- Aequor (San Diego, CA)
- …years of experience in GMP pharmaceutical logistics and/or supply chain materials management . An equivalent combination of relevant education and experience may ... goods, and as required, internal shipment requests. Support identification and management of 's domestic and international contract storage warehouse's for… more
- Conifer Revenue Cycle Solutions (Bryan, TX)
- …and assists in the development and implementation of new policies. Education /Development/Communication Educates department and facility staff as needed ... development and implementation, and ongoing success of the Clinical Documentation Management Program within the company. Educates members of the patient care… more
- Conifer Revenue Cycle Solutions (Frisco, TX)
- …including implementation and adherence to best practices and principles. Education /Development/Communication Educates department and facility staff as needed. ... JOB SUMMARY Manages activities of the Clinical Documentation Improvement department locally and/or across other Conifer's CDI departments. Lead the monitoring of… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical ... internal and external to the institution. Position responsibilities will include utilization management support functions for patient admissions and continuing… more
- Sanford Health (Sioux Falls, SD)
- … and potentially, prior authorization. Assists the department in monitoring the utilization of resources, risk management and quality of care for patients in ... Conduct level of care medical necessity reviews within patient's medical records. Performs utilization management (UM) activities in accordance with UM plan to… more
- Commonwealth Care Alliance (Boston, MA)
- …Management is responsible for overseeing and managing the daily operation of the Utilization Management Review Nurse and Specialist staff responsible for ... of service decisions and organizational determinations. Essential Duties & Responsibilities: The Manager, Utilization Management reports to the Director of … more
- Covenant Health Inc. (Knoxville, TN)
- …your community, apply for our ED today! Postition Summary: The Emergency Department Patient Registration Specialist coordinates the registration process ... Overview Patient Registration Specialist , Emergency Department Part... for the Advanced Care at Home program and Utilization Management . + Rotates on-call and holiday… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Emergency Department Patient Registration Specialist , Admitting & Registration Full Time, 80 hours per pay period, Variable shifts Parkwest ... highest customer service for all patients. Position Summary: The Emergency Department Patient Registration Specialist ... for the Advanced Care at Home program and Utilization Management . + Rotates on-call and holiday… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Utilization Review Specialist (RN) Department : Utilization Management Location: Rochester General Hospital Hours Per Week: 40 Hours ... Review Specialist actively participates in the utilization management of patients and evaluating hospital...(AHA), RN - Registered Nurse - New York State Education Department (NYSED)New York State Education… more
- Covenant Health Inc. (Harriman, TN)
- Overview Emergency Department Patient Registration Specialist , Admitting & Registration PRN/OCC, Hours and Shifts Vary Roane Medical Center Overview: Proudly ... and satisfaction at Roane Medical Center. Position Summary: The Emergency Department Patient Registration Specialist ... for the Advanced Care at Home program and Utilization Management . + Rotates on-call and holiday… more
- Covenant Health Inc. (Morristown, TN)
- …more about our amazing facility athttps://www.morristownhamblen.com/. Position Summary: The Emergency Department Patient Registration Specialist coordinates ... the registration process for all patient encounters within the Emergency Department . Responsibilities include quick registration for... for the Advanced Care at Home program and Utilization Management . + Rotates on-call and holiday… more
- AdventHealth (Hendersonville, NC)
- …and collects payments or establishes payment plans. + Coordinates with utilization management staff for pre-authorization issues and ensures patients ... have necessary logistical information. + Contacts insurance companies to verify eligibility and benefits, and obtains pre-authorizations within established timeframes. + Registers patients for all services, ensuring accuracy and minimizing duplication of… more
- LA Care Health Plan (Los Angeles, CA)
- …staff to render decisions, assists the Manager and Director of the Utilization Management department in meeting regulatory time lines by maintaining ... Authorization Technician II Job Category: Clinical Department : Utilization Management Location:...purpose. Job Summary The Authorization Technician II supports the Utilization Management (UM) Specialist by… more
- Trinity Health (Maywood, IL)
- …in collaboration with attending physicians. + Actively participates in the Utilization Management committee. + Additional responsibilities as needed. **We ... Loyola campus. Position is hybrid, must reside in Illinois. The **Regional Utilization Review Documentation Specialist ** nurse works with the multidisciplinary… more
- Roper St. Francis (Summerville, SC)
- …(KPIs) and other outcome metrics relevant to unit/patient population. Assists Clinical Specialist with updating unit visual management boards each shift. ... its first patients in 2026. This expansion will bring enhanced access to emergency care, imaging, lab services, outpatient surgery and women's health, right in the… more
- Roper St. Francis (Summerville, SC)
- …(KPIs) and other outcome metrics relevant to unit/patient population. Assists Clinical Specialist with updating unit visual management boards each shift. ... its first patients in 2026. This expansion will bring enhanced access to emergency care, imaging, lab services, outpatient surgery and women's health, right in the… more
- Houston Methodist (Houston, TX)
- …the leadership team for special project activities related but not limited to, throughput, utilization review and utilization management to align with the ... At Houston Methodist, the Sr Utilization Review Specialist Nurse (URSN) position...members. + Serves as the primary information resource for utilization management staff, payers, physicians, and other… more
- Rush University Medical Center (Chicago, IL)
- …status, and other legally protected characteristics. **Position** Clinical Nurse Leader RN, Emergency Department **Location** US:IL:Chicago **Req ID** 20716 ... Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department : Emergency Room-ER - Tower **Work Type:** Full Time (Total… more
- HonorHealth (AZ)
- …here -- because it does. Learn more at HonorHealth.com. Responsibilities Job SummaryThe Utilization Review RN Specialist reviews and monitors utilization of ... a cancer care network, outpatient surgery centers, clinical research, medical education , a foundation, an accountable care organization, community services and more.… more
- Mount Sinai Health System (New York, NY)
- … Mgmt FT Days EOW** To maintain front end operations of the Case Management Department by monitoring all incoming correspondence and ensuring it reaches the ... Excel and Word + Strong Communication skills Non-Bargaining Unit, BEZ - Utilization Management - WST, Mount Sinai West **Responsibilities** **A.… more
