• Utilization Review

    New York State Civil Service (Buffalo, NY)
    NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator , (NY HELPS), Buffalo Psychiatric Center, P25397 Occupational Category Health ... Class Competitive Class Travel Percentage 0% Workweek Mon-Fri Hours Per Week 40 Workday From 6 AM To 6...Minimum Qualifications Buffalo Psychiatric Center is recruiting for a Utilization Review Coordinator to analyze… more
    New York State Civil Service (11/15/24)
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  • Utilization Review Nurse…

    State of Connecticut, Department of Administrative Services (East Hartford, CT)
    Utilization Review Nurse Coordinator (40...East Hartford, CT. Position Highlights: + Full-time, 40 hours per week + First (1st) shift + Monday - Friday: ... (https://portal.ct.gov/dds/searchable-archive/northregion/north-region/welcome-to-the-north-region?language=en\_US) - is accepting applications for a full-time Utilization Review Nurse Coordinator more
    State of Connecticut, Department of Administrative Services (11/07/24)
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  • Utilization Review

    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
    Behavioral Center of Michigan (10/22/24)
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  • UM Coordinator - Utilization

    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
    Hackensack Meridian Health (10/28/24)
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  • Care Coordinator , Utilization

    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
    Hackensack Meridian Health (11/15/24)
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  • Care Coordinator , Utilization

    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
    Hackensack Meridian Health (11/14/24)
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  • Organ Utilization Administrative…

    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...duties of this position will typically require 37 hours per week. Because of the nature of this position… more
    LifeCenter Northwest (09/07/24)
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  • Utilization Review

    UCHealth (Aurora, CO)
    …and take appropriate action. Requirements: + Bachelor's degree. + Experience in Utilization Review preferred. + Experience in substance abuse preferred. We ... 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.… more
    UCHealth (09/30/24)
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  • Organ Utilization Coordinator I

    LifeCenter Northwest (Bellevue, WA)
    Organ Utilization Coordinator I Job Details Job Location...Health Time Off hours that is earned 1 hour per 30 worked, paid living donor leave, two weeks paid ... Salary Range $66,122.00 - $95,904.00 Salary Description and Qualifications The Organ Utilization Coordinator (OUC) is accountable for all activities related to… more
    LifeCenter Northwest (10/18/24)
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  • Utilization Management Care…

    Sharp HealthCare (San Diego, CA)
    Coordinator , under the direct supervision of the Supervisor, Utilization Management Care Coordinators, prepares referral requests for outpatient services, ... well as the SCMG operation documents as appropriate for approval at the UM Care Coordinator level of review .Appropriately identify claims for review by the… more
    Sharp HealthCare (11/10/24)
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  • Utilization Review Nurse Supervisor…

    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
    The County of Los Angeles (09/30/24)
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  • Utilization Review Coord

    Covenant Health Inc. (Louisville, TN)
    Overview Utilization Review Coordinator , Quality Management Full Time, 80 Hours Per Pay Period, Day Shift Peninsula Overview: Peninsula, a division of ... services and assigns initial number of days / sessions per third party payor requirements. + Works collaboratively with...or retrospective utilization data. + Monitors current utilization review criteria and length of stay… more
    Covenant Health Inc. (11/05/24)
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  • RN- Utilization Review - HS Case…

    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
    Baptist Memorial (10/17/24)
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  • Integrated Care Coordinator

    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
    Spokane County (11/09/24)
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  • RN-Care Coordinator

    Access Dubuque (Dubuque, IA)
    …payers to assist in planning and executing a safe discharge. + Collaborate with Utilization Management team on continued stay review . + Educates patients and ... RN-Care Coordinator **UnityPoint Health Finley Hospital** 1 Positions ID:...elimination of fragmentation of care/service and facilitates the effective utilization of resources. Serves as educator and a central… more
    Access Dubuque (11/15/24)
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  • RN Care Coordinator - Wellness - Per

    Guthrie (Sayre, PA)
    …and autonomy in nursing practice. Preferred experience with PCMH process, care management/ utilization review , and payer knowledge. Fast paced ambulatory care ... Summary Care Coordinator /Wellness Nurse- Per Diem will assist in coordinating the medical management of patients, using an outcomes-based approach. In… more
    Guthrie (10/31/24)
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  • Care Coordinator , Care Management…

    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
    Hackensack Meridian Health (11/05/24)
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  • Clinical Care Coordinator -Unit (RN),…

    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
    Nuvance Health (10/11/24)
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  • Care Coordinator (LSW/LCSW or RN)…

    Hackensack Meridian Health (Brick, NJ)
    …to transform healthcare and serve as a leader of positive change. The Care Coordinator , Care Management is a member of the healthcare team and is responsible for ... **Responsibilities** A day in the life of a Care Coordinator , Care Management at Hackensack Meridian _Health_ includes: 1....or meetings. 8. Identifies and refers quality issues for review to the Quality Management Program. 9. Participates in… more
    Hackensack Meridian Health (11/13/24)
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  • Care Coordinator - St. Peter's Hospital…

    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
    Trinity Health (09/21/24)
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