• Integrated Care Coordinator (SCRBH)…

    Spokane County (Spokane, WA)
    …and discharges or lack of movement toward discharge. + Collaborates with Utilization Review Integrated Care Coordinator regarding continued inpatient stay ... related duties as required/assigned. Behavioral Health Administrative Services Organization Utilization Review Integrated Care Coordinator : + Performs… more
    Spokane County (08/25/24)
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  • Concurrent Review Nurse-( Auditor)-…

    InnovaCare (San Juan, PR)
    …focus to the business. MMM Holdings, Inc.Job Description Inpatient Unit POSITION: Concurrent Review Nurse (CRN) POSITION DESCRIPTION Manages the inpatient ... plan, to ensure that the coordination and continuity of care results in optimal patient outcomes. Will adhere to...within forty-eight (48) hours of having performed the first concurrent review of notified admission cases.4. On… more
    InnovaCare (07/17/24)
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  • UM Coordinator - Utilization Review

    Hackensack Meridian Health (Belle Mead, NJ)
    …primary therapists and discharge planners regarding transition to alternative levels of care . + Perform concurrent utilization review applying identified ... knowledge and understanding of behavioral health resource management to review and coordinate the care for a...team to insure optimal reimbursement for services provided. + Review concurrent denials from third party payers… more
    Hackensack Meridian Health (07/29/24)
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  • Registered Nurse - Clinical Peer Review

    Henry Ford Health System (Wyandotte, MI)
    …staff toward continuous quality improvement? We are looking for qualified Medical Staff Peer Review Coordinator to join our Henry Ford Health Team. What will you ... do? Concurrent review of medical records against pre-established...with the Medical Staff Leadership Team, the Clinical Peer Review Coordinator is a Registered Nurse who… more
    Henry Ford Health System (09/13/24)
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  • RN Utilization Review Coordinator

    Trinity Health (Athens, GA)
    …THIS POSITIONS IS LOCATED IN LAVONIA, GEORGIA **Position Summary:** The Care Coordinator /UR, in collaboration with other healthcare professionals, is ... the community for a specific caseload of patients. The care coordinator is also responsible for conducting...coordinator is also responsible for conducting initial and concurrent chart reviews on Federal and self-payers for the… more
    Trinity Health (08/09/24)
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  • Trauma Process Improvement Coordinator (RN)

    UNC Health Care (Hendersonville, NC)
    …(NC-COT). * Identifies performance improvement issues through direct observation of clinical care , concurrent chart review , staff reporting, and attendance ... The Trauma Process Improvement Coordinator evaluates and monitors the quality of clinical care of the injured patient across the continuum of care from point… more
    UNC Health Care (08/29/24)
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  • Utilization Review Coordinator (FT)

    Prime Healthcare (Boonton Township, NJ)
    …and cost-effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, ... management. Responsible for contacting external case managers and managed care organizations for pre-authorization, concurrent reviews and appeals/denials… more
    Prime Healthcare (09/07/24)
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  • RN, Case Manager, MSW Relief ECT Program…

    Stanford Health Care (Palo Alto, CA)
    …initiate the authorization process and perform concurrent reviews for ongoing care . The ECT Program Coordinator communicates and collaborates with patients ... Care job.** **A Brief Overview** The ECT Program Coordinator maintains a high standard of care ...for patient and ECT service issues. + Utilization and review - Reviews prospectively, concurrently, and retrospectively for ECT patient's… more
    Stanford Health Care (07/25/24)
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  • Admissions Coordinator

    Acacia Network (Bronx, NY)
    …Provide notification to Nursing Home Leadership Team regarding status & deadline of concurrent review . + . Coordinate with Social Services and Medical Department ... Casa Promesa Nursing Home Admissions Coordinator Bronx, Ne : 9/26/2023 Job Description Job...obtain clinical notes & social work documentation to compile concurrent review package. + . Submitting … more
    Acacia Network (07/16/24)
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  • RN Care Coordinator (per diem)…

