- New York State Civil Service (Syracuse, NY)
- NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator , (NY HELPS), Hutchings Psychiatric Center, P26038 Occupational Category ... Class Non-competitive Class Travel Percentage 0% Workweek Mon-Fri Hours Per Week 40 Workday From 6 AM To 6...Duties Description Hutchings Psychiatric Center is recruiting for a Utilization Review Coordinator to analyze… more
- 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
- 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...work. We offer:** + **Paid time off** (24 days per year, increase with years of service); **Sick time**… more
- Georgetown Behavioral Health Institute (Georgetown, TX)
- …is a 118 bed inpatient behavioral health hospital and seeking a full-time Outpatient Utilization Review Coordinator . This position is responsible for working ... access the full range of their benefits through the utilization review process. Requirements + Education: Master's...the ability to type a minimum of 30 words per minute. + Must have excellent communication skills and… more
- PeaceHealth (Eugene, OR)
- **Description** PeaceHealth is seeking a RN Admissions Coordinator / Utilization Review - Psychiatric Unit for a Per Diem/Relief, 0.00 FTE, Variable ... / Location Specific Notes** Oregon: Assumes job functions of a Transfer Coordinator as needed. CareConnect access. PeaceHealth is committed to the overall wellbeing… 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...Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days… more
- South Middlesex Opportunity Council (Framingham, MA)
- …individuals, children and families. This position will coordinate billing and monitor utilization review for the Clinic and Residential Recovery Programs. ... fashion, for the RRS and outpatient clinic programs. + Review denials and partially paid claims and resolve discrepancies....As part of the responsibilities of this position, the Utilization Management Coordinator will have direct or… 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 ... status - requires a minimum number of worked hours per month as needed by the department; limited benefit...support to the hospital and treatment team throughout the review of patients, their placement in various levels of… more
- Sharp HealthCare (San Diego, CA)
- …and roundsReviews every patient under assigned workload initially and reviews based on review of care plan.Makes rounds and sees every patient identified per ... departmental guidelines during hospital stay beginning with the admission review of the case manager and reviews with the Case Manager Lead, as needed.Keeps SRS… 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
- 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
- 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** + ... of InterQual Criteria, knowledge of ICD-9, DRG's and CPT Codes. + Utilization Review Certification designation. + Knowledge of CMS Regulations. **Working… 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 :...on Medical Necessity and submits case for Secondary Physician review per Tenet policy Ensures timely communication… more
- LifeCenter Northwest (Bellevue, WA)
- … (OUM) provides strategic leadership and operational oversight for the Organ Utilization Coordinator Team (OUCT), directing key aspects of abdominal organ ... JOB FUNCTIONS General Responsibilities + Lead and engage daily with the Organ Utilization Coordinator (OUC) team in donor case operations, developing and… more
- State of Indiana (Indianapolis, IN)
- …The role of Utilization Management Manager oversees the integration of utilization review , clinically appropriate care and risk management for the purpose ... Utilization Management Manager Date Posted: Jan 6, 2026...and consultants on program requirements and usage. + Develop, coordinator , and deliver communication plans and communications. + Preside… more
- Humana (Jackson, MS)
- … or discharge planner in an acute care setting + Previous experience in utilization management/ utilization review for a health plan or acute care ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to...of starting base pay for full time (40 hours per week) employment at the time of posting. The… 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
- HCA Healthcare (El Paso, TX)
- …find this opportunity compelling, we encourage you to apply for our EMI Coordinator opening. We promptly review all applications. Highly qualified candidates ... may vary by location._** We are seeking a(an) EMI Coordinator for our team to ensure that we continue...equipment, and instrumentation needed to perform assigned procedures, as per physician's preference card, are gathered prior to the… more
- John Muir Health (Walnut Creek, CA)
- **Job Description:** The Pharmacy 340B Coordinator acts as the 340B subject matter expert and provides oversight to all 340B Program Covered Entities, ensuring that ... of the 340B program. Reports any deficiencies identified during auditing and review for appropriate resolution. + Ensures that the 340B pharmacy program is… 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 ... to ensure appropriate care transition and patient placement. + Liaise with utilization review , psychiatry leadership, risk management, and/or legal department as… more