- Sharp HealthCare (San Diego, CA)
- … Care Coordinator , under the direct supervision of the Supervisor, Utilization Management Care Coordinators, prepares referral requests for outpatient ... operation documents as appropriate for approval at the UM Care Coordinator level of review.Appropriately identify claims...related to the position.Bring to attention of the Supervisor, Utilization Management Care Coordinators, and… more
- Trinity Health (Fresno, CA)
- …Shift **Description:** This position is responsible for assisting the Care Coordinator with utilization review management and discharge planning tasks. ... stay certification, identifying discharge planning needs, and coordinating with the Care Coordinator for implementation of non-complex case discharges. Pay… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …with the guidance and plans they need for healthy living. JOB SUMMARY: The Utilization Management Care Coordinator works within a multidisciplinary ... care team to assist with the care of members enrolled in our Managed Long Term... of members enrolled in our Managed Long Term Care program and facilitate authorization requests for eligible members.… more
- ManpowerGroup (Rancho Cucamonga, CA)
- Our client, a leading healthcare organization, is seeking a Coordinator - Utilization Management Outpatient to join their team. As a Coordinator - ... which will align successfully in the organization. **Job Title:** Coordinator - Utilization Management Outpatient...and CPT codes is essential. + Experience in managed care or a physician office is a must. +… more
- CenterWell (Topeka, KS)
- …UM Administration Coordinator - Phone Intake contributes to administration of utilization management . The UM Administration Coordinator performs varied ... Shift Hours - 8a - 5 The UM Administration Coordinator - Phone Intake provides non-clinical support for the...policies and procedures ensuring best and most appropriate treatment, care or services for members. Decisions are typically focus… more
- Humana (Frankfort, KY)
- …health first** The UM Administration Coordinator contributes to administration of utilization management for Humana's KY Medicaid plan. The UM Administration ... Coordinator 2 performs varied activities and moderately complex administrative/operational/customer...policies and procedures ensuring best and most appropriate treatment, care or services for members. **Role Overview:** + Decisions… more
- WMCHealth (Valhalla, NY)
- Asst Utilization Coordinator - Appeals Company: Westchester Medical Center City/State: Valhalla, NY Category: Nursing/Nursing Management Department: Clinical ... Internal Applicant link Job Details: Internal Posting: 02/25/25 to 03/10/25 Assistant Utilization Coordinator Summary: Under general supervision, an incumbent of… more
- BayCare Health System (Largo, FL)
- …of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Coordinator (Homecare) responsibilities include:** + Coordinates ... bonus + Community discounts and more Equal Opportunity Employer Veterans/Disabled **Position** Utilization Coordinator **Location** Largo | Clinical | PRN **Req… more
- Scottish Rite for Children (Dallas, TX)
- …Maintain effective communication with patient care team members related to utilization management + Verify medical necessity of all Inpatients using ... giving children back their childhood! Job Posting Title: Case Manager and Utilization Review Coordinator Location: Dallas - Hospital Additional Posting Details:… more
- LifePoint Health (Louisburg, NC)
- …Director, Case Management What we offer Fundamental to providing outstanding care is supporting and rewarding our team. In addition to your base compensation, ... job field* **Organization:** **Maria Parham Franklin* **Title:** *Registered Nurse Utilization Review Coordinator * **Location:** *NC-Louisburg* **Requisition ID:**… more
- Houston Methodist (Houston, TX)
- …of administrative duties of a higher complexity in support of department operations. **The Care Coordinator for the Weight Management Insurance Team is ... At Houston Methodist, the Care Coordinator position is responsible for... support to the department staff to facilitate efficient utilization of resources including referrals management , communication… more
- Fairview Health Services (Minneapolis, MN)
- …our clinical services, bringing the very newest ideas in patient care . The Patient Care Management Coordinator will be working on the Acute Rehab Center ... is eligible for benefits. **About this Position:** This Patient Care Management Coordinator provides comprehensive...care and develops, implements, monitors and documents the utilization of resources and progress of the patient through… more
- The County of Los Angeles (Los Angeles, CA)
- …training is needed, and to make recommendations on potential areas for medical care evaluation studies. + Attends Utilization Review Committee meetings to inform ... community partner clinics. Every year, we deliver compassionate, life-saving care to over 600,000 unique patients across LA County....I:One year of experience performing the duties of a Utilization Review Nurse* or Medical Service Coordinator ,… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Job Title:** ** Care Coordinator - Care Management ** Mount Sinai Health Partners (MSHP) is the management services organization ... health. In consultation with the patient's care team, the Care Coordinator provides health education related to symptom management and preventive care… more
- Access Dubuque (Dubuque, IA)
- …including tracking of resource utilization and outcome measures. The patient care coordinator supports the quality and safety efforts by being responsible ... Patient Care Coordinator **MercyOne** 1 Positions ID:... of MercyOne Dyersville Medical Center patients through case management , care coordination, analysis, and overseeing activities.… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Care Coordinator , Quality Management Full Time, 80 Hours Per Pay Period, Day Shift Occasional travel as needed About Us Covenant ... degree in Nursing or related field. Apply/Share Job Title RN CARE COORDINATOR II ID 4246987 Facility Covenant Medical Management Department Name QUALITY … more
- Elderwood (Waverly, NY)
- …as needed by the MDS Coordinator . + Understands the organization's quality management program and the care coordinator 's role within that program, ... supervisor, management staff or Administrator. Qualifications Managed Care Coordinator Educational Requirements and Qualifications +...Medicare and Medicaid Managed Care Policies and Utilization Review. Managed Care Coordinator … more
- Virginia Mason Franciscan Health (Seattle, WA)
- …be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post-acute ... **Responsibilities** The Care Coordinator RN is responsible for...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management … more
- New Directions Youth and Family Services (Amherst, NY)
- Position - Wraparound Care Coordinator Job Type: Full-time (flexible schedule 35-hour work week) Starting Pay: $24.12 per hour (43,896.06) - $25.34 per hour ... equitable human service organization to apply. Full Job Description Title: Wraparound Care Coordinator Department: Wraparound Title of Immediate Supervisor: … more
- Hackensack Meridian Health (Perth Amboy, NJ)
- …advancing our mission to transform healthcare and serve as a leader of positive change. The ** Care Coordinator , Care Management ** is a member of the ... post-acute services. A day in the life of a ** Care Coordinator , Care Management...skills. + Familiar with hospital resources, community resources, and utilization management . + Excellent written and verbal… more
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