- New York State Civil Service (New York, NY)
- NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator , (NY HELPS), New York State Psychiatric Institute, P25685 Occupational ... Qualifications New York State Psychiatric Institue is recruiting for a Utilization Review Coordinator to analyze and evaluate quality, effectiveness, and… more
- 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 (Ontario, CA)
- …Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities The Utilization Review ... education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/181127/ utilization - review - coordinator /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime Healthcare… more
- 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
- UCHealth (Aurora, CO)
- …and take appropriate action. Requirements: + Bachelor's degree. + Experience in Utilization Review preferred. + Experience in substance abuse preferred. We ... improve lives. In big ways through learning, healing, and discovery. In small, personal ways through human connection. But in all ways, we improve lives. UCHealth invests in its Workforce. UCHealth offers a Five Year Incentive Bonus to recognize employee's… more
- Prime Healthcare (Boonton Township, NJ)
- …#LI-MS3 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/172970/ 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
- 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
- Trinity Health (Maywood, IL)
- …at the Westmont office Join our small but mighty team to guide and manage Utilization Review and Management for the Loyola Physician Partners LPP) Health Plan, a ... outpatient referral authorizations. **Great opportunity for a Lead Care Coordinator to work in an organization that focuses on...the daily caseloads of the UR/UM teams. This includes utilization review of inpatient medical and behavioral… 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
- 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
- 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 (Neptune, 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
- 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
- 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
- WMCHealth (Valhalla, NY)
- Asst Utilization Coordinator - Cardiovascular Company: Westchester Medical Center City/State: Valhalla, NY Category: Nursing/Nursing Management Department: ... link Job Details: Internal Posting: 08/29/24 to 09/11/24 Assistant Utilization Coordinator for Cardiovascular **Cardiovascular Experience Preferred Summary:… more
- 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
- 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
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE ... direction, administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one… more
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