- The County of Los Angeles (Los Angeles, CA)
- …OPTION I:One year of experience performing the duties of a Utilization Review Nurse* or Medical Service Coordinator , CCS.** -OR- OPTION II: Two (2) ... UTILIZATION REVIEW NURSE SUPERVISOR I Print...In the County of Los Angeles, a Medical Service Coordinator , CCS (https://www.governmentjobs.com/careers/lacounty/classspecs/1065117) determines medical eligibility of children referred… 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 NURSE ... and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General...title, beginning and ending dates, number of hours worked per week, and description of work performed.If your application… more
- Tenet Healthcare (Detroit, MI)
- …of care and appropriate level of care Mentor and monitor work delegated to Utilization Review LVN/LPN and/or Authorization Coordinator as needed. (5% daily, ... RN Utilization Review Full Time Days -...RN Utilization Review Full Time Days - 2506001796 Description :...on Medical Necessity and submits case for Secondary Physician review per Tenet policy Ensures timely communication… more
- Baptist Memorial (Meridian, MS)
- Overview RN Utilization Review Weekender Job Code: 22818 FLSA Status Job Family: NURSING Job Description Title: RN Utilization Review Weekender Job ... necessity and appropriateness of healthcare services and treatment as prescribed by utilization review standards. The UR Nurse works with providers, insurance… more
- Trinity Health (Des Moines, IA)
- …of the interactions in the STAR admitting system. ESSENTIAL FUNCTIONS: + Conducts admission review per the Utilization Management Plan to ensure that the ... the MercyOne Family! We are looking to hire a Utilization Review RN! Responsible for the ...Department. + Collaborates with the Recovery Audit Contractor (RAC) Coordinator and Conifer for Medicare/Medicaid RAC Denials management. **MINIMUM… more
- Baptist Memorial (Memphis, TN)
- Overview Purpose of Position and Scope of Responsibility Job Summary The Utilization Review Nurse is responsible for evaluating the medical necessity and ... appropriateness of healthcare services and treatment as prescribed by utilization review standards. The UR Nurse works with providers, insurance companies and… more
- Guthrie (Sayre, PA)
- …and autonomy in nursing practice. Preferred experience with PCMH process, care management/ utilization review , and payer knowledge. Fast paced ambulatory care ... Summary Care Coordinator /Wellness Nurse- Per Diem will assist in coordinating the medical management of patients, using an outcomes-based approach. In… more
- Hackensack Meridian Health (Brick, NJ)
- …to transform healthcare and serve as a leader of positive change. The **Care Coordinator , Care Management** is a member of the healthcare team and is responsible for ... services. A day in the life of a **Care Coordinator , Care Management** at **Hackensack Meridian** **_Health_** includes: +...or meetings. + Identifies and refers quality issues for review to the Quality Management Program. + Participates in… more
- Veterans Affairs, Veterans Health Administration (Billings, MT)
- …implements and evaluates clinical guidelines and protocols to establish. appropriate utilization of services. The Program Coordinator participates in direct ... by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities Total Rewards of a Allied Health… more
- City and County of San Francisco (San Francisco, CA)
- …SFO teams. For more information about this position, please review the 1844 Asset Coordinator Job Description ... - $131,404 Annually. + Work Schedule: Full-time, 40 hours per week. Shift times will vary, and employees must...SFO teams. For more information about this position, please review the 1844 Airport Systems Coordinator Job… more
- Veterans Affairs, Veterans Health Administration (Hines, IL)
- …intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, ... This is a recruitment for a Registered Nurse Care Coordinator - Detail, as a temporary unpaid detail not to...direct patient care across all categories of care for review and coordination of services. Assesses, plans, implements, and… more
- Elderwood (Cheektowaga, NY)
- …Insurance Companies + Knowledge of Medicare and Medicaid Managed Care Policies and Utilization Review . Managed Care Coordinator Skills and Competencies + ... Salary $18.50 - $23.07/Hour Overview Managed Care Coordinator Overview The Managed Care Coordinator ...of all policies and procedures. + Maintains privacy, as per policies and procedures within a secure environment of… more
- Rush University Medical Center (Chicago, IL)
- …Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits). **Pay Range:** $37.41 - $64.82 per hour Rush salaries are determined by many factors ... vary depending on the circumstances of each case. **Summary:** The Service Line Coordinator 's primary function is to serve as the clinical nursing expert and lead… more
- Covenant Health Inc. (Knoxville, TN)
- …Registered Nurse Care Coordinator , Quality Management Full Time, 80 Hours Per Pay Period, Day Shift Occasional travel as needed About Us Covenant Medical ... We're a proud member of Covenant Health! Position Summary: The RN Care Coordinator II is responsible for integrating evidenced based clinical practice into the… more
- Atlantic Health System (Florham Park, NJ)
- …plan, including transfer eligibility, level of care, resource prioritization & utilization , timely acceptance, and appropriate priority and mode of transport. + ... as assigned. + Accurately completes and transmits all required documentation per policies/procedures. + Generates regular and on demand reports as assigned.… more
- DMS International (Lackland, TX)
- …customer's mission + DMS is currently seeking a Training Management Support Coordinator . The Training Management Support Coordinator will supervise contractor ... (NTTC) Lackland Joint Base, San Antonio, TX. The Training Management Support Coordinator must be familiar with applicable Navy rules, regulations, and other… more
- Veterans Affairs, Veterans Health Administration (Iowa City, IA)
- Summary The Medical Foster Home (MFH) /Community Residential Care Coordinator in the Rehab and Extended Care (REC) Service Line of VA Iowa City Health Care System ... serves as program coordinator and is administratively responsible for the Medical Foster Home and Community Residential Care Programs. The VA Iowa City Health Care… more
- American Airlines (New York, NY)
- …Association of Machinists (IAM) Collective Bargaining Agreement. Starting pay is $23.23 per hour. **What you'll do** **These are the essential functions of the ... (TCSM), gate manager (GMS), business partners, and appropriate Turn Coordinator **Turn Coordinator ** + Facilitate turns of...aircraft to mitigate delays and/or achieve on-time departures + Review aircraft turns below minimum ground time or out… more
- University of Utah (Salt Lake City, UT)
- …PRN42222B **Job Title** PS Clinical Care Spec **Working Title** Clinical Care Coordinator - Intensive Outpatient Clinic **Job Grade** UGR **FLSA Code** Professional ... **Patient Sensitive Job Code?** Yes **Standard Hours per Week** 40 **Full Time or Part Time?** Full...Rate Range** $55,000.00 - $65,000.00 **Close Date** 09/19/2025 **Priority Review Date (Note - Posting may close at any… more
- Stony Brook University (Stony Brook, NY)
- Admissions Coordinator **Position Summary:** The Admissions Department has the challenging responsibility of guiding families through the emotionally difficult ... process of nursing home placement. The Admissions Coordinator is the first contact the public has with...level of care requirements in accordance with the Resource Utilization Groups (RUGS) methodology; prepares, as required by nursing… more