- Elliot Health System (Bedford, NH)
- …support to patient/family to facilitate adaptation to illness/disability. Utilization Management /Managed CareIntervenes with appropriate individuals/department ... MSW Social Worker Care Coordinator for Pathways Full Time 8-430pm Eligible for...and collects clinical data in support of quality, risk management , utilization , infection control and resource … more
- Trinity Health (Columbus, OH)
- …information technology, financial analysis, audit, provider relations and more. The Utilization Management Intake Coordinator provides administrative support ... members hospitalized and precertification relating to medical care. The Coordinator acts as a liaison to home ...authorizations. + Knowledge of managed care issues related to utilization management , HCFA regulations, plan benefits and… more
- Catholic Health Services (Melville, NY)
- … and Appeals Coordinator will perform activities to help facilitate utilization management and appeals functions to include coordination of specific process ... payment related activities. Position Responsibilities: | Prepares necessary documentation for utilization management and appeals processes, performs data … more
- Sanford Health (Sioux Falls, SD)
- …needs of members. For individuals supporting clinical areas, additional duties are: Utilization management performs resource benefit policy management , ... pm No weekends or holidays **Job Summary** The intake coordinator serves as a support to health plan teams...assigns cases to appropriate clinical team members. Supports medical management programs and operations. Case management leads… more
- Henry Ford Health System (Troy, MI)
- …required. * Bachelor of Science Nursing required OR four (4) years Case Management / Appeal/ Utilization Management experience in lieu of bachelor's degree. ... Under minimal supervision, reviews and screens the appropriateness of services, the utilization of hospital resources and the quality of patient care rendered.… more
- Beth Israel Lahey Health (Burlington, MA)
- …of three years of medical/surgical nursing care experience. -Two years of Case Management or Utilization Management experience desirable. - Demonstrated ... Description:** The Inpatient Registered Nurse (RN) Case Manager for Hospital at Home Care Transitions coordinates utilization review, discharge planning and… more
- PruittHealth (Norcross, GA)
- **Episode Assessment Coordinator - Full Time - Remote** **Must live in a state PruittHealth operates in such as Georgia, South Carolina or North Carolina** **Must ... the Director of Episode Assessment Coordination (DEAC), the Episode Assessment Coordinator (EAC) is responsible for prospective review of episode related documents.… more
- Evergreen Health (Buffalo, NY)
- …care to everyone in our community. The Health Home Plus Care Coordinator applies the essential activities of case management which include assessment, ... Social/Support Services) to patients within the Center for Care Coordination. The Health Home Plus Care Coordinator provides care coordination for patients with… more
- AccentCare, Inc. (Longview, TX)
- … teams Supports recruiting and onboarding needs of team Qualifications Client Service Coordinator Qualifications: Previous home health care or home care ... Overview Why You'll Love Being a Client Service Coordinator at AccentCare Do you enjoy providing outstanding...patient care? Bring your organizational skills and knowledge of at- home care and join the AccentCare team today in… more
- EAC Network (Central Islip, NY)
- Care Coordinator (Health Home Plus) - Long Island Health Home Job Details Job Location 320 Carleton Avenue, Suite 8000 Central Islip, NY, 11722 - Central ... Category Human Service Join Our Team as a Health Home Plus Care Coordinator with EAC Network!...to facilitate client engagement and address barriers to service utilization . + Documentation & Tracking:Keep detailed records, track client… more
- Champion Home Builders Inc. (Millen, GA)
- …| _Full Time_ **Work in a place where your team values** **YOU** **.** **Champion Home Builder** **s** **, Inc** **.** wants **YOU!** We are seeking to hire an ... **OpEx Coordinator ** to join our team in Millen, GA. **W**...**Dental, vision, and life insurance** . **WHO IS** **CHAMPION HOME BUILDER** **S** **, INC** **.** **?** For decades,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …is required. + Managed care experience is strongly preferred, especially experience in utilization management . In lieu of managed care experience, proven record ... of new hire pharmacists. + Collaborates with Decision Criteria Coordinator to maintain and update decision criteria and denial...years' experience in a managed care setting, specifically in utilization management . + Experience and skillset in… more
- New Horizon Counseling Center (Brooklyn, NY)
- The HH+ Care Coordinator functions as a member of an interdisciplinary team to provide care coordination to a caseload of severely mentally ill adults with multiple ... his/her behalf to ensure access to services needed to increase wellness self- management and reduce emergency room visits and/ or hospitalizations. + Conduct… more
- Providence (Torrance, CA)
- …Under the supervision of Regional Director of Care Management , the Utilization Management Coordinator is responsible for providing support to ... the Care Management team who coordinates care. This position works closely...groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School.… more
- Comfort Windows (Rochester, NY)
- COMFORT WINDOWS & DOORS is seeking an Administrative Coordinator for our Rochester, NY office. Responsibilities include: + Print, assemble, and confirm accuracy of ... to their convenience; + Strategically schedule multiple installations to maximize efficient utilization of crews; + Interact with sales, service, production, and/or … more
- Louisiana Department of State Civil Service (Angola, LA)
- …but not limited to: Infection Control, Discharge Planning, Quality Assurance, DRG Coordinator , Utilization Review, and Support Service Review. LEVEL OF WORK: ... but not limited to: Infection Control, Discharge Planning, Quality Assurance, DRG Coordinator , Utilization Review, and Support Service Review. Advises and… more
- New Directions Youth and Family Services (Amherst, NY)
- …well-constructed teams that formulate individualized plans to meet identified needs in the home , school and community. The Care Coordinator also assists families ... Position - Wraparound Care Coordinator Job Type: Full-time (flexible schedule 35-hour work...preserve the family unit through the coordination of in home and community based services and supports and monitors… more
- Houston Methodist (Houston, TX)
- … management support to the department staff to facilitate efficient utilization of resources including referrals management , communication and collaboration ... At Houston Methodist, the Care Coordinator position is responsible for serving as an...could include physician's office, acute care, long term care, home health. + Case Management experience preferred.… more
- Virtua Health (Marlton, NJ)
- …the latest technologies, treatments, and techniques to provide exceptional care close to home . A Magnet-recognized health system ranked by US News and World Report, ... our Eat Well food access program (https://www.virtua.org/about/eat-well) , telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient… more
- Veterans Affairs, Veterans Health Administration (Reno, NV)
- …EDRP application. Former EDRP participants ineligible to apply. Responsibilities The coordinator is responsible for day-to-day management and operational aspects ... not limited to: Post Traumatic Stress Disorder, Substance Abuse Treatment Program, Home -Based Primary Care, Mental Health Intensive Case Management , Caregiver… more
