- Methodist Health System (Celina, TX)
- …multidisciplinary team members to provide the very best care for our patients. The Case Coordinator In conjunction with and in support of the physician-led ... * Associates degree in nursing with insurance or hospital case management experience will be considered; BSN preferred *...experience will be considered; BSN preferred * CCM in case management preferred * Current license to practice professional… more
- Hackensack Meridian Health (Belle Mead, NJ)
- … of resources and benefits on a case by case basis. Applies case management and utilization review principles in monitoring the delivery of care and ... and serve as a leader of positive change. The Utilization Management Coordinator utilizes clinical knowledge and...transition to alternative levels of care. + Perform concurrent utilization review applying identified criteria at prescribed… more
- UCLA Health (Los Angeles, CA)
- …vital role within a leading health organization. Help ensure smooth and efficient case management processes to support quality care. Take your expertise to the next ... more at UCLA Health. Under the direction of the Utilization Management, Assistant Manager, you will play a key...and prepare necessary documents for the next level of review + Maintain and prepare specific reports and manage… more
- Behavioral Center of Michigan (Warren, MI)
- Under general supervision, the Utilization Review Coordinator provides professional assessment, planning, coordination, implementation and reporting of ... and supports the operations of Samaritan Behavioral Center. The Utilization Review Coordinator reviews the... information in the HMS. Communicates results to the case management entity for the specific insurance payer. Enters… more
- Beth Israel Lahey Health (Burlington, MA)
- …not just taking a job, you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse Onsite at Lahey Hospital and ... to ensure a timely process. Registered Nurses (RNs) with utilization review experience, case management...patient discharge. 14) Works with the Post Acute Care Coordinator to facilitate timely patient access to post acute… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Utilization Review Quality Assurance Coordinator is responsible for all compliance related paperwork and ensures paperwork is completed in a ... encounters and report any issues to the Business Manager. Review utilization of services in order to...Insure patient care services are appropriately documented and utilized. Review case records to determine if patients… more
- Hackensack Meridian Health (Hackensack, NJ)
- …**Hackensack Meridian** **_Health_** includes: + Follows departmental workflows for utilization review activities including admission reviews, admission denials, ... serve as a leader of positive change. The **Care Coordinator , Utilization Management** is a member of...as required by payer agencies and initiates physician advisor's review as necessary for unwarranted admissions. + Performs chart… more
- Hackensack Meridian Health (Holmdel, NJ)
- …at Hackensack Meridian _Health_ includes: + Follows departmental workflows for utilization review activities including admission reviews, admission denials, ... serve as a leader of positive change. The **Care Coordinator , Utilization Management** is a member of...as required by payer agencies and initiates physician advisor's review as necessary for unwarranted admissions. + Performs chart… more
- Methodist Health System (Celina, TX)
- …of patient care through coaching and mentoring care givers, case managing selected cases, and facilitating discharge/transition planning. Participates in ... * Associates Degree in Nursing with insurance or hospital case management experience will be considered. * Current license...* Assures that appropriate application of internal and external utilization criteria for MMC patients * Acts as resource… more
- Desert Parkway Behavioral Healthcare Hospital (Las Vegas, NV)
- …that all days are authorized and identify denied days, coordinate with Director of Utilization Review and add to Denial Tracker when appropriate. Monitor and ... documented, and the authorization detail is set up in Case Management. The information is subsequently verified in the...fax and labels with UR staff assigned to the case when completed. Appeals As directed by UR Director,… more
- LifeCenter Northwest (Bellevue, WA)
- Organ Utilization Coordinator I Job Details Job Location Bellevue - Bellevue, WA Position Type Full Time Salary Range $66,122.00 - $95,904.00 Salary Description ... and Qualifications The Organ Utilization Coordinator (OUC) is accountable for all...teams and oversees chain of custody for organs. Develops case -specific transportation strategies to minimize organ ischemia time. +… more
- Baptist Memorial (Jackson, MS)
- …+ Employee referral program Job Summary: Position: 19738 - RN- Utilization Review Facility: MBMC - Hospital Department: HS Case Mgmt Administration Corporate ... Summary The Utilization Review Nurse is responsible for...in the electronic medical record + Communicates with authorization coordinator + Communicates in-house high dollar case … more
- Prime Healthcare (Boonton Township, NJ)
- …#LI-TS1 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/185117/ utilization - review - coordinator ... continuum of the health care management. Responsible for contacting external case managers and managed care organizations for pre-authorization, concurrent reviews… more
- Dignity Health (Northridge, CA)
- …Federal or State regulations pertaining to their practice. + Have an understanding of Utilization Review to progress plan of care. + Understand how ... care centers. Visit dignityhealth.org/northridgehospital (https://www.dignityhealth.org/socal/locations/northridgehospital) for more information. RN Case Manager (Care Coordinator ) Case … more
- Hartford HealthCare (Hartford, CT)
- …professionals. We are recognized as a Patient-Centered Medical Home.** *Job Summary:* The Case Coordinator - Outpatient at Adult Primary Care (APC) participates ... an integral member of the primary care team. The Case Coordinator works in a collaborative environment...home care agencies, etc.; work with interdisciplinary team to review cases and risk stratify inpatients to act upon… more
- Baptist Memorial (Memphis, TN)
- …information documentation and transmission vital to the effectiveness of utilization review and supporting Baptist's reimbursement strategy. Specifically ... the managed care techniques the Coordinator uses focuses on prior authorization for services using...Communicates incorrect payer with patient access + Communicate with Utilization Review Nurse + Works assigned queues… more
- RWJBarnabas Health (Hamilton, NJ)
- RN Case Manager (Patient Care Coordinator ) -...applications ex. Word ,Excel Preferred: + Utilization review and discharge planning experience + Case ... Case Manager Status:Per Diem Shift:Day Facility:RWJ Hamilton Department: Case Management Location: RWJUH Hamilton Hospital, One Hamilton Health Place,… more
- Sevita (Lawrence, MA)
- …trained to provide individual assistance to each person we serve. **Program Services Case Coordinator - Adult Day Health** Location: Oasis Adult Day Health Center ... can actively make a difference in people's lives? As Case Coordinator , you will be responsible for...staff; identify any discrepancies to accounting staff + Coordinate utilization with the Case Manager relative to… more
- Bitterroot Health (Hamilton, MT)
- …EMPLOYER 2022 & 2023 State of Montana "EMPLOYER OF CHOICE" 2022 RN - Utilization Review Coordinator opportunity in beautiful Hamilton, Montana!! Bitterroot ... Health is seeking candidates to fill a Utilization Review (UR) Coordinator Registered...Coordinator will serve as a resource to the Case Managers and Social Workers to assist with the… more
- Lawrence General Hospital (Lawrence, MA)
- … Utilization Review Specialist, under supervision and in collaboration with the Utilization Review Coordinator , Utilization Review Nurses, ... as well as the integrated care team and supports the case management/ utilization review team on system-wide quality improvement/performance improvement… more