- 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. ... of relevant experience Three to five years' experience in care management, utilization review , home care and/or discharge planning. Preferred Registered Nurse… 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
- Dignity Health (Sacramento, CA)
- …while striving to achieve high levels of patient satisfaction. The RN Care Coordinator consistently conducts the utilization review process and the ... **Responsibilities** **Position Summary:** The RN Care Coordinator is responsible for assessing, planning, facilitating and...Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred + At least five (5) years… 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
- Covenant Health Inc. (Knoxville, TN)
- …patient liability is correctly managed. + Keeps abreast of current changes affecting Utilization Review as applicable. + Adjusts patient type changes and charges ... Overview Physician Advisor Operations Coordinator , Revenue Integrity and Utilization PRN/OCC,...management processes and coordinates communication between members of the UM team to ensure timely follow through. Maintains electronic… more
- NTT DATA North America (Decatur, IL)
- …when executed as part of an overall sourcing strategy. NTT DATA currently seeks a Utilization Management Coordinator to join our team for a remote position. 100% ... possibility of extension and direct hire Pay Rate $22-$23/hr **Position Summary:** The Utilization Management Coordinator reports to the Director of Claims. This… more
