- Liberty Health (Wilmington, NC)
- …the healthcare industry. Join us! We are currently seeking an experienced: UTILIZATION MANAGEMENT ADMINISTRATIVE COORDINATOR Full Time, Days SUMMARY: Day-to-day ... Utilization Management meetings Ability to be an interactive UM team member to ensure compliant execution of ...UM team member to ensure compliant execution of UM program Review admissions and service requests… more
- D-H Lebanon-MHMH (New London, NH)
- …days of admission. Initiates discharge planning process. *Maintains communication with UM coordinator regarding assessments, outcomes, and projected lengths of ... and all members of the healthcare team. *Participates with the physician/multidisciplinary to review the plan and progress of care, to evaluate the effectiveness of… more
- Talent Connect Now (San Diego, CA)
- …delivery of participant care (resources), clinical outcomes, performance improvement, and Utilization Management ( UM ). Designs and conducts quality projects and ... Director's role. Proactively develops a collaborative working relationship with the Quality Coordinator and contributes to the development of the QAPI plan. Oversees… more
- Actalent (Redlands, CA)
- …protocols. This role involves effective communication and interaction with utilization review nurses and health plans regarding UM and referral authorization ... Job Title: UM CoordinatorJob Description The Utilization Management ( UM ) Coordinator ...specialty services. + Communicate effectively with utilization review nurses and health plans on UM … more
- Cedars-Sinai (Beverly Hills, CA)
- …Will be Doing** The Case Management Coordinator provides support to the utilization review process. The coordinator works collaboratively with all team ... or Management. + Processes Extensions and Denial Letters, when needed. + Prepares Utilization Review Reports as necessary. + Assists the Case/Care Managers in… more
- Virginia Mason Franciscan Health (Seattle, WA)
- …located within hospital + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. Preferred + Bachelor's Degree in Nursing ... **Responsibilities** The Care Coordinator RN is responsible for overseeing the progression of care and discharge planning for identified patients requiring these… more
- Catholic Health Initiatives (Schuyler, NE)
- …if located within hospital + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ... **Responsibilities** **Job Summary / Purpose** The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning for identified… more
- Dignity Health (Long Beach, CA)
- …+ AHA BLS card + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ensure ... **Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning for identified patients requiring these… more
- Dignity Health (Long Beach, CA)
- …+ AHA BLS card + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ensure ... **Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of...will be on care coordination communication and collaboration with utilization management nursing physicians ancillary departments insurers and post… more
- Virginia Mason Franciscan Health (Silverdale, WA)
- …to their practice. 13. Performs other duties as assigned, including utilization review as necessary. **Qualifications** **Education and Experience** **Required** ... **Responsibilities** SIGN ON BONUS AVAILABLE! **JOB SUMMARY / PURPOSE** The Care Coordinator RN is responsible for overseeing the progression of care and discharge… more
- Virginia Mason Franciscan Health (Gig Harbor, WA)
- …to their practice. 13. Performs other duties as assigned, including utilization review as necessary. **Qualifications** **Education and Experience** Required ... **Responsibilities** **JOB SUMMARY / PURPOSE** The Care Coordinator RN is responsible for overseeing the progression of care and discharge planning for identified… more
- Dignity Health (Glendale, CA)
- …+ AHA BLS card + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ensure ... **Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning for identified patients requiring these… more
- Dignity Health (Los Angeles, CA)
- …90 days of hire. + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ensure ... bonus not to exceed 10% of salary for this position. The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning for… more
- Dignity Health (Phoenix, AZ)
- …confidentiality while striving to achieve high levels of patient satisfaction. The Care Coordinator consistently conducts the utilization review process and ... **Responsibilities** The Care Coordinator is responsible for assessing planning facilitating and...Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification Training: + Knowledge of managed care and… 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
- 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
- Dignity Health (San Bernardino, CA)
- …+ AHA BLS card + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ensure ... **Responsibilities** As an RN Care Coordinator at St. Bernardine Medical Center, you will...+ Monitor patient progression of care, ensuring appropriate resource utilization and timely discharge. + Serve as a liaison… more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Hussman ... Institute has an exciting opportunity for a full time Clinical Research Coordinator 2 position. The incumbent serves as a mid-level clinical research professional… more
- Catholic Health Initiatives (Omaha, NE)
- …pertaining to their practice. 13. Performs other duties as assigned, including utilization review as necessary. **Qualifications** **Required** + Graduate of an ... within hospital + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. **Preferred** + Bachelor's Degree in Nursing… more
- UnityPoint Health (West Des Moines, IA)
- …guidance and supervision of the Manager of Utilization Management and RN UM Specialists, the Administrative Coordinator serves a key role in supporting the ... Management + Shift: 7:00-3:30 + Job ID: 168064 Overview Utilization Management Admissions Coordinator Days, full-time, 32...and serves as primary point of contact for affiliate-level Utilization Management ( UM ) inquiries & requests for… more
