- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment # 241106-5613FP-001 Location East Hartford, CT Date Opened 11/7/2024 12:00:00 ... Region (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
- Bitterroot Health (Hamilton, MT)
- …Hamilton, Montana!! Bitterroot Health is seeking candidates to fill a Utilization Review (UR) Coordinator Registered Nurse position. The UR ... State of Montana "EMPLOYER OF CHOICE" 2022 RN - Utilization Review Coordinator opportunity in...resources that are available in the hospital. The UR Coordinator is responsible for organizing and facilitating day to… more
- New York State Civil Service (New York, NY)
- NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator , (NY HELPS), New York State Psychiatric Institute, P25685 Occupational ... 10032 Minimum Qualifications New York State Psychiatric Institue is recruiting for a Utilization Review Coordinator to analyze and evaluate quality,… 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 ... 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
- 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 ... and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General...REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered Nursing.… more
- Hackensack Meridian Health (Holmdel, 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 (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
- UCLA Health (Los Angeles, CA)
- …and logs + Monitor members/patients followed by Case Management + Work directly with a nurse team lead + Review pending claims for approval or denial Salary ... more at UCLA Health. Under the direction of the Utilization Management, Assistant Manager, you will play a key...and prepare necessary documents for the next level of review + Maintain and prepare specific reports and manage… more
- Veterans Affairs, Veterans Health Administration (New Orleans, LA)
- Summary The Nurse - Community Care Coordinator is responsible for all elements of the nursing process when providing and/or supervising direct patient care. ... self-management, and customer satisfaction during the continuum of care. Responsibilities The Nurse Community Care Coordinator is responsible for executing a… more
- Actalent (Santa Barbara, CA)
- …Plan Nurse Coordinator Non-profit healthcare network is looking for a utilization management registered nurse to join their team on a contract basis! ... to work a 3-month contract + Medi-Cal Experience + Utilization Management WHAT'S IN IT FOR YOU: + Remote...with a leading healthcare organization Description: The Health Plan Nurse Coordinator (HPNC) is a Registered … more
- HCA Healthcare (El Paso, TX)
- …apart from any other healthcare provider. We are seeking a(an) Registered Nurse ** **Clinical Informatics Coordinator ** **to join our healthcare family.** ... empowers their passion for patient care. Apply today for our** **Registered Nurse Clinical Informatics Coordinator ** **opportunity.** **Del Sol Medical Center… more
- HCA Healthcare (Salem, VA)
- …path, we encourage you to apply for our RN Clinical Nurse Coordinator General Surgical opening. We review all applications. Qualified candidates will be ... **Description** **Introduction** Do you have the career opportunities as an RN Clinical Nurse Coordinator General Surgical you want in your current role? We… more
- UPMC (Pittsburgh, PA)
- UPMC Your Care is hiring Nurse (RN) Clinical Care Coordinator . Your territory will be in the various locations for Pittsburgh and Monroeville areas. You will be ... The office is located at Harbor Gardens, 1650 Metropolitan Street, 15233. The Nurse Clinical Care Coordinator is responsible for delivery of nursing assessment… more
- CommuniCare Health Services Corporate (Akron, OH)
- Registered Nurse (RN), Mobile MDS Coordinator CommuniCare Health Services is currently looking for a Registered Nurse to fill the key position of RN Mobile ... MDS Coordinator for its skilled nursing facilities throughout our Midwest...visits to facilities for intervention, audit and training + Review resident clinical records for coverage, utilization ,… more
- WellSpan Health (Mount Gretna, PA)
- Care Nurse Coordinator RN - Child Adolescent...with Case Management as indicated. + Participates in the review of policy and procedures on an ongoing basis ... care and treatment progress. + Participates in daily communication with primary nurse , communicating any clinical concerns and assist in developing an action plan… 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 ...in the electronic medical record + Communicates with authorization coordinator + Communicates in-house high dollar case information Completes… more
- 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
- Corewell Health (Taylor, MI)
- …patients. 1. Identifies patients that need care management services (ie utilization review ; care coordination; and/or discharge/transition planning). 2. ... Care Coordinator for Rehab Services PRN/Casual position- hours will...experience Three to five years' experience in care management, utilization review , home care and/or discharge planning.… more
- InnovaCare (San Juan, PR)
- …MMM Holdings, Inc.Job Description Inpatient Unit POSITION: Concurrent Review Nurse (CRN) POSITION DESCRIPTION Manages the inpatient utilization of healthcare ... review admissions and continued stay to determine appropriate Utilization , Quality Assurance, Risk Management and Discharge Planning Needs.2. Validates all… more
- HCA Healthcare (Brentwood, TN)
- …satisfaction and personal growth, we encourage you to apply for our Coordinator Clinical Informatics opening. We promptly review all applications. Highly ... We care like family! Jump-start your career as a Clinical Informatics Coordinator today with Tristar Health. **Benefits** Tristar Health offers a total rewards… more
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