- Hackensack Meridian Health (Neptune City, NJ)
- …to transform healthcare and serve as a leader of positive change. The Care Management , ** Care Coordinator , Utilization Management ** is a member ... of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to… more
- Hackensack Meridian Health (Brick, 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 ... expert computer skills. + Familiar with hospital resources, community resources, and utilization management . + Excellent written and verbal communication skills.… 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
- Trinity Health (Athens, GA)
- **Employment Type:** Part time **Shift:** **Description:** The Utilization Review (UR) Coordinator works, in collaboration with a multidisciplinary team that ... with external insurance payers, to ensure patients progress along the continuum of care in an efficient and cost-effective manner that ensures quality outcomes. UR … more
- Corewell Health (Southfield, MI)
- …+ Preferred Bachelor's Degree in nursing or related field. + Hospital utilization review/ utilization management experience. Preferred + Clinical appeals ... advisors and medical staff to ensure appropriate level of care , including obtaining physician orders for patient class changes...Beaumont Service Center - 26901 Beaumont Blvd Department Name Utilization Management - CH East Employment Type… more
- WMCHealth (Valhalla, NY)
- Asst Utilization Coordinator Company: Westchester Medical Center City/State: Valhalla, NY Category: Nursing/Nursing Management Department: Clinical Care ... Internal Applicant link Job Details: Internal Posting: 07/1/25 to 07/14/25 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
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Under the supervision of the Utilization Management (UM) Operations Supervisor, the UM Coordinator I's primary job function is to support UM ... EZ Cap, Word, Outlook, and data entry systems Previous experience in the health care field, such as hospital, medical group, health insurance, or other Risk Bearing… 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
- Cedars-Sinai (Beverly Hills, CA)
- …**A Little More About What You Will be Doing** The Case Management Coordinator provides support to the utilization review process. The coordinator works ... and social supports required. + 1 year of previous utilization management or managed care ...: 10884 **Working Title** : Case Management Coordinator (Hybrid) - MNS Ambulatory Care … 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
- 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
- State of Indiana (Indianapolis, IN)
- …through access to high quality care and services. You serve as the utilization management subject-matter expert in health care delivery, develops ... of staff management and evaluation experience; clinical experience in managed care and accredited utilization management experience strongly preferred.… 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
- UPMC (Pittsburgh, PA)
- UPMC Community Care Behavioral Health is seeking a full-time Coordinator of Care Management to support the Adult Acute team within the Allegheny County ... Care Management Department! The ...Care Management Department! The Coordinator , ... utilization and outcomes issues to Director of Care Management and Member Services. Identifies provider… 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
- Veterans Affairs, Veterans Health Administration (Hines, IL)
- …of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care ... Summary This is a recruitment for a Registered Nurse Care Coordinator - Detail, as a temporary unpaid... as needed. Assumes responsibility for the coordination of care focused on patient education, self- management , and… more
- Catholic Health Initiatives (Schuyler, NE)
- …will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... **Responsibilities** **Job Summary / Purpose** The RN Care Coordinator is responsible for overseeing...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management … more
- Catholic Health Initiatives (Lexington, KY)
- …will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... **Responsibilities** **Job Summary / Purpose** The RN Care Coordinator is responsible for overseeing...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management … more
- Elderwood (Cheektowaga, 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
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