• Utilization Review Coord

    Covenant Health Inc. (Louisville, TN)
    …is desired. Licensure Requirement: Current RN or Therapy license. Apply/Share Job Title UTILIZATION REVIEW COORD ID 4122409 Facility Peninsula, a Division ... Overview Utilization Review Coordinator, Quality Management Full Time, 80 Hours Per Pay Period, Day Shift Peninsula Overview: Peninsula, a division of Parkwest… more
    Covenant Health Inc. (11/05/24)
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  • PS Clinical Research Coord

    University of Utah (Salt Lake City, UT)
    …**Open Date** 08/19/2024 **Requisition Number** PRN39606B **Job Title** PS Clinical Research Coord **Working Title** PS Clinical Research Coord **Job Grade** E ... External Posting **Pay Rate Range** 39300 to 68349 **Close Date** **Priority Review Date** **Job Summary** The clinical research coordinator will be responsible for… more
    University of Utah (11/19/24)
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  • Primary Care Team Coord /RN

    Northern Light Health (Pittsfield, ME)
    …resource referrals as necessary. + Manage assigned case load, assessing utilization of resources and services, identifying patients that require additional ... positive and receptive to change. + Manage assigned panels, assessing utilization of resources and services, identifying patients that require additional management… more
    Northern Light Health (10/22/24)
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  • Quality Documentation Coord

    Kaleida Health (Buffalo, NY)
    …years recent clinical experience and two years ICD-9 Coding experience (optional). Utilization Review or coding experience preferred. For Behavioral Health: ... any applicable collective bargaining agreement.* **Grade:** 212 **Position:** Quality Documentation Coord **Union Code:** 00 - Non Union **Bi-Weekly Hours:** 75… more
    Kaleida Health (11/20/24)
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  • Registered Nurse (RN) Coord , Clinical Care…

    Northwell Health (Bay Shore, NY)
    …of patients admitted to the Hospital. Job Responsibility + * Performs concurrent review on all patients and share all problematic cases with the Supervisor and ... retrospective reviews as required. + * Participates in the maintenance of Utilization Management, Discharge Planning and Case Management statistics as required. + *… more
    Northwell Health (11/19/24)
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  • Coord -Behavioral Health Ult Mg

    BronxCare Health System (Bronx, NY)
    …Minimum of three (3) years experience specifically in Behavioral Health Utilization review and casemanagement.Managed Care or Discharge Planning experience ... Overview The Coordinator-Behavioral Health Utilization Management (BH-UMC) will review and monitor all patientsadmitted into psychiatry or substance abuse for… more
    BronxCare Health System (09/18/24)
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  • Coord , Maintenance

    WestRock Company (Cincinnati, OH)
    …Management System) for asset area to ensure job priority and efficient utilization of maintenance resources * Manage and track maintenance budget, identify ... * Prioritize non-emergency and break-in work order requests to approve and reject, review complete work orders, and produce schedule for the next day/week * Identify… more
    WestRock Company (11/18/24)
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  • Insurance Pre-Cert Coord - Valley Forge…

    Penn Medicine (Philadelphia, PA)
    …optimal reimbursement for the hospital for services provided. Responsibilities: + Review chemo schedule in advance and determines patients insurance requirements for ... to patient arrival. Assess information for appropriateness of setting and utilization of resources to optimize patient outcomes and cost effectiveness. Maintain… more
    Penn Medicine (11/02/24)
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  • Inventory Planning Coord IV

    University of Rochester (Rochester, NY)
    …Physicians, etc.), sets priorities and implements problem solving skills to receive, review , respond to, record and fill supply orders. Utilizes knowledge and ... ongoing practice of fiscal responsibility in review and approval of received orders. **RESPONSIBILITIES:** + Reviews,...of supplies in various areas. Supports and maintains space utilization . Executes monthly journal entries for supplies issued. +… more
    University of Rochester (10/29/24)
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  • Human Subject Research Coord II

    University of Rochester (Rochester, NY)
    …that enhance caregiver adaptation to improve child health outcomes and healthcare utilization . As part of our program, the research coordinator will closely partner ... interviews, conducting qualitative data analysis (mentored by the PI), literature review , and writing or contributing to academic products (abstracts, posters,… more
    University of Rochester (09/28/24)
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  • Dental Treatment Coord Lead

