- Behavioral Center of Michigan (Warren, MI)
- Under general supervision, the Utilization Review Coordinator provides professional assessment, planning, coordination, implementation and reporting of ... and supports the operations of Samaritan Behavioral Center. The Utilization Review Coordinator reviews the...processes requests for appeal of denials. Responds to complaints per UR guidelines. Maintains utilization review… 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
- 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
- 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 ... the UR Director, retrieves required documentation from the patient's medical record per EMR for daily discharges and processes according to payor requirements. When… more
- UCHealth (Aurora, CO)
- …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. Responsibilities: + Manages… 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 ... and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General...title, beginning and ending dates, number of hours worked per week, and description of work performed.If your application… 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 ... position will vary with work up to 40 hours per week. **Essential Duties:** + Initial clinical assessments, continued...documentation from the physician(s). + Escalates cases to the Utilization Review Manager and/or Physician Advisor if… more
- Baptist Memorial (Jackson, MS)
- Summary The Utilization Review Nurse is responsible for evaluating the medical necessity and appropriateness of healthcare services and treatment as prescribed ... by utilization review standards. The UR Nurse works...Responsibilities + Completes and enters inpatient and observation admission review against standard criteria per payer guidelines… more
- Hackensack Meridian Health (Manahawkin, NJ)
- …mission to transform healthcare and serve as a leader of positive change. The **Care Coordinator , Care Management Per Diem** is a member of the healthcare team ... **Responsibilities** A day in the life of a **Care Coordinator , Care Management** ** Per Diem** at **Hackensack...or meetings. + Identifies and refers quality issues for review to the Quality Management Program. + Participates in… more
- Nuvance Health (Danbury, CT)
- …principal liaison between emergency services, surgical services, nursing, finance, physicians, utilization review and medical records to ensure appropriate ... per diem Shift: variable Summary: The Clinical Care Coordinator - Unit is responsible for providing direction and...level within the care continuum. Provides clinically based concurrent review of the medical record to assess and procure… more
- Trinity Health (Albany, NY)
- **Employment Type:** Part time **Shift:** Rotating Shift **Description:** **Care Coordinator - St. Peter's Hospital - Per Diem - Rotating** Under the direction ... the treatment and discharge plan. + Collaborate with clinical care teams to review for medical necessity and medical appropriateness of mental health and chemical… more
- City and County of San Francisco (San Francisco, CA)
- …SFO teams. For more information about this position, please review the 1844 Asset Coordinator Job Description ... - $129,454 Annually. + Work Schedule: Full-time, 40 hours per week. Shift times will vary, and employees must...SFO teams. For more information about this position, please review the 1844 Airport Systems Coordinator Job… 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 ... of Extension and Engagement is seeking an Outreach Program Coordinator . This is a full-time (1.00 FTE ), 12-month,...the division's reporting system for the internal civil rights review . 5% - Service and Other + Facilitate a… 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
- Veterans Affairs, Veterans Health Administration (Biloxi, MS)
- …intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, ... Summary The Community Care Coordinator Registered Nurse is responsible for executing a...Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days… more
- PruittHealth (Norcross, GA)
- …appropriate data elements are included in the POC. + Review visit utilization for appropriateness as per care guidelines, best practices, and patient ... of the Director of Episode Assessment Coordination (DEAC), the Episode Assessment Coordinator (EAC) is responsible for prospective review of episode related… more
- Atlantic Health System (Florham Park, NJ)
- …plan, including transfer eligibility, level of care, resource prioritization & utilization , timely acceptance, and appropriate priority and mode of transport. + ... as assigned. + Accurately completes and transmits all required documentation per policies/procedures. + Generates regular and on demand reports as assigned.… more
- Veterans Affairs, Veterans Health Administration (Balcones Heights, TX)
- Summary The Suicide Prevention Coordinator (SPC) facilitates implementation of suicide prevention strategies at the local level through education, monitoring, & ... veteran's care plan address ongoing assessment of suicide risk, review of safety plans, etc. Ensures the required frequency...Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days… more
- ProMedica Health System (Sylvania, OH)
- …years clinical experience in a patient care setting. Previous experience with utilization review , marketing, care transitions, customer service, and/or inpatient ... The Transition Coordinator is responsible for managing referrals and coordinating...the Flower Rehab Center. This role involves medical record review and interaction with internal and external physicians, nursing,… more
- University of Colorado (Aurora, CO)
- **Clinic Coordinator (Program Assistant I)** **Description** **University of Colorado Anschutz Medical Campus** **Department: Dental Clinic Comprehensive Care** ... **Job Title: Clinic Coordinator (Program Assistant I)** **Position: # 00650131 - Requisition:...train new undergraduate dental students in clinic operations (eg, utilization of clinic support operations and program administrative support)… more
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