- Kaiser Permanente (Pleasanton, CA)
- …Experience Minimum three (3) years of home care experience or quality utilization review experience. Education Bachelors degree in clinical related field ... Description: Job Summary: Coordinates quality, utilization and risk management activities for the Home Care Agency; provides technical, educational, consultative,… more
- University Health (San Antonio, TX)
- …recent, full-time hospital experience preferred. Work experience in case management, utilization review or hospital quality assurance experience is preferred. ... patients, promoting the achievement of optimal clinical and resource utilization allocation; facilitates transitions to facilitate appropriate lengths of stay… more
- UnitedHealth Group (Grand Junction, CO)
- …difference? Join us to start Caring. Connecting. Growing together. The Clinical Coordinator is responsible for processing all Behavioral Health and Substance Use ... approved medical necessity criteria, escalating cases to secondary medical director review when necessary, and collaborating with leadership and medical directors on… more
- TrackFive (Pittsburgh, PA)
- …Resource performs as a charge nurse, staff nurse or an assessment coordinator providing nursing care and treatment services in a Commonwealth facility for ... shift. Charge nurses make assessments and decisions in regard to staff utilization and supplies and equipment needs. Charge nurse supervises paraprofessional and/or… more
- CenCal Health (Santa Barbara, CA)
- …to regulatory timelines for processing, reviewing, and completing reviews. Apply utilization review principles, practices, and guidelines as appropriate for ... - $123,072 Annually Job Summary The Health Plan Nurse Coordinator - Adult Utilization Management (HPNC -...the role of medical management activities. Understanding of basic utilization review principles and practices. Education and… more
- RISEBORO COMMUNITY PARTNERSHIP (Brooklyn, NY)
- …supervision of the Supportive Housing Programs Supervisor, the Health Services Coordinator at Bethany Senior Terraces is responsible for providing ongoing support ... frail elderly tenants exiting shelters into permanent affordable housing. The Health Services Coordinator will be part of a team that connects tenants to the health… more
- Children's National Hospital (Silver Spring, MD)
- …Ensure program is fully implemented in all areas of qualified use. Audit, review , and monitor utilization records and 340B purchasing accounts to ensure ... The 340B Coordinator will manage and work with the 340B...for the program. Ensure the institution is achieving maximum utilization of 340(b) pricing through full participation in all… more
- Halifax Health (Ormond Beach, FL)
- …and reviews the budget for errors and cost containment for the assigned team. - Participates in Quality/Performance Improvement and Utilization Review functions. ... Day (United States of America) Registered Nurse- Hospice (Patient Care Coordinator ) The Patient Care Coordinator participates in all clinical management… more
- UnitedHealth Group (Lacey, WA)
- …the link between patients and the appropriate health care personnel, the Clinical Review Coordinator - Onsite is responsible for ensuring efficient, smooth, and ... us to start Caring. Connecting. Growing together. The Care Coordinator - Onsite plays an integral role in optimizing patients'...to CMS criteria When H&C Transitions is delegated for utilization management, review referral requests that cannot… more
- Access Community Health Network (Chicago, IL)
- …positive impact they can bring to our communities. Position Summary The Care Coordinator is a Licensed Social Worker or Counselor who provides care coordination, ... support patient empowerment through health education, advocacy and coaching. The Care Coordinator ensures the continuity and quality of care for patients and… more
- Temple University (Philadelphia, PA)
- …Perform duties associated with concurrent, retrospective, and prospective drug utilization review . Interfaces with physicians, pharmacists, speciality pharmacy ... The Coordinator of Outpatient Pharmacy Business Services is responsible...all matters related to benefits, therapeutic interventions, and medication utilization . Develops and maintains appropriate clinical and financial evidence-based… more
- University of Maryland Medical System (Easton, MD)
- …the beautiful Eastern Shore of Maryland. Job Description JOB SUMMARY: The Care Coordinator is responsible for the achievement of optimal health for the patient, ... access to care and appropriate utilization of resources. The patient's plan of care will...their right to self-determination and patient/caregiver choice. The Care Coordinator , with respect to payer requirements, will ensure timely… more
- AMN Healthcare (Pleasanton, CA)
- …someone very well versed in the HH setting to make UM decisions. Quality Coordinator exp CA LIC Preferred Qualifications Prior experience at Kaiser About Company At ... AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable. more
- Selfhelp Community Services (Bayside, NY)
- …complaints as needed. Works with all parties involved in the administration and utilization of home care, including but not limited to clients, family members and ... all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. more
- Housing Services - VOA Mid-States (Louisville, KY)
- …- Clinical Training and Developmen t JOB SUMMARY AND QUALIFICATIONS : Service Coordinator will be responsible for ensuring maximum utilization of community ... POSITION TITLE: Service Coordinator LOCATION: Louisville, KY, South Oaks Senior Housing...Mid-States' housing programs for the elderly or disabled. This utilization of resources is aimed at maximizing residents' length… more
- Altium (Grapevine, TX)
- Overview: The Jobsite Logistics Coordinator (JLC) II is responsible for managing the storage, transportation, shipping, and delivery of Packaged Alterman ... Construction Kits (PACK) and overall inventory. The Jobsite Logistics Coordinator II plays a crucial role in implementing efficient procurement and logistics… more
- Boston University (Boston, MA)
- …opportunities including emergencies and backfill patients into student provider open slots, review phone call and utilization reports to aid in optimal ... card, notify patient of required payment due at next session, verify session close. Coordinator in working as part of a team within the Group Practice Model ensures… more
- Marco Technologies LLC (Jefferson City, MO)
- POSITION SUMMARY/OBJECTIVE The Service Coordinator is primarily responsible for providing exceptional customer service to our clients in an effort to ensure a high ... level of client satisfaction. The Service Coordinator is responsible for service schedules and technician allocation. They provide support by prioritizing incoming… more
- Kaiser Permanente (Washington, DC)
- …PCC collaborates with rounding MAPMG Hospital Based Service Physicians, patient/family, nursing, utilization review and other members of the healthcare team to ... Description: Job Summary: The Patient Care Coordinator is responsible for overseeing the management and...reporting on patient progression towards the established discharge plan. Review and document discharge plan in accordance with KP… more
- STV Incorporated (Los Angeles, CA)
- …Facilitate the proper reporting of prevailing wages, fringe benefits, apprentice utilization , and resolution of employee wage violations. Collect and review ... violations uncovered from CPRs reviews, site visits, worker complaints, etc. Review contractor documents when applicable; determine the withhold amounts for… more