    University of Rochester (Rochester, NY)
    …accuracy of patient schedules. Reviews provider schedules to ensure maximum utilization . 6. Negotiates down-payments and authorizes repayment status for high dollar, ... referral, verification, and/or service authorization in advance of treatment through review of dental insurance benefits and requirements. 15. Performs other duties… more
    University of Rochester (11/25/24)
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  • Physician Practice Coord .- Full Time 40…

    Henry Ford Health System (Novi, MI)
    …place to meet the demands of the provider's work schedules. Coordinate utilization of float pool associates and maintains associate payroll information. + Complete ... and review office correspondence including invoices/statements, credit cards, petty cash, mileage forms, and reports. + May perform clerical or technical… more
    Henry Ford Health System (11/06/24)
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  • Dental Treatment Coord III

    University of Rochester (Rochester, NY)
    …accuracy of patient schedules. Reviews provider schedules to ensure maximum utilization . + Negotiates down-payments and authorizes repayment status for high dollar, ... referral, verification, and/or service authorization in advance of treatment through review of dental insurance benefits and requirements. + Performs other duties… more
    University of Rochester (10/05/24)
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  • Manager, Clin Coord , Psych

    University of Rochester (Rochester, NY)
    …and data reporting. + Work with Strong Ties leadership and Dept of Psychiatry Utilization Review team to address documentations concerns in a timely way and ... problem-solving reduction in risk of noncompliance going forward. + Prepares for and participates in regulatory surveys for ACT with the Strong Ties Leadership team and engages in the development, monitoring and evaluation of Performance Improvement Plans… more
    University of Rochester (10/03/24)
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  • AVP Care Coordination

    Nuvance Health (Danbury, CT)
    …for providing strategic leadership and operational oversight for a team of utilization review staff, denials and appeals specialists, non-clinical support staff ... *System Care Coordination Leader* will be responsible for leading a team encompassing utilization review and denials/appeals specialists and will need to foster… more
    Nuvance Health (10/26/24)
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  • RN Case Manager - ED- $20,000 Sign on Bonus

    Nuvance Health (Norwalk, CT)
    …principal liaison between emergency services, surgical services, nursing, finance, physicians, utilization review and Health Information Management to ensure ... coming in from other hospitals. Responsibilities: 1. Manages the Utilization Review elements of the ED encounter...Working conditions: Essential: * Some manual skills / motor coord & finger dexterity * Little or no potential… more
    Nuvance Health (10/12/24)
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  • Quality Clinician-Nurse

    Nuvance Health (Danbury, CT)
    …and the support of a thorough orientation program. *Summary*; Coordinates and performs utilization review and patient medical record audits according to State & ... action plans to improve clinical documentation. *Responsibilities*: 1. Coordinates and performs utilization review and patient medical record audits according to… more
    Nuvance Health (11/13/24)
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  • Registered Nurse Clinical Informatics Coordinator

    HCA Healthcare (El Paso, TX)
    …the following:** 1. **Implementation and support of division-wide standardization, utilization , integration, and optimization activities related to CPOE and other ... other division or facility service resources.** 5. **Evidence Based Order set review , approval, and build within the facility.** 6. **Ongoing monitoring of various… more
    HCA Healthcare (10/04/24)
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  • Clinical Care Coordinator-Unit (RN), Per Diem

    Nuvance Health (Danbury, CT)
    …principal liaison between emergency services, surgical services, nursing, finance, physicians, utilization review and medical records to ensure appropriate ... level within the care continuum. Provides clinically based concurrent review of the medical record to assess and procure...Working conditions: Essential: * Some manual skills / motor coord & finger dexterity * Little or no potential… more
    Nuvance Health (10/11/24)
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  • Operations Coordinator

    Nuvance Health (Poughkeepsie, NY)
    …prepares Case Management reports and assists with creating presentations for monthly Utilization Review Committee meetings. 3. Assists staff in identifying gaps ... in the payroll system and submits it for final review by department leader. API editor for the department....months of hire Working Conditions: Manual: significant manual skills/motor coord & finger dexterity Occupational: Little or no potential… more
    Nuvance Health (09/16/24)
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