- OptiMindHealth (Reading, MA)
- Physician Liaison / Outreach Coordinator Position Requirement: Part-Time FLSA Status: Non-Exempt Location: Reading , MA Join a leading clinician-led behavioral ... serving both adult and adolescent patients in a supportive outpatient environment. Our practice strives to improve access to...position is an entry level Physician Liaison / Outreach Coordinator role. Preferred candidates will possess a B2B Sales… more
- Kaiser Permanente (Portland, OR)
- …HealthConnect. Knowledge of Medicaid/Medicare programs and regulations. Knowledge of quality management and utilization management principles. Professional ... ensure a clear medical treatment plan is documented. Provide care coordination and management services for members with identified needs within the scope of the… more
- UnitedHealth Group (El Paso, TX)
- …care plan and referrals provided. Participate in Interdisciplinary team meetings and Utilization Management rounds and provide information to assist with safe ... financial outcomes and member satisfaction while managing the plan of care. Service Coordinator Level 2 is responsible for overall management of member's case… more
- Wellstar Health System (Marietta, GA)
- …in the healthcare industry, and in people's lives. Job Summary: The Care Coordinator RN (CC RN) is responsible for assessing transitional care needs, coordinating ... the patient's needs, manage the length of stay and promote efficient utilization of resources. Overall, the role integrates and coordinates care facilitation, care… more
- Magellan Health, Inc. (Farmington, NM)
- …Healthcare-related field, or relevant experience in lieu of degree., Experience in utilization management , quality assurance, home or facility care, community ... Maintains professional relationship with external stakeholders, such as inpatient, outpatient and community resources. Generates reports in accordance with care… more
- Magellan Health, Inc. (Carlsbad, NM)
- …Magellan Credentialing criteria. 2+ years' post-licensure clinical experience. Experience in utilization management , quality assurance, home or facility care, ... Maintains professional relationship with external stakeholders, such as inpatient, outpatient and community resources. Generates reports in accordance with care… more
- Heywood Hospital (Gardner, MA)
- …are not limited to: housing, primary care; transportation resources, legal services, outpatient therapy med management follow up other social service ... campuses as needed is required. Responsibilities Essential Functions: Provides Case Management Services upon admission through discharge including but not limited to… more
- Kaiser Permanente (Vancouver, WA)
- …to agency policy, state practice acts, applicable state and federal regulations, utilization management , and qualifications for home care services. Optimizes the ... others in the inter-disciplinary health care team. Participates in quality and utilization management activities (eg Chart audits). Participates in continuing… more
- Compu-Vision Consulting, Inc. (Lawrenceville, GA)
- …Congruent Practice, Ethics, Professional Practice Evaluation and Resource Utilization Leadership Collaboration, Community Involvement, and Environmental Health ... III Demonstrates competency in clinical practice; self-directed in goal setting in management of complex patients and families; utilizes the nursing process and is… more
- Geisinger Health (Danville, PA)
- …by a Coordinator . Acts as coordinator between all Revenue Management teams and departments including Practice Consultants, Utilization Management and ... being rendered, when applicable for admissions, in and out surgeries and outpatient clinical departments. Follows Revenue Management policies and procedures… more
- Pennsylvania Medicine (Lancaster, PA)
- …and maintaining quality patient care. Coordinates care across the continuum inpatient outpatient community to assure appropriate utilization of clinical and ... relationships with patients, families and providers. Functions as a coordinator and manager of a defined health population across...Nursing. Bachelor's degree in Nursing BSN . Knowledge of utilization review or managed care. Care management … more
- Southern Illinois University School of Medicine (Springfield, IL)
- …inpatients. M.Assists physician with diagnostic and/or therapeutic procedures performed during outpatient visit. N.Participates in the control and utilization of ... expertise, the Physician Assistant/Certified Nurse Practitioner acts as a clinician, coordinator , consultant, educator, leader and researcher Examples of Duties I.… more
- TulaRay (Harrisburg, PA)
- …setting, behavioral health setting, drug and alcohol setting, managed care, quality management / utilization review or other related clinical experience; or An ... (MA), health care services, human services, long term care, utilization review, or knowledge of home care Knowledge of...not in compliance with MA regulations. Functions as case coordinator for assigned cases by planning and directing review… more
- VA Puget Sound Health Care System (Seattle, WA)
- …collaborate with providers regarding medication therapy including anticoagulation management , renal dose adjustment, pharmacokinetic monitoring and dose adjustment, ... pain management , electrolyte and glycemic ...appropriate transitions in care. Ensure pending inpatient, clinic, and outpatient prescriptions and other distributive workload activities are triaged,… more
- County of Los Angeles, CA (Los Angeles, CA)
- …to a line operation responsible for delivering psychological rehabilitation, case management , and/or psychiatric emergency services in the Department of Mental ... and significant others. Provides consultation to community agencies on the utilization of mental health and support services provided by department-owned clinics,… more
- Cambay Healthcare (Tucson, AZ)
- …to provide high-quality health care. *Maintain direct involvement in the quality management and utilization management processes, adapting to changes ... direct supervision of care). *Ensure psychiatric coordination of care in outpatient and residential services through leadership and participation in regular… more
- Reef Systems (Montgomery, AL)
- …Professional Staff (ProStaff) meetings. Identify and notify the Government MTF case manager, Utilization Management (UM) nurse or Primary Care Management ... (LPN) to support the Air Force medical Service (AFMS) mission at the Referral Management Center (RMC) located at Maxwell AFB, AL. This is a full-time, on-site… more
- Glens Falls Hospital (Glens Falls, NY)
- …Manager will work closely with the Interdisciplinary Team to ensure appropriate utilization and provision of resources for patients including referrals to ... outpatient medical, mental health and substance abuse services. In...In addition to creating/altering the care plan, the Care Coordinator will ensure that a participant/family values assessment is… more
- UnitedHealth Group (Lexington, KY)
- …members, serving in numerous roles such as educator, evaluator, service coordinator , community resource researcher and more. The result? Fewer hospitalizations, ER ... contractual requirements; collaborate early and frequently with other teams in the management of cases stratified as having intensive, complex, and high-risk needs… 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
