- 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. ... LICENSURE/CERTIFICATION A current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. National certification in a related field is desirable. Case Manager Certification (CCM, CPHQ, or ANCC) or… more
- 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
- 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
- Appcast (Long Beach, CA)
- Immediate need for a talented Appeals and Grievance Coordinator in California. This is a 06+ months contract opportunity with long-term potential and is located in ... Los Angeles County, CA (Remote). Please review the job description below and contact me ASAP...Inpatient acute care (Hospital) Experience within Appeals and Grievance, Utilization and conducting investigations.Our client is a leading Healthcare… more
- Jooble (Ewa Beach, HI)
- …Management experience Experience with or exposure to discharge planning Experience with utilization review , concurrent review and/or risk management ... health care work better for our patients. In this Health and Social Services Coordinator role, will be an essential element of an Integrated Care Model by relaying… more
- TrackFive (Las Cruces, NM)
- …and recommend improvement activities. Reports findings to other departments such as utilization review , infection control, and risk management. Serves as a ... Information$3,006 to $3,126 per weekAbout The Position Job Title: RN Quality Coordinator Location: Las Cruces, NM Duration: 13 weeks Guaranteed hours: 40 hours… more
- Health eCareers (St. Charles, MO)
- …Hub to support efficient system throughput and optimal patient flow.Partners with virtual Utilization Review (UR) Nurse to align payor and status requirements ... knowing you did. Come join our team.Job Summary:The Unit Clinical Care Coordinator (Unit C3) is responsible for overseeing the admission process, patient… 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
- Inside Higher Ed (Overland Park, KS)
- …on relevant years of work experience.Benefits Category: Full-time Benefits **Candidate review will begin July 7, 2025Position Summary: Responsible for leadership and ... operational expenses. Minimize costs by eliminating redundancies, optimizing the utilization of resources, and maintaining high productivity levels. Perform… 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
