- Russell Tobin & Associates (Remote, OR)
- …each and every internal and external customer. Performs all functions of the care coordinator . Provides non-clinical support to the CDU nurse in the processing ... are we looking for in our Central Denials Unit Coordinator ? A Health Financial Service is looking to hire...will be responsible for providing non-clinical support to the utilization management team in maintaining and managing the … more
- Northeast Georgia Health System, Inc (Oakwood, GA)
- …to ensure appropriate feedback is received before product decisions are made. Utilization Review of necessity, quality, effectiveness and efficiency of medical ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the health… more
- GHR Healthcare (Atlanta, GA)
- …critical decisions that impact patient care? Join us as a Care Management Coordinator and play a key role in evaluating and authorizing essential healthcare ... Pay Rate: 37.50 -40.00 Hourly (paid weekly) What You'll Do: Clinical Analysis: Review medical records to determine the necessity of patient services based on… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …SkillsFamily therapy skills Essential Tasks and ResponsibilitiesWorks with the Clinical Coordinator and Nurse Manager to develop patient schedules for ... community to help management determine long term focus.Meets routinely with Clinical Coordinator , Nurse Manager, House Coordinators, Medical Director and Manager… more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment # 240830-5613FP-001 Location Middletown, CT Date Opened 9/5/2024 12:00:00 AM ... Campus Hospital - is accepting applications for one (1) full-time Utilization Review Nurse Coordinator … more
- New York State Civil Service (New York, NY)
- NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator , (NY HELPS), Manhattan Psychiatric Center, P25480 Occupational Category ... Zip Code 10035 Minimum Qualifications Manhattan Psychiatric Institue is recruiting for a Utilization Review Coordinator to analyze and evaluate quality,… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …resources and benefits on a case by case basis. Applies case management and utilization review principles in monitoring the delivery of care and promoting ... 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
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW ... and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General...REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered Nursing.… more
- Hackensack Meridian Health (Hackensack, 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
- Hackensack Meridian Health (Neptune, NJ)
- …**Hackensack Meridian** **_Health_** includes: + Follows departmental workflows for utilization review activities including admission reviews, admission denials, ... a leader of positive change. The **Care Management, 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, ... a leader of positive change. The **Care Management, 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 (Hackensack, NJ)
- …regulations for Nursing. **Responsibilities** + Follows departmental workflows for utilization review activities including admission reviews, admission denials, ... a leader of positive change. The Case Management 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
- WMCHealth (Valhalla, NY)
- Asst Utilization Coordinator Company: Westchester Medical Center City/State: Valhalla, NY Category: Nursing/Nursing Management Department: Clinical Care ... Internal Applicant link Job Details: Internal Posting: 09/04/24 to 09/17/24 Assistant Utilization Coordinator Summary: Under general supervision, an incumbent of… more
- WMCHealth (Valhalla, NY)
- Asst Utilization Coordinator - Cardiovascular Company: Westchester Medical Center City/State: Valhalla, NY Category: Nursing/Nursing Management Department: ... link Job Details: Internal Posting: 08/29/24 to 09/11/24 Assistant Utilization Coordinator for Cardiovascular **Cardiovascular Experience Preferred Summary:… more
- Dignity Health (Northridge, CA)
- …care in accordance with and in compliance of the Behavioral Health Dignity Health Utilization Review Policy. + The UMC will participate on the Behavioral Health ... 400 care centers. Visit dignityhealth.org/northridgehospital for more information. The RN Utilization Management Coordinator (UMC) is responsible for assessing… more
- UCLA Health (Los Angeles, CA)
- …and logs + Monitor members/patients followed by Case Management + Work directly with a nurse team lead + Review pending claims for approval or denial Salary ... 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
- Veterans Affairs, Veterans Health Administration (Jacksonville, NC)
- …plan to meet the Veteran care needs. Functions or Scope of Assigned Duties: The Nurse II Maternity Care Coordinator (MCC) Registered Nurse (RN) is ... utilization at the local VAMC using Veterans Health Administration (VHA) databases. The Nurse III Maternity Care Coordinator (MCC) Registered Nurse (RN)… more
- HCA Healthcare (El Paso, TX)
- …apart from any other healthcare provider. We are seeking a(an) Registered Nurse ** **Clinical Informatics Coordinator ** **to join our healthcare family.** ... empowers their passion for patient care. Apply today for our** **Registered Nurse Clinical Informatics Coordinator ** **opportunity.** **Del Sol Medical Center… more
- Veterans Affairs, Veterans Health Administration (Stockton, CA)
- Summary The RN Neurology Care Coordinator is located at Stockton, CA within the Neurology Department. Assesses, plans, implements, and evaluates care based on ... nursing education, orientation, competencies and providing quality improvement and outcomes utilization . Plans and delivers technically competent care to patients in… more
- CommuniCare Health Services Corporate (Akron, OH)
- Registered Nurse (RN), Mobile MDS Coordinator CommuniCare Health Services is currently looking for a Registered Nurse to fill the key position of RN Mobile ... MDS Coordinator for its skilled nursing facilities throughout our Midwest...visits to facilities for intervention, audit and training + Review resident clinical records for coverage, utilization ,… more