- Devereux Advanced Behavioral Health (Viera, FL)
- …our team where you can take your career to the next level. **Being the Utilization Review Coordinator at Devereux has its Advantages!** Devereux Florida is ... to less restrictive environments with ongoing family involvement and support. As the Utilization Review Coordinator at Devereux Florida, you will work… more
- South Middlesex Opportunity Council (Framingham, MA)
- …individuals, children and families. This position will coordinate billing and monitor utilization review for the Clinic and Residential Recovery Programs. ... and in a timely fashion, for the RRS and outpatient clinic programs. + Review denials and...As part of the responsibilities of this position, the Utilization Management Coordinator will have direct or… more
- St. Peters Health (Helena, MT)
- The Utilization Management RN reports directly to Utilization Review RN Coordinator . The UR RN supports the UR RN Coordinator and other UR team ... members in providing all identified utilization review functions for the organization to...peer calls for both hospital admissions and for specific outpatient service denials as assigned, and participation in the… more
- Katmai (Fort Carson, CO)
- **SUMMARY** Provide a comprehensive utilization review (UR) and utilization management (UM) program for all TRICARE eligible beneficiaries within the CMHS. ... and the TRICARE Operations Manual (TOM) access to care standards for appropriate utilization of services. Perform utilization management/ review for medical… more
- Cedars-Sinai (Beverly Hills, CA)
- …for medical necessity, appropriateness of care and level of care. Use evidence based review guidelines to conduct utilization review as is appropriate to ... innovation. **A Little More About What You Will be Doing** The RN Care Coordinator is responsible for the case management of patient while hospitalized and upon… more
- UNC Health Care (Hendersonville, NC)
- …for behavioral health services. Working closely with behavioral health clinicians, utilization review , case management, and finance teams, the Intake ... to ensure appropriate care transition and patient placement. + Liaise with utilization review , psychiatry leadership, risk management, and/or legal department as… more
- Dignity Health (Bakersfield, CA)
- …in the quarterly business review to integrate drug procurement and drug utilization . The coordinator will "take call" as necessary to address emergent ... **Job Summary and Responsibilities** The Clinical Pharmacy Coordinator is responsible for coordinating the clinical programs and decentralized provision of… more
- ChenMed (Lauderhill, FL)
- …(PMR), market leaders, external clients and HMO to establish, maintain and support outpatient utilization management in PMR and delegated utilization ... to join our team. ESSENTIAL JOB FUNCTIONS: The Care Coordinator will work with Care Center of Excellence, Physician...ChenMed Medical Centers. **Primary Duties and Responsibilities** + Daily review of approved and pended outpatient requests… more
- Prime Healthcare (Inglewood, CA)
- …and communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work independently and ... institution in a Health and Human Services field is highly preferred. 2. Utilization Review /Case Management experience is highly preferred. 3. 1+ year of… more
- Corewell Health (Royal Oak, MI)
- …patients. 1. Identifies patients that need care management services (ie utilization review ; care coordination; and/or discharge/transition planning). 2. ... years of relevant experience Three to five years' experience in care management, utilization review , home care and/or discharge planning. Preferred + Registered… more
- Penn Medicine (Philadelphia, PA)
- …Spruce Street Philadelphia, PA Summary: + Under minimal supervision, the Care Coordinator in Penn Signature Services (PSS) is responsible for providing the highest ... Global Medicine and The Pavilion at HUP). The Care Coordinator serves as the primary point of contact and...and have been translated into English so that case review by clinical staff can proceed. Assist with the… more
- OptiMindHealth (Cambridge, MA)
- Physician Liaison / Outreach Coordinator Position Requirement: Part-Time FLSA Status: Non-Exempt Location: Cambridge, MA Join a leading clinician-led behavioral ... serving both adult and adolescent patients in a supportive outpatient environment. Our practice strives to improve access to...position is an entry level Physician Liaison / Outreach Coordinator role. Preferred candidates will possess a B2B Sales… more
- Veterans Affairs, Veterans Health Administration (Washington, DC)
- Summary The Local Recovery Coordinator (LRC) is located within the Mental Health Service and is responsible for transforming the Washington DC VA System Mental ... systemic changes as new evidence becomes available. Responsibilities The Local Recovery Coordinator (LRC) is located within the Mental Health Service and is… more
- Veterans Affairs, Veterans Health Administration (Washington, DC)
- …by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities The Local Recovery Coordinator ... Health Clinic, Psychosocial Rehabilitation and Recovery Center (PRRC) or other outpatient area as delegated by Mental Health Service leadership, providing individual… more
- Catholic Health Initiatives (Houston, TX)
- …Serve as a clinician in the care of this complex patient population, initiating outpatient appointments and review of labs with identification and treatment of ... **Job Summary and Responsibilities** As an RN Transplant Coordinator , you will be a pivotal force in...advocacy, driving both individual success and program excellence. + Review medical information, schedule testing, review results… more
- UPMC (Cumberland, MD)
- …step in their career! We are currently hiring a full-time Onsite Transition Coordinator to support our Population Health Department. This is a full-time, Monday - ... high risk for readmission on their transition of care. The Transition Coordinator coordinates care with an interdisciplinary team approach to improving care… 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 ... status of approvals from insurers. Responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and efficient use of… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Job Title:** Trauma Registry Performance Improvement Coordinator Works in collaboration with trauma program leadership to improve the quality ... Performance improvement variances and complications. + Performs comprehensive, concurrent chart review to identify quality, timeliness and system issues in the care… more
- HCA Healthcare (Ogden, UT)
- …opportunity compelling, we encourage you to apply for our Materials Management Coordinator opening. We promptly review all applications. Highly qualified ... vary by location._** We are seeking a Materials Management Coordinator for our team to ensure that we continue...cooperation of staff members. + Maintains knowledge base and utilization of contract pricing, keeping current. + Responsible for… more
- Trinity Health (Columbus, OH)
- …Case Management extender would work under the direction of the RN Care Managers, Utilization Review Care Manager and the Social Workers. This position functions ... faxes and authorizations in HealthQuest + Communicate information received from payers to utilization review nurse. + Transmit continued stay reviews and track… more