- Hackensack Meridian Health (Perth Amboy, NJ)
- …our mission to transform healthcare and serve as a leader of positive change. The ** Utilization Management Care Coordinator ** is a member of the ... for Nursing **.** **Responsibilities** A day in the life of a ** Utilization Management Care Coordinator ** at **Hackensack Meridian** **_Health_**… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …with the guidance and plans they need for healthy living. JOB SUMMARY: The Utilization Management Care Coordinator works within a multidisciplinary ... UM Care Coordinator 75 Vanderbilt Ave, Staten Island, NY 10304, USA... care team to assist with the care of members enrolled in our Managed Long Term … more
- Hackensack Meridian Health (Edison, NJ)
- …advancing our mission to transform healthcare and serve as a leader of positive change. The ** Care Coordinator , Care Management ** is a member of the ... services. **Responsibilities** A day in the life of a ** Care Coordinator , Care Management...skills. + Familiar with hospital resources, community resources, and utilization management . + Excellent written and verbal… more
- RWJBarnabas Health (Jersey City, NJ)
- Clinical Care Coordinator (RN) Case Management ...of one year experience in Case Management , Utilization Management or Home Care + ... and/or HMO contracts, InterQual and other classifications as designated by the Utilization /Case Management Review Plan. Identifies trends and patterns of… more
- Breaking Ground (New York, NY)
- …to the Assistant Director, Programs, Connect to Care the Clinical Coordinator supervises Case Managers and ensures the utilization of Harm Reduction ... Clinical Coordinator , Connect to Care PENN 1,...for direct reports + Promote effective strategies for case management following Housing First, Harm Reduction, Crisis Prevention Institute… more
- Mount Sinai Health System (New York, NY)
- …and community resources in a team approach to: * Promote timely access to appropriate care * Increase utilization of preventative care * Reduce emergency ... transitions-in- care , and referrals * Increase patients' ability for self- management and shared decision-making * Provide medication reconciliation * Connect… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Job Title: Care Coordinator - Pediatrics Complex Care ** The Care Coordinator is responsible for coordinating care and ... documentation system and assists with the development of standardized reports on quality, utilization , processes and outcomes of the care coordination process. +… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …reviews. The Senior UM Coordinator reports to the Manager, Utilization Management and/or Supervisor, UM Coordinators. Primary Responsibilities + Partner ... About The Role Brighton Health Plan Solutions provides Utilization Management services to its clients....as a SME (subject matter expert) for the UM Coordinator Team. + Support training of new hires. +… more
- Elevance Health (Newark, NJ)
- …with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on the development of care management treatment plans. + May also assist in problem ... meet face to face with patients. The **LTSS Service Coordinator -RN** is responsible for overall management of...services. + May assist with the implementation of member care plans by facilitating authorizations/referrals for utilization … more
- Elevance Health (Morristown, NJ)
- …associates, and may be involved in process improvement initiatives. + Submits utilization /authorization requests to utilization management with documentation ... **LTSS Service Coordinator ** _Location:_ This is a hybrid role. Candidate...management and interdisciplinary team in order to provide care coordination support. + Manages non-clinical needs of members… more
- Comunilife (New York, NY)
- …perform evaluations and maintain Comunilife policies and procedures, quality assurance, utilization review and outreach activities. The Program Coordinator will ... Program Coordinator -(OMH) LIP Washington Heights Job Details Job Location...Precious Program. Responsibilities include but are not limited to management , planning, program development, implementation, monitoring and budgeting. The… more
- VNS Health (Manhattan, NY)
- OverviewProvides care management through a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet member's ... assessing and closely monitoring members' needs and status. Provides care management services and authorizes/ coordinates services...interventions, to determine the effectiveness of the plan of care and the utilization of services. *… more
- VNS Health (Manhattan, NY)
- OverviewProvides care management through a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet member's ... assessing and closely monitoring members' needs and status. Provides care management services and authorizes/ coordinates services...interventions, to determine the effectiveness of the plan of care and the utilization of services. +… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Job Title: Staffing Operations Coordinator -Mount Sinai Hospital-Full Time-Days** The Staffing Operations Coordinator is responsible for ... Office. **Qualifications** **Education Requirements** HS/GED and 4 years of related health care experience, or Associate?s degree and 2 years; Bachelor's or Master?s… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Staffing Office Coordinator is responsible for administrative services including staffing, scheduling, payroll, system orientation and ... based on agreed upon staffing guidelines, models and grids to meet patient care needs, utilizing staff time efficiently and cost effectively. The Staffing Office … more
- RWJBarnabas Health (Somerset, NJ)
- …required + Experience in either Utilization Management , Case Management , Disease Management , Care Coordination, or Discharge Planning Preferred: ... ACO Value Based Program Coordinator (Part-Time) - Somerset, NJReq #:0000173345 Category:Nurse Case...the medical necessity and appropriateness of enrollment in the care management program. + Assesses all assigned… more
- Zufall Health Center (Dover, NJ)
- …the provision of patient-centered, cost effective, high quality care . Patients under the care of the Coordinator will be supported by the development of a ... multi-disciplinary care plan, self- management goals and referrals to... care , recent hospital admission requiring transition of care from hospital to home, high utilization … more
- Breaking Ground (New York, NY)
- …stably housed. Reporting to the Assistant Director, Programs, Outreach t he Clinical Coordinator supervises Case Managers and ensures the utilization of Harm ... strategies and other best - practice clinical interventions to ensure the highest quality care for clients . The Clinical Coordinator is responsible for client… more
- Surgery Care Affiliates (Rutherford, NJ)
- Overview Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of ... patient care . Together, our teammates create value in specialty ...as part of Optum and with our new Specialty Management Solutions business. + We have pioneered a physician-led,… more
- RWJBarnabas Health (New Brunswick, NJ)
- …offices to resolve billing questions and issues + Communicates data to RWJUH Utilization Management Department to assist with the medical review process + ... New Brunswick, NJ 08901 Job Overview: The Transplant Financial Coordinator works with patients and their families beginning with...to help facilitate access to and provide continuity of care . This position is part of a multidisciplinary team… more