- Kaiser Permanente (Sacramento, CA)
- Job Summary: Coordinates quality, utilization and risk management activities for the Home Care Agency; provides technical, educational, consultative, and ... assigned areas. Essential Responsibilities: Assists in the coordination of the quality management / utilization management department activities. Acts as a… more
- Tustin Temporary Emergency Shelter / Orange County Rescue… (Santa Ana, CA)
- Description The Hurtt Family Health Clinic is looking for a full-time Referral Coordinator to join the Patient Services team and provide eligibility and intake ... status into patients electronic record. Processes all Review status referrals and Home Health referrals. All referral coordinators will be responsible to have a… more
- RCM Health Care Services (New York, NY)
- Job Description RN Coordinator of Care - CHHA Registered Nurse, Field based position covering Lower Manhattan or Brooklyn $100,000 - $115,000 and $15,000 Sign on ... Bonus + Amazing Benefits! RN Coordinator of Care Nurse will take on 5 visits...primary responsibility to coordinate, implement and continually evaluate the home care needs of your patients. You will also… more
- HC&N Healthcare Solutions (Miller Place, NY)
- MDS Coordinator A nursing home is currently looking for a highly experienced MDS Coordinator to join their team of dedicated professionals. Responsible for ... services with physicians, families, third party payers and facility staff. MDS Coordinator Essential Job Functions Oversees accurate and thorough completion of the… more
- UnitedHealth Group (Puyallup, WA)
- …rehabilitation, and/or home health nursing experience Familiarity with care management , utilization /resource management processes and disease ... Optum Home & Community Care, part of the UnitedHealth...to CMS criteria When H&C Transitions is delegated for utilization management , review referral requests that cannot… more
- Bluestone Physician Services (Hugo, MN)
- …care teams to ensure health care quality measures are met and use utilization management tools to meet value-based goals Supporting members during transitions ... 2021-2024! Position Overview: Join our team as a Care Coordinator where you will work with the SNBC (Special...with the geriatric or certified disabled population in case management /care coordination, Home Care, Group Homes, Nursing… more
- Ardent Health Services (Albuquerque, NM)
- …at least one year physician office experience (adult / family medicine). Quality Improvement, Case Management , Utilization Review, Risk Mgt./Safety experience ... day shift, full-time, Community Outreach Programs Registered Nurse (RN) Population Health Coordinator in Albuquerque, NM. Why Join Us? Thrive in a People-First… more
- Pascua Yaqui Tribe, AZ (Tucson, AZ)
- …is responsible for coordinating clinical services and providing Quality Assessment and Utilization Review (QA/UR) Management for the Pascua Yaqui Maricopa/Pima ... healthcare quality; ICD-9 and CPT coding guidelines; Resource and Patient Management System (RPMS) or similar patient information tracking system; Provide clinical… more
- UnitedHealth Group (Albuquerque, NM)
- …a difference? Join us to start Caring. Connecting. Growing together. The Field Care Coordinator will be the primary care manager for a panel of members with ... member's medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care. This...position is a field - based position with a home - based office. You will work from … more
- Magellan Health, Inc. (Farmington, NM)
- …or Healthcare-related field, or relevant experience in lieu of degree., Experience in utilization management , quality assurance, home or facility care, ... cost effective and quality outcomes. Duties are typically performed during face-to-face home visits. Promotes the appropriate use of clinical and financial resources… more
- Kaiser Permanente (Vancouver, WA)
- …related to agency policy, state practice acts, applicable state and federal regulations, utilization management , and qualifications for home care services. ... regulations for home care. OASIS-C Certification. Oncology. Rehabilitation Nursing. Utilization management , discharge planning, care coordination, and case … more
- The Jane Pauley Community Health Center, Inc (Indianapolis, IN)
- …care setting preferred. 2-5 years' experience in chronic disease management , case management , utilization management , and adult acute care preferred 1 ... time in-office (required 3 days) and optional work from home (2 days). Our competitive employment offerings include: Have...our patients and employees Job Summary - Patient Care Coordinator , RN: The Patient Care Coordinator , RN… more
- Nascentia Health (Syracuse, NY)
- … Coordinator provides administrative and scheduling support to the Care Coordinators, Utilization Management and Care Management staff. Responsible for ... mail daily including Patient Centered Service Plans, new member Enrollment Packets, Utilization Management Dept member notification letters and other mailings as… more
- UnitedHealth Group (Oak Ridge, TN)
- …difference? Join us to start Caring. Connecting. Growing together. The RN Clinical Care Coordinator will be the primary care manager for a panel of members with ... focus on supporting member's medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care. This is a … more
- VITAS Healthcare (Washington, DC)
- …is evidence that quality care is being delivered. Participates in the Outcomes Management and annual program review. Performs utilization review of continuous ... admission to discharge or transfer to bereavement; serve as patient advocate and coordinator for other social service and health care providers in the community who… more
- Magellan Health, Inc. (Carlsbad, NM)
- …Magellan Credentialing criteria. 2+ years' post-licensure clinical experience. Experience in utilization management , quality assurance, home or facility ... cost effective and quality outcomes. Duties performed are either during face-to-face home visits or facility based depending on the assignment. Promotes the… more
- EmblemHealth (New York, NY)
- …Experience in case management /care coordination, managed care, and/or utilization management (Preferred) Strong communication skills - verbal, written, ... plan benefits and remain safe and independent in their home or current living environment in collaboration with health...current active RN license CCM certification (Preferred) Certification in utilization or care management (Preferred) 4 -… more
- Southern States Cooperative (Christiansburg, VA)
- General Summary Coordinates merchandising plans for the appearance, arrangement, and utilization of the salesroom and all merchandise and equipment contained ... concerns effectively Effective knowledge of specialized area(s) including equine, livestock, pet, home , farm, and/or lawn & garden Able to learn and consistently… more
- ProMed Staffing Resources (New York, NY)
- …sites and communicate with appropriate team members, facility, discharge planner, and home care coordinator when members are transitioned between care settings. ... the effectiveness of the plan of care and the utilization of services and implements changes and adjustments to...of two (2+) years of administrative experience in a management capacity in a certified home health… more
- CenterLight Health System (Amityville, NY)
- …sites and communicate with appropriate team members, facility, discharge planner, and home care coordinator when members are transitioned between care settings. ... the effectiveness of the plan of care and the utilization of services and implements changes and adjustments to...of two (2+) years of administrative experience in a management capacity in a certified home health… more
