- Elliot Health System (Bedford, 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...You'll Do Patient FacilitationCollaborates and participates with the primary nurse and the multidisciplinary team in the ongoing clinical… 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 ... utilization functions for the organization and is responsible for ensuring complaint utilization and cost-effective care delivery. The UR Nurse is responsible… 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 ... State NY Zip Code 11427 Duties Description As a Utilization Review Coordinator , your duties...of non-competitive promotion are met.Promotional Field consists of Registered Nurse 1 Psychiatric with 1year experience (including all language… 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 ... Description New York City Children's Center - Bronx Campus is recruiting for a Utilization Review Coordinator to analyze and evaluate quality, effectiveness,… 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
- 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
- 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
- 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
- WMCHealth (Valhalla, NY)
- Asst Utilization Coordinator - Appeals Company: Westchester Medical Center City/State: Valhalla, NY Category: Nursing/Nursing Management Department: Clinical ... Internal Applicant link Job Details: Internal Posting: 02/25/25 to 03/10/25 Assistant Utilization Coordinator Summary: Under general supervision, an incumbent of… 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
- Sanford Health (SD)
- …$28.00 **Department Details** Opportunity to work remote. **Job Summary** Monitors the utilization of resources, risk management and quality of care for patients in ... hospitalization to ascertain medical necessity and appropriateness. Assists with retrospective review of specified charts as required. Ability to interact on an… more
- Veterans Affairs, Veterans Health Administration (Syracuse, NY)
- …satisfaction throughout the continuum of care. Responsibilities The Community Care (CC) Coordinator Registered Nurse (RN) is responsible for executing a ... intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements,… more
- Veterans Affairs, Veterans Health Administration (Biloxi, MS)
- …intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, ... intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements,… more
- Veterans Affairs, Veterans Health Administration (Buffalo, NY)
- …apply. Responsibilities The Western New York VA Medical Center is seeking a Registered Nurse - Resident Assessment Coordinator to work on the Community Living ... Center Nursing Team at the Buffalo Location. The Resident Assessment Coordinator (Community Living Center) Registered Nurse (RN) executes position… more
- HCA Healthcare (Arlington, TX)
- …we encourage you to apply for our Coordinator Service Line Registered Nurse opening. We promptly review all applications. Highly qualified candidates will be ... **Description** **Medical City Arlington** ** Coordinator Service Line Registered Nurse ** **Robotics/Colorectal/GYN or Plastics/Breast/ENT/Urology** **Full Time,… more
- Beth Israel Lahey Health (Burlington, MA)
- …you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse **Job Description:** The Inpatient Registered ... Case Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality...patient discharge. 14) Works with the Post Acute Care Coordinator to facilitate timely patient access to post acute… more
- CommuniCare Health Services Corporate (Cincinnati, 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
- HCA Healthcare (Asheville, NC)
- …encourage you to apply for our Registered Nurse Home Care Coordinator CarePatners opening. We promptly review all applications. Highly qualified candidates ... is recognized. Submit your application for the opportunity below:Registered Nurse Home Care Coordinator CarePatnersCarePartners **Benefits** CarePartners, offers… more
- Bon Secours Mercy Health (Lorain, OH)
- …smooth transition to acute rehab unit. Maintains expertise in clinical field, utilization review and case management; communicates to insurance companies/third ... and operational excellence. **Primary Function/General Purpose of Position** The Admissions Coordinator Registered Nurse (RN) is responsible for the coordination… more
- Veterans Affairs, Veterans Health Administration (Muskogee, OK)
- …Major duties include, but are not limited to: The Community Care (CC) Coordinator Registered Nurse (RN) is responsible for executing a streamlined approach ... intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements,… more
