• Utilization Review

    New York State Civil Service (New York, NY)
    NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator , (NY HELPS), NYC Children's Center, Queens Campus, P25875 Occupational ... 11426 Minimum Qualifications NYC Children's Center is recruiting for a Utilization Review Coordinator to analyze and evaluate quality, effectiveness, and… more
    New York State Civil Service (11/23/24)
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  • Utilization Review

    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
    Behavioral Center of Michigan (10/22/24)
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  • Utilization Review Nurse…

    State of Connecticut, Department of Administrative Services (East Hartford, CT)
    Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment # 241106-5613FP-001 Location East Hartford, CT Date Opened 11/7/2024 12:00:00 AM ... (https://portal.ct.gov/dds/searchable-archive/northregion/north-region/welcome-to-the-north-region?language=en\_US) - is accepting applications for a full-time Utilization Review Nurse Coordinator more
    State of Connecticut, Department of Administrative Services (11/07/24)
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  • Utilization Review /Quality…

    SUNY Upstate Medical University (Syracuse, NY)
    Job Summary: The Utilization Review Quality Assurance Coordinator is responsible for all compliance related paperwork and ensures paperwork is completed in a ... Monitor open encounters and report any issues to the Business Manager. Review utilization of services in order to comply with regulatory and institutional… more
    SUNY Upstate Medical University (09/18/24)
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  • Utilization Review Coord

    Covenant Health Inc. (Louisville, TN)
    Overview Utilization Review Coordinator , Quality Management Full Time, 80 Hours Per Pay Period, Day Shift Peninsula Overview: Peninsula, a division of ... review or retrospective utilization data. + Monitors current utilization review criteria and length of stay norms. + Assists with education of physicians… more
    Covenant Health Inc. (11/05/24)
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  • Utilization Review - RN (999999.33)…

    Bitterroot Health (Hamilton, MT)
    …EMPLOYER 2022 & 2023 State of Montana "EMPLOYER OF CHOICE" 2022 RN - Utilization Review Coordinator opportunity in beautiful Hamilton, Montana!! Bitterroot ... Health is seeking candidates to fill a Utilization Review (UR) Coordinator Registered Nurse position. The UR Coordinator ensures that patients get the… more
    Bitterroot Health (11/07/24)
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  • UR Coordinator

    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
    San Antonio Behavioral Health (11/20/24)
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  • UM Coordinator - Utilization

    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
    Hackensack Meridian Health (10/28/24)
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  • Integrated Care Coordinator

    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
    Spokane County (11/18/24)
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  • LIP Program Coordinator - Long Island

    Comunilife (Hempstead, NY)
    …and maintain Comunilife policies and procedures, quality assurance, utilization review and outreach activities. The Program Coordinator will collaborate with ... LIP Program Coordinator - Long Island Job Details Job Location Hempstead,...Description Comunilife Inc. is looking to fill a Program Coordinator position for its Life is Precious, Long Island,… more
    Comunilife (10/22/24)
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  • Care Coordinator , Utilization

    Hackensack Meridian Health (Holmdel, NJ)
    …**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
    Hackensack Meridian Health (11/21/24)
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  • Care Coordinator , Utilization

    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
    Hackensack Meridian Health (11/14/24)
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  • Case Manager (CM) - Registered Nurse (RN)…

    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
    Select Medical (11/22/24)
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  • Organ Utilization Coordinator I

    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
    LifeCenter Northwest (10/18/24)
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  • Organ Utilization Administrative…

    LifeCenter Northwest (Bellevue, WA)
    Organ Utilization Administrative Coordinator Job Details Job Location Bellevue - Bellevue, WA Position Type Full Time Salary Range $23.55 - $34.15 Hourly ... Description and Qualifications The Organ Utilization Administrative Coordinator is responsible for supporting the Organ Utilization Director and the… more
    LifeCenter Northwest (09/07/24)
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  • Utilization Management Coordinator

    Trinity Health (Pontiac, MI)
    …RN licensure within the State of Michigan. Certified Professional in Utilization Review /Management preferred. **C** **Special Skill / Aptitudes** Understanding ... care utilization management experience. Knowledge of regulations relative to utilization review . Knowledge of Federal, State and Local regulations sources.… more
    Trinity Health (10/09/24)
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  • Utilization Reviewer Coordinator

    Wellpath (Fort Lauderdale, FL)
    …and point of care support. **How you make a difference** The Utilization Review Coordinatorwill perform admission and continued-stay reviews. This position ... care setting, preferably inpatient preferred. + Minimum one (1) year clinical or utilization review or case management preferred. + Knowledge of managed care… more
    Wellpath (11/22/24)
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  • Utilization Management Coordinator

    TEKsystems (Baltimore, MD)
    …assisting with non-clinical administrative tasks and responsibilities related to pre-service utilization review care coordination and quality of care. ESSENTIAL ... Reviews authorization requests for initial determination and/or triages for clinical review and resolution. 20 Provides general support and coordination services for… more
    TEKsystems (11/21/24)
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  • Utilization Management Intensive Case…

    UCLA Health (Los Angeles, CA)
    …can do all this and more at UCLA Health. Under the direction of the Utilization Management, Assistant Manager, you will play a key role in processing and managing ... referrals and authorizations following established procedures within the medical group utilization department + Prepare and process referrals according to Delegation… more
    UCLA Health (09/01/24)
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  • Utilization Management Coordinator

    Sanford Health (ND)
    …28.00 **Department Details** Opportunity to work remotely. **Job Summary** Monitors the utilization of resources, risk management and quality of care for patients in ... hospitalization to ascertain medical necessity and appropriateness. Assists with retrospective review of specified charts as required. Ability to interact on an… more
    Sanford Health (11/21/24)
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