    Cedars-Sinai (Beverly Hills, CA)
    …their needs, coordinating care , communicating with health plans, including concurrent review to determine the appropriateness of services rendered and ... **Job Description** The RN Care Coordinator is responsible for the...review and follow up. + Communicates transition of care to the member or responsible party including: i)… more
    Cedars-Sinai (08/25/24)
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  • Care Coordinator , Utiliz Mgmt RN…

    Hackensack Meridian Health (Hackensack, NJ)
    …healthcare and serve as a leader of positive change. The **Case Management Care Coordinator , Utilization Management** is a member of the healthcare team ... of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to manage… more
    Hackensack Meridian Health (08/20/24)
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  • Care Coordinator , Utilization…

    Hackensack Meridian Health (Neptune, NJ)
    …mission to transform healthcare and serve as a leader of positive change. The ** Care Management, Care Coordinator , Utilization Management** is a member of ... of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to manage… more
    Hackensack Meridian Health (08/16/24)
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  • Care Management, Care

    Hackensack Meridian Health (Holmdel, NJ)
    …mission to transform healthcare and serve as a leader of positive change. The ** Care Management, Care Coordinator , Utilization Management** is a member of ... of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to manage… more
    Hackensack Meridian Health (08/15/24)
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  • Care Coordinator , Utilization…

    Hackensack Meridian Health (Hackensack, NJ)
    …mission to transform healthcare and serve as a leader of positive change. The ** Care Coordinator , Utilization Management** is a member of the healthcare team and ... of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to manage… more
    Hackensack Meridian Health (08/28/24)
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  • Care Coordinator , Utilization…

    Hackensack Meridian Health (Hackensack, NJ)
    …transform healthcare and serve as a leader of positive change. The Case Management Care Coordinator , Utilization Management is a member of the healthcare team ... of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to manage… more
    Hackensack Meridian Health (07/29/24)
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  • Clinical Care Coordinator -Unit…

    Nuvance Health (Danbury, CT)
    …to the appropriate level within the care continuum. Provides clinically based concurrent review of the medical record to assess and procure accurate and ... offered through various affiliates, Hours: per diem Shift: variable Summary: The Clinical Care Coordinator - Unit is responsible for providing direction and… more
    Nuvance Health (09/13/24)
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  • Clinical Care Coordinator -BH LCSW

    Nuvance Health (Danbury, CT)
    *Description* Clinical Care Coordinator -BH LCSW Summary: Performs assessments and formulates discharge/transition plans in collaboration with patient, family and ... and intervention in cases involving complex family/patient dynamics. 9. Utilization Review Care Coordinators reviews all admissions and continued stays… more
    Nuvance Health (09/05/24)
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  • RN Coordinator Outcomes

    HCA Healthcare (Tallahassee, FL)
    …data collection and follow up for multiple quality measures. Abstraction consists of concurrent review of in-house patients for multiple populations; eg, Heart ... you want to join an organization that invests in you as a(an) RN Coordinator Outcomes? At HCA Florida Capital Hospital, you come first. HCA Healthcare has committed… more
    HCA Healthcare (09/13/24)
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  • Program Coordinator , Stroke Per Diem

    Hackensack Meridian Health (Red Bank, NJ)
    …Medical Services (EMS), communities, referring hospitals. + Provides concurrent and retrospective review and analysis of the care of stroke patients at the ... as a leader of positive change. The **Stroke Program Coordinator ** is an expert clinician who provides leadership for...an expert clinician who provides leadership for the nursing care and management of patients experiencing stroke in adult… more
    Hackensack Meridian Health (08/06/24)
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  • Utilization Coordinator

    Sutter Health (Santa Rosa, CA)
    …Utilization Coordinator is responsible for coordinating admissions, performing concurrent and retrospective utilization review , and facilitating discharge ... is provided in the appropriate setting. S/he performs concurrent and retrospective utilization review to assure...review to assure that the appropriate level of care is maintained throughtout the patient's hospital stay. S/he… more
    Sutter Health (09/07/24)
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