- 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
- 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
- Sanford Health (SD)
- …**Location:** City - Remote SD, SD **Address:** **Shift:** Day **Job Schedule:** Part time **Weekly Hours:** 22.80 **Salary Range:** 19.00 - 28.00 **Department ... Details** opportunity to work remote **Job Summary** Monitors the utilization of resources, risk management and quality of care for patients in accordance to… 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
- Beth Israel Lahey Health (Burlington, MA)
- …you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse Onsite at Lahey Hospital and Medical Center in Burlington ... Case Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality...status patients by working with physicians to ensure appropriate utilization . 9) Is part of the department's… more
- Community Health Systems (Franklin, TN)
- …appropriateness, and efficiency of medical services and procedures in the hospital setting. Utilization review is the assessment for medical necessity, both for ... appropriate additional documentation from the physician(s). + Escalates cases to the Utilization Review Manager and/or Physician Advisor if physicians are unable… more
- Community Health Systems (Franklin, TN)
- …and efficiency of medical services and procedures in a Behavioral Health setting. Utilization review is the assessment for medical necessity, both for admission ... appropriate additional documentation from the physician(s). + Escalates cases to the Utilization Review Manager and/or Physician Advisor if physicians are unable… 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
- Catholic Health Initiatives (Mount Sterling, KY)
- …to their practice. 13. Performs other duties as assigned, including utilization review as necessary. **Qualifications** **Required Education and Experience:** ... Saint Joseph Mount Sterling (https://www.chisaintjosephhealth.org/library/landing/humankindness) **Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of care… more
- HCA Healthcare (Summerville, SC)
- …data to the Quality Department and national benchmarking agency(s) and tracks/encourages the utilization of sepsis order sets. The Coordinator will consult with ... Fund that offers free employee-only coverage to full-time and part -time colleagues based on income. Learn more about Employee...personal growth, we encourage you to apply for our Coordinator Sepsis opening. We promptly review all… more
- Dignity Health (Northridge, CA)
- …Federal or State regulations pertaining to their practice. + Have an understanding of Utilization Review to progress plan of care. + Understand how ... Dignity Health, one of the nation's five largest health care systems. We are part of a 21-state network of nearly 9,000 physicians, 62,000 employees and more than… more
- Oregon State University (Gold Beach, OR)
- …Position Information Department Ext 4-H Yth Dev OffCmpus (TEX) Position Title Coordinator -Outreach Program Job Title 4-H/FCH Program Coordinator Appointment Type ... The Division of Extension and Engagement is seeking an Outreach Program Coordinator . This is a full-time (1.00 FTE ), 12-month, professional faculty position.… more
- Veterans Affairs, Veterans Health Administration (Spokane, WA)
- …by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Contact ###@va.gov for questions. Responsibilities Social ... track service activities including visits, referrals, caregiver demographics, equipment utilization , and caregiver and Veteran satisfaction. Develops implements and… more
- HCA Healthcare (Lewisville, TX)
- …and personal growth, we encourage you to apply for our Administrative Coordinator opening. We promptly review all applications. Highly qualified candidates ... **Description** **Medical City Lewisville** **Ortho Care Coordinator ** **Full Time** **Days** **Introduction** Are you passionate about the patient experience? At… more
- Superior Court of Fulton County (Atlanta, GA)
- …necessary to function effectively in the position. **Performance Aptitudes:** **Data Utilization ** : Requires the ability to review , classify, categorize, ... ADMINISTRATIVE COORDINATOR II **SUPERIOR COURT OF FULTON COUNTY** **JOB...and safety. After joining the Court, you will become part of a fast-paced team dedicated to providing the… more
- Veterans Affairs, Veterans Health Administration (Salt Lake City, UT)
- …by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities This is an OPEN CONTINUOUS ANNOUNCEMENT ... needed. Monitors and tracks data related to COMPACT Act utilization and outcomes, as well as any associated performance...Act care across the health care system. Coordinates the review team for COMPACT Act clinical care reviews, to… more
- PruittHealth (Norcross, GA)
- …of the Director of Episode Assessment Coordination (DEAC), the Episode Assessment Coordinator (EAC) is responsible for prospective review of episode related ... home, rather than just a job - where being part of a family at work is as important...appropriate data elements are included in the POC. + Review visit utilization for appropriateness as per… more
- State of Massachusetts (Boston, MA)
- …Livable Communities (EOHLC)_*__*_is seeking an_**_Individual Homelessness Systems Contracts Coordinator for the Division of Housing Stabilization!_**__* *_AGENCY ... *_OVERVIEW OF ROLE (NOT ALL INCLUSIVE):_* The Individual Homelessness Systems Contracts Coordinator functions as the contract coordinator for homeless service… more
- HCA Healthcare (El Paso, TX)
- …satisfaction and personal growth, we encourage you to apply for our Simulation Coordinator GME opening. We promptly review all applications. Highly qualified ... exciting opportunity for you to join Las Palmas Medical Center which is part of the nation's leading provider of healthcare services, HCA Healthcare. The Simulation… more
- Veterans Affairs, Veterans Health Administration (Largo, FL)
- …intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, ... per established policies and guidelines. Responsibilities The Community Care (CCC) Coordinator Registered Nurse (RN) is responsible for executing a streamlined… more
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