- Cedars-Sinai (CA)
- …Assists with investigation and follow-up regarding customer complaints. + Serves as liaison with other units in the Admissions department. \#Jobs-Indeed ... of service cash collections and cash flow, and provide efficient and appropriate utilization of resources. Acts as a resource for team members by assisting with… more
- ERP International (Nellis AFB, NV)
- …No Call, No Weekends, No Holidays! **Job Specific Position Duties:** * Provides Utilization Management activities and functions by using MTF specific Quality ... management disciplines to include discharge planning and referrals for case management . * Utilization management duties incorporate discharge planning to… more
- Genesis Healthcare (NM)
- …the communities we serve. Responsibilities Join the Genesis team as a Clinical Liaison -- LPN where your marketing/sales and clinical skills will be fully engaged.to ... recent clinical experience. 3. Valid driver's license. 4. Preferred case management experience. 5. Experience in business/development preferred. 6. Prior experience… more
- UTMB Health (Webster, TX)
- …efficient use of medically appropriate services. Integrates and coordinates utilization management activities, care coordination, discharge planning functions, ... UTMB TDCJ Hospital to specialty services hospitals. **_ESSENTIAL JOB FUNCTIONS_** **:** Utilization Management + Demonstrates thorough knowledge of Inter Qual… more
- Sutter Health (Sacramento, CA)
- …team to identify any barriers to patient care they experience with the SNFs. Utilization Management . * Reviews medical record to ensure patient continues to meet ... to the appropriate level of care to prevent unnecessary admissions or readmissions. The Care Management process...and social situations efficiently in order to avoid unnecessary admissions , improper level of care utilization , and… more
- Sutter Health (Berkeley, CA)
- …systems for the appeal/denial process, tracks and trends data, and coordinates utilization management activities for the assigned area. Collaborates with ... of services and appropriate service reimbursement. Monitors and acts as a liaison between external payers, internal business office, admissions staff, and… more
- Martin's Point Health Care (Portland, ME)
- …Nurse required; BSN preferred. + 3+ (total) years clinical nursing experience + Utilization management experience in a managed care or hospital environment ... has been certified as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as a member of a team responsible for ensuring the… more
- OLV Human Services (Lackawanna, NY)
- Foster Care and 29I Liaison 790 Ridge Rd, Lackawanna, NY 14218, USAReq #497 Friday, January 3, 2025 **Are you looking for a rewarding career?** The Foster Care & 29I ... Liaison will work in collaboration with applicable OLV Human...attend all meetings with OCFS to discuss enrollment numbers, utilization of services, denials and issues with managed care… more
- VNS Health (Manhattan, NY)
- …to develop a high-quality safe discharge plan. Works with the authorization and utilization management teams to generate timely requests for medical services and ... or a skilled nursing facility stay. + Coordinates with the Authorization and Utilization Management teams to ensure all required authorizations are complete and… more
- Somatus (Marietta, GA)
- …admissions and develop ongoing conversations and plans to address areas to reduce admissions and cost utilization _Please note this job description is not ... engagement opportunities + And more! Builds relationships with case management teams at strategic facilities in assigned area as...to a physician's treatment plan upon discharge. The Hospital Liaison will work to identify any barriers in safe… more
- Beth Israel Lahey Health (Plymouth, MA)
- …4) reducing readmissions. **Functions and Responsibilities:** **A. Utilization Management ** + Performs review of anticipated admissions utilizing InterQual ... This role is structured around four major functions + Utilization Management + Care Coordination + Discharge...admissions for social reasons + Functions as a liaison between the DEM and community-based resources on an… more
- Ventura County (Ventura, CA)
- …medical policy with the Health Care Agency Director and Insurance Administrator, Utilization Management staff and Quality Assurance Staff. + Participates, as ... surgical procedures, referrals, tests, medication approvals requiring authorization.) + Develops utilization management standards and guidelines for approval by… more
- ERP International (Nellis AFB, NV)
- …the last 24 months o Experience in case management , condition management , discharge planning, utilization management , Telehealth, and performance ... reserve/guard admissions to civilian hospitals and via notifications from Referral Management as required. * Serves as a liaison with headquarters, TRICARE… more
- Mount Sinai Health System (New York, NY)
- …limited to: a. Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management will be needed using ... **Job Description** **RN/Case Manager MSH Case Management FT Days** The Case Manager (CM) will...length of stay (LOS), improved efficiency, quality and resource utilization . Assignment will be by units/clinical areas of practice… more
- Community Health Systems (Milton, FL)
- … Review/Case Management meetings. Provides input in such meetings 6regarding utilization management and discharge planning. + Responsible for evaluating and ... our fundamental mission.** **Position Requirements** + Florida RN License-active + Case Management experience 2+ years + Utilization review experience 2+ years… more
- Logan Health (Kalispell, MT)
- Job Description Summary: Logan Health Wellness & Pain Management is proud to offer some of the most comprehensive pain and wellness care in the United States. Job ... Description Summary Logan Health Wellness and Pain Management is looking for an LCSW, LCPC or LMFT...Duties: + Triages referrals from providers and ensures on-going liaison occurs with stakeholders as applicable to assigned area(s).… more
- State of Massachusetts (Chelsea, MA)
- … liaison with agency coordinators in areas such as utilization review, infection control, quality assurance, risk management , patient ... Executive Director/Superintendent. Also, provide technical advice and assistance to senior management staff as a subject matter expert on implementing and modifying… more
- Hackensack Meridian Health (Hackensack, NJ)
- … admissions and observations as specified by the facility's Utilization Management /Review Committee for documentation completeness and compliance with ... with physicians, nursing staff, other patient caregivers, Health Information Management Department coding staff, and Emergency Trauma Department (ETD), to… more
- US Air Force Academy (Air Force Academy, CO)
- … Officer (ALO) administrative support programs. Serves as the point of contact and liaison between the Admissions Liaison Officers (ALO), Reserve Integration ... support programs to include but not limited to task management , cybersecurity liaison (CL), Government Travel Card...of active duty and reserve personnel attached to the Admissions Directorate. Serves as the resident subject matter expert… more
- Hackensack Meridian Health (Neptune, NJ)
- … admissions and observations as specified by the facility's Utilization Management /Review Committee for documentation completeness and compliance with ... with physicians, nursing staff, other patient caregivers, Health Information Management Department coding staff, and Emergency Trauma Department (ETD), to… more