- Hackensack Meridian Health (Neptune, NJ)
- …to transform healthcare and serve as a leader of positive change. The ** Care Management , Care Coordinator , Utilization Management ** is a member ... of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to… more
- Hackensack Meridian Health (Holmdel, NJ)
- …our mission to transform healthcare and serve as a leader of positive change. The ** Care Coordinator , Utilization Management ** is a member of the ... of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to… more
- Spokane County (Spokane, WA)
- …Health Administrative Services Organization Utilization Review Integrated Care Coordinator : + Performs utilization management , utilization ... or lack of movement toward discharge. + Collaborates with Utilization Review Integrated Care Coordinator ...or concurrent review of behavioral health inpatient and outpatient care management . + Determines medical necessity for… 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
- MetroHealth (Brooklyn Heights, OH)
- …activities. Works with selected patients as assigned. Assists the Care Coordinator with access and utilization management , proactive patient panel ... ** Care Navigator - Care Management...and more than 20 health centers.** **Summary:** **Assists the Care Coordinator and the interdisciplinary medical home… more
- Evolent Health (Columbus, OH)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management ** at Evolent will serve as a ... regulatory requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly… more
- ManpowerGroup (Rancho Cucamonga, CA)
- **Job Title: Utilization Management Outpatient** **Duration: 6 months** **Location: Rancho Cucamonga, CA (Hybrid, Twice in a month)** **Pay rate: $23.98/hr.** ... **We are looking for an Utilization Management Outpatient** **to join one of...standards for appropriate authorizations of referrals at the UM Coordinator level. + Responsible for representing the Inland Empire… more
- 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 AM Salary ... - is accepting applications for a full-time Utilization Review Nurse Coordinator (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5613FP&R1=&R3=)… more
- Behavioral Center of Michigan (Warren, MI)
- …all state mandated regulations. Maintains compliancy with regulation changes affecting utilization management . Reviews patient recrods and evaluates patient ... Under general supervision, the Utilization Review Coordinator provides professional assessment,...and advises physicians and other departments of regulations affecting utilization management . Consults with Social Services Department… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …to transform healthcare and serve as a leader of positive change. The Utilization Management Coordinator utilizes clinical knowledge and understanding of ... of care setting for continued treatment. Employs the utilization management process to assist in setting priorities, planning, organizing, and implementing… more
- 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 the Organ Utilization Director and the… more
- Trinity Health (Pontiac, MI)
- …outside customers and community groups. **D.** **Experience** Three years recent acute care utilization management experience. Knowledge of regulations ... RN licensure within the State of Michigan. Certified Professional in Utilization Review/ Management preferred. **C** **Special Skill / Aptitudes** Understanding… more
- Henry Ford Health System (Troy, MI)
- …Pharmacy Benefits Coordinator facilitates the operations of the Pharmacy Care Management department by organizing, improving, and implementing pharmacy ... benefit management policies and procedures. Major areas of responsibility include...experience or the equivalent. Additional Information + Organization: Community Care Services + Department: Pharmacy- Utilization Mgmt +… more
- TEKsystems (Baltimore, MD)
- Description: PURPOSE: Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to ... pre-service utilization review ...support which may include benefit verification authorization creation and management claims inquiries and case documentation. 35 Reviews authorization… more
- UCLA Health (Los Angeles, CA)
- …You can do all this and more at UCLA Health. Under the direction of the Utilization Management , Assistant Manager, you will play a key role in processing and ... vital role within a leading health organization. Help ensure smooth and efficient case management processes to support quality care . Take your expertise to the… more
- Wellpath (Fort Lauderdale, FL)
- …Minimum one (1) year clinical or utilization review or case management preferred. + Knowledge of managed care regulations required. Licenses/Certifications + ... prevent unnecessary re-hospitalization. + Provide counsel and in-service training on utilization management practices as applicable. + Identify alternative… more
- Sanford Health (ND)
- …to work remotely. **Job Summary** Monitors the utilization of resources, risk management and quality of care for patients in accordance to established ... multiple administrative duties including accurate record keeping and electronic data management when needed. Ability to work with growth and development needs… more
- Access Dubuque (Dubuque, IA)
- RN- Care Coordinator **UnityPoint Health Finley Hospital** 1 Positions ID: 36229590 Posted On 07/10/2024 **Job Overview** **Overview** The Care Coordinator ... in a timely, legible manner. + Integrates with ambulatory care management team, especially with high risk,...planning and executing a safe discharge. + Collaborate with Utilization Management team on continued stay review.… more
- Fairview Health Services (Woodbury, MN)
- …minimum of 2 shifts per month to keep their casual status current. This Patient Care Management Coordinator provides comprehensive care coordination of ... looking for you to join our outstanding team! **Casual Care Management RN position This position is...patients as assigned. The care coordinator assesses the patient's plan of care … more
- Community Based Care of Brevard, Inc. (Seminole County, FL)
- …the family as the family and youth work through the program. The PLL Care Coordinator will facilitate teen breakout therapy groups and co-facilitate family ... Starting Salary: $45,000/year Position Summary: This position provides Care Coordination/Case Management in the Parenting...application for daily entry of case activity and the utilization management of service authorizations. 2+ years… more