- Daiichi Sankyo, Inc. (Bernards, NJ)
- …develop a cross-functional, integrated study plan and create initial study budget. Review study feasibility assessments provided by the CRO(s), lead the CRO ... risk related plans and ensure study team adherence and utilization . Be aware of and be able to predict...for resource management within their therapeutic area. Management requires review of resources against development pipeline to identify areas… more
- Lawrence General Hospital (Lawrence, MA)
- The Utilization Review Coordinator functions as the primary liaison between the hospital, payor contacts, and all other related parties to ensure appropriate ... and inpatient stays and the utilization of ancillary services. The Utilization Review Coordinator is responsible for oversight of UR and ED Case… 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
- 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
- Covenant Health Inc. (Louisville, TN)
- Overview Utilization Review Coordinator , Quality Management Full Time, 80 Hours Per Pay Period, Day Shift Peninsula Overview: Peninsula, a division of ... review or retrospective utilization data. + Monitors current utilization review criteria and length of stay norms. + Assists with education of physicians… more
- Lawrence General Hospital (Lawrence, MA)
- … Utilization Review Specialist, under supervision and in collaboration with the Utilization Review Coordinator , Utilization Review Nurses, ... well as the integrated care team and supports the case management/ utilization review team on system-wide quality improvement/performance improvement initiatives.… 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
- Trinity Health (Athens, GA)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** The Utilization Review (UR) Coordinator works, in collaboration with a multidisciplinary ... an efficient and cost-effective manner that ensures quality outcomes. UR Coordinator utilizes established guidelines to support appropriate level of care throughout… more
- San Antonio Behavioral Health (San Antonio, TX)
- The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors ... of approvals from insurers. Responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and efficient use of hospital… more
- HonorHealth (Scottsdale, AZ)
- …resolution with nursing and physician advisor team. Facilitates peer to peer review with payer as directed. Retrieves utilization management clinical requests ... of Care Coordination and Clinical Value, assists in the administration of Utilization Management functions to include, but not limited to, organization and… more
- Louisiana Department of State Civil Service (Jackson, 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 (Tupper Lake, NY)
- …Pathologist 2, Teacher 4 (and all parenthetics), Training Specialist 1 (Nursing), and Utilization Review Coordinator . Only the title or titles listed ... Head Recreation Therapist, Licensed Psychologist, Mental Hygiene Nursing Program Coordinator , Nurse Administrator 1, Nurse Administrator 2, Nutrition Services… more
- New York State Civil Service (Hauppauge, NY)
- …Pathologist 2, Teacher 4 (and all parenthetics), Training Specialist 1 (Nursing), and Utilization Review Coordinator .Open Competitive: A Bachelor's Degree in ... Head Recreation Therapist, Licensed Psychologist, Mental Hygiene Nursing Program Coordinator , Nurse Administrator 1, Nurse Administrator 2, Nutrition Services… more
- Prime Healthcare (Evanston, IL)
- …2. Three years of Utilization Review experience as a Medical Review Coordinator - I required. 3. Knowledge of Clinical Pathophysiology and Pharmacology ... and communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work independently and… more
- TEKsystems (Century City, CA)
- …and beneficial to the patient - Coordinates with Pre-Admissions, Admissions, Patient Accounts, Utilization Review , PPS Coordinator , etc., to assure positive ... cases - Coordinates with other departments, ie: Pre-Admissions, Admissions, Patient Accounts, Utilization Review , PPS Coordinator , etc., - patient financial… more
- Comunilife (Hempstead, NY)
- …and maintain Comunilife policies and procedures, quality assurance, utilization review and outreach activities. The Program Coordinator will collaborate with ... LIP Program Coordinator - Long Island Job Details Job Location Hempstead,...Description Comunilife Inc. is looking to fill a Program Coordinator position for its Life is Precious, Long Island,… 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
- Catholic Health Services (Melville, NY)
- …Health was named Long Island's Top Workplace! Job Details Position Summary: The Utilization and Appeals Coordinator will perform activities to help facilitate ... timely follow through. | Reviews providers' requests for services and coordinates utilization /appeals management review . | Assist Utilization and Appeals… more
