,
Coordinator,
Review,
Review Coordinator,
Utilization,
Utilization Review,
Utilization Review Coordinator PRN,
Utilization Review Coordinator Part,
Utilization Review Coordinator Per,
Utilization Review Coordinator RN