- Elliot Health System (Candia, NH)
- …quality, risk management, utilization , infection control and resource utilization etc. Participates in multidisciplinary meetings to review ... MSW Social Worker Care Coordinator for Pathways Full Time 8-430pm Eligible for a Sign on Bonus up to $5,000! POSITION SUMMARY The Inpatient Behavioral Health Social… more
- New York State Civil Service (Queens Village, NY)
- NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator , (NY HELPS), Creedmoor Psychiatric Center, P25684 Occupational Category ... City Queens Village State NY Zip Code 11427 Duties Description As a Utilization Review Coordinator , your duties will include:* Reviewing clinical records for… more
- New York State Civil Service (Bronx, NY)
- NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator , (NY HELPS), New York City Children's Center - Bronx Campus, P25595 ... York City Children's Center - Bronx Campus is recruiting for a Utilization Review Coordinator to analyze and evaluate quality, effectiveness, and efficiency… more
- Behavioral Center of Michigan (Warren, MI)
- Under general supervision, the Utilization Review Coordinator provides professional assessment, planning, coordination, implementation and reporting of ... clinical data and supports the operations of Samaritan Behavioral Center. The Utilization Review Coordinator reviews the patient's chart and records clinical… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Utilization Review /Quality Assurance Coordinator is responsible for all compliance related paperwork and ensures all compliance paperwork is ... completed in a timely manor for the Upstate/Syracuse City School District school-based mental health care program. This position helps ensure successful visits by DNV and OMH when they occur. Monitors and maintains performance improvement indicators on a… more
- Desert Parkway Behavioral Healthcare Hospital (Las Vegas, NV)
- …duties include, but are not limited to: + Copy medical records for appeal; + Review appeal letters for accuracy; + Prepare postage, pack and mail appeal packets; + ... Update Denial Tracker; + Scan selected appeal documents and index Requirements + High school diploma or GED required + Two (2) years healthcare experience preferred + Knowledge of Nevada Payors required + Strong Microsoft word and excel skills required +… more
- Prime Healthcare (Boonton Township, NJ)
- …#LI-TS1 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/195356/ utilization - review - coordinator ... outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service… more
- St. Peters Health (Helena, MT)
- The Utilization Management Nurse reports directly to Utilization Review RN Coordinator . The UR Nurse supports the UR RN Coordinator in providing ... functions for the organization and is responsible for ensuring complaint utilization and cost-effective care delivery. The UR Nurse is responsible for tracking… more
- HCA Healthcare (Miami, FL)
- …unit. The Behavioral Health Assistant Director, Baker Act Coordinator , or Utilization Review Coordinator may assume designated responsibilities for the ... their positions. Join our Team as a Psych Admissions Coordinator RN and access programs to assist with every... Behavioral Health RN opening. Our team will promptly review your application. Highly qualified candidates will be contacted… more
- Georgetown Behavioral Health Institute (Georgetown, TX)
- …is a 118 bed inpatient behavioral health hospital and seeking a full-time Outpatient Utilization Review Coordinator . This position is responsible for working ... help patients access the full range of their benefits through the utilization review process. Requirements + Education: Master's Degree in a relevant field (eg,… more
- Henry Ford Health System (Troy, MI)
- Under minimal supervision, reviews and screens the appropriateness of services, the utilization of hospital resources and the quality of patient care rendered. ... prevent post-bill denials. 5. Assesses readiness for discharge through continued stay review to evaluate medical necessity for continued hospital care. 6. Identify… more
- Prime Healthcare (Joliet, IL)
- …2. Three years of Utilization Review experience as a Medical Review Coordinator - I required. 3. Knowledge of Clinical Pathophysiology and Pharmacology ... credentials and licensure. #LI-MP2 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/200769/medical- review - coordinator -ii sjjil- utilization -mgmt/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilitySaint… more
- Louisiana Department of State Civil Service (Angola, LA)
- …include, but not limited to: Infection Control, Discharge Planning, Quality Assurance, DRG Coordinator , Utilization Review , and Support Service Review . ... including, but not limited to: Infection Control, Discharge Planning, Quality Assurance, DRG Coordinator , Utilization Review , and Support Service Review .… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Utilization Review /Quality Assurance Sr. Coordinator will be responsible for providing clinical information to managed care companies as ... agencies, and other health care related entities. Preferred Qualifications: Utilization Review /Managed Care/Quality Assurance experience. Experience in the… more
- New York State Civil Service (Brooklyn, NY)
- …Pathologist 2, Teacher 4 (and all parenthetics), Training Specialist 1 (Nursing), and Utilization Review Coordinator . Additional Comments * If you are ... Services.Additional duties may include, but not be limited to: * Regularly review systems and procedures and implement recommendations for improvement of the… more
- New York State Civil Service (Albany, NY)
- …Compliance Analyst 1, Standards Compliance Analyst 1 (Developmental Disabilities), or Utilization Review Coordinator .If you are appointed provisionally, ... Compliance Analyst 1, Standards Compliance Analyst 1 (Developmental Disabilities), or Utilization Review Coordinator . PREFERRED QUALIFICATIONS:* Experience… more
- New York State Civil Service (NY)
- …Pathologist 2, Teacher 4 (and all parenthetics), Training Specialist 1 (Nursing), and Utilization Review Coordinator . Additional Comments * If you are ... Head Recreation Therapist, Licensed Psychologist, Mental Hygiene Nursing Program Coordinator , Nurse Administrator 1, Nurse Administrator 2, Nutrition Services… more
- Comunilife (New York, NY)
- …and maintain Comunilife policies and procedures, quality assurance, utilization review and outreach activities. The Program Coordinator will collaborate with ... Program Coordinator -(OMH) LIP Washington Heights Job Details Job Location...Description Comunilife Inc. is looking to fill a Program Coordinator position for its Life is Precious, Washington Heights… more
- Hackensack Meridian Health (North Bergen, 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
- Select Medical (Los Angeles, CA)
- …caseload. + Coordinates with other departments, ie: Pre-Admissions, Admissions, Patient Accounts, Utilization Review , PPS Coordinator , etc., to assure ... time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and appropriate… more
