- Community Health Systems (Franklin, TN)
- **Job Summary** The Utilization Review Coordinator ensures efficient and effective management of utilization review processes, including denials and ... timely authorizations for hospital admissions and extended stays. The Utilization Review Coordinator monitors and...physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the… 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 ... environments with ongoing family involvement and support. As the Utilization Review Coordinator at Devereux...member of our team, you will be a significant part of our commitment to providing a welcoming and… 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 ... transform healthcare and serve as a leader of positive change. The ** Utilization Management Coordinator ** utilizes clinical knowledge and understanding of… more
- Houston Behavioral Healthcare Hospital (Houston, TX)
- … Utilization Management Coordinator will report to the Director of Utilization Review and will be responsible to provide quality case management services ... with each step we take together. Houston Behavioral Healthcare Hospital (HBHH) currently has an opening for Part -time Utilization Management Coordinator . The… more
- Evolent (Annapolis, MD)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management** at Evolent will serve as a point of ... requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly to the… more
- Veterans Affairs, Veterans Health Administration (El Paso, TX)
- …intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, ... the continuum of care. Responsibilities The Community Care (CC) Coordinator Registered Nurse (RN) is responsible for executing a...with your application if you are basing all or part of your qualifications on education. Additional Information This… more
- South Middlesex Opportunity Council (Framingham, MA)
- …Conditions: As part of the responsibilities of this position, the Utilization Management Coordinator will have direct or incidental contact with clients ... and families. This position will coordinate billing and monitor utilization review for the Clinic and Residential...match starting on day one for all full-time and part -time employees. + Additional voluntary benefits including; Term and… more
- Saint Francis Health System (Tulsa, OK)
- …participates in the Patient Care Committee for patient care reviews, and in Utilization Review Staff Committee, providing data and contributing to improvement of ... support to the hospital and treatment team throughout the review of patients, their placement in various levels of...4 years of related experience in behavioral health care, part of which may be experience in Behavioral health… more
- Sharp HealthCare (San Diego, CA)
- …requirements for the position, and employer business practices. **Please Note:** As part of our recruitment process, you may receive communication from Dawn, our ... patient under assigned workload initially and reviews based on review of care plan.Makes rounds and sees every patient...departmental guidelines during hospital stay beginning with the admission review of the case manager and reviews with the… more
- The County of Los Angeles (Los Angeles, CA)
- …OPTION I:One year of experience performing the duties of a Utilization Review Nurse* or Medical Service Coordinator , CCS.** -OR- OPTION II: Two (2) ... UTILIZATION REVIEW NURSE SUPERVISOR I Print...In the County of Los Angeles, a Medical Service Coordinator , CCS (https://www.governmentjobs.com/careers/lacounty/classspecs/1065117) determines medical eligibility of children referred… more
- University of Utah Health (Salt Lake City, UT)
- …and as a team member. **Qualifications** **Qualifications** **Required** + One year Utilization Review or Case Management experience. **Licenses Required** + ... Criteria, knowledge of ICD-9, DRG's and CPT Codes. + Utilization Review Certification designation. + Knowledge of...Statement** _University of Utah Health Hospitals and Clinics, a part of The University of Utah, values candidates who… more
- Tenet Healthcare (Detroit, MI)
- …of care and appropriate level of care Mentor and monitor work delegated to Utilization Review LVN/LPN and/or Authorization Coordinator as needed. (5% daily, ... RN Utilization Review - Case Management -...RN Utilization Review - Case Management - 2506004107 Description :...growth and work-life balance. Ready to be a vital part of our mission? Apply today and bring your… more
- Humana (Jackson, MS)
- **Become a part of our caring community and help us...in an acute care setting + Previous experience in utilization management/ utilization review for a ... put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to...communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- … Utilization Review services to its clients. The UM Denials Coordinator supports the Utilization Management function by reviewing denied and partially ... judgment, and the ability to manage competing priorities. Primary Responsibilities + Review denied authorization cases within the Utilization Management system… more
- UNC Health Care (Hendersonville, NC)
- …for behavioral health services. Working closely with behavioral health clinicians, utilization review , case management, and finance teams, the Intake ... **Description** Become part of an inclusive organization with over 40,000...appropriate care transition and patient placement. + Liaise with utilization review , psychiatry leadership, risk management, and/or… more
- Veterans Affairs, Veterans Health Administration (Fargo, ND)
- …The Fargo VA Health Care System is recruiting for 1 full-time Program Coordinator for the Rural Access for Network Growth Enhancement (RANGE) program. This position ... will be filled by a Social Worker (Program Coordinator ) or a Licensed Professional Mental Health Counselor (Program Coordinator ). This position is eligible for… 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
- HCA Healthcare (Gainesville, FL)
- …and improve the patient flow program effectiveness as it relates to utilization review , resource management, and discharge planning and care coordination. ... opportunity to make a real impact. As a(an) RN Coordinator Patient Throughput you can be a part...PCP's to address and resolve issues related to facility utilization and patient flow process and facilitate strong working… more
- Hartford HealthCare (Southington, CT)
- …patient care decisions to support optimal clinical and operational outcomes. They review visit utilization for care appropriateness and collaborate with ... we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network as a Hospice Workflow Coordinator… more
- Hartford HealthCare (Southington, CT)
- …patient care decisions to support optimal clinical and operational outcomes. They review visit utilization for care appropriateness and collaborate with ... what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network as a Oasis Workflow Coordinator… more
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