- Trinity Health (Fresno, CA)
- …Summary: This position is responsible for coordinating administrative/clerical support to department staff to ensure smooth and efficient departmental operations. ... Requirements: 1. High school diploma or equivalent is required. 2. Two (2) years secretarial/administrative experience in a medical setting is required. 3. Knowledge of medical terminology, excellent organizational skills, ability to efficiently prioritize… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) responsible for promoting the achievement of ... delineated in the Utilization Review Nurse and Utilization Review Specialist Nurse job roles and...patient 's preference, reason for admission, and availability of resources . Participates in daily Care Coordination Rounds and identifies… more
- Community Health Systems (Franklin, TN)
- …with healthcare providers to facilitate efficient patient care. The Clinical Utilization Review Specialist monitors adherence to hospital utilization ... **Job Summary** The Clinical Utilization Review Specialist is responsible for...plans and works to optimize hospital resource utilization , reduce readmissions, and maintain compliance with payer requirements.… more
- Trinity Health (Maywood, IL)
- …Loyola campus. Position is hybrid, must reside in Illinois. The **Regional Utilization Review Documentation Specialist ** nurse works with the multidisciplinary ... team including physicians, staff and payers to ensure patient 's progress along the continuum of care in an...initial, concurrent and discharge reviews. + Serves as a resource to the healthcare team regarding utilization … more
- Vanderbilt University Medical Center (Tullahoma, TN)
- …mission is to advance health and wellness through preeminent programs in patient care, education, and research. **Organization:** Utilization Management 10 **Job ... operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who...is ordered. The nurse conducts initial admission based on utilization review medical necessity criteria. Refers cases for secondary… 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
- Mount Sinai Health System (New York, NY)
- **Job Description** **Insurance Specialist Mount Sinai West Utilization Mgmt FT Days EOW** To maintain front end operations of the Case Management Department by ... Word + Strong Communication skills Non-Bargaining Unit, BEZ - Utilization Management - WST, Mount Sinai West **Responsibilities** **A. Clinical/Technical/Service**… more
- Tiburcio Vasquez Health Center (Hayward, CA)
- Under the direct supervision of the Resource Specialist Supervisor the Resource Specialist is an essential member of the healthcare team. The position is ... external health care agencies and TVHC's primary care medical teams. The Resource Specialist provides individualized assistance to ensure patients are informed… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …Functions as the internal resource on issues related to the appropriate utilization of resources , coordination of payer communication, and utilization ... level review and working with attending physicians to document completely to ensure patient class determinations * Serves as expert resource for all Medicare… more
- Atrius Health (Plymouth, MA)
- …welfare benefit package **Job:** **Imaging/Radiology Services* **Organization:** **Imaging* **Title:** *Imaging Resource Specialist II - Full Time - Plymouth * ... related injuries or illnesses. Serves as the contact person for the patient , employer, insurer, utilization review agents, and practice staff members. Responsible… more
- Atrius Health (Weymouth, MA)
- …welfare benefit package **Job:** **Imaging/Radiology Services* **Organization:** **Imaging* **Title:** *Imaging Resource Specialist I - Ultrasound - Full Time - ... job related injuries or illnesses. Serves as the contact person for the patient , employer, insurer, utilization review agents, and practice staff members. Call… more
- Atrius Health (Dedham, MA)
- …welfare benefit package **Job:** **Imaging/Radiology Services* **Organization:** **Imaging* **Title:** *Imaging Resource Specialist I - Mammography - Full Time - ... job related injuries or illnesses. Serves as the contact person for the patient , employer, insurer, utilization review agents, and practice staff members. Breast… more
- Sharp HealthCare (San Diego, CA)
- …ensures adherence to organizational and regulatory standards. As a clinical leader, the Sr Specialist serves as a trusted mentor and resource for ICM team ... the position, and employer business practices. **What You Will Do** The Sr Specialist Integrated Care Management is a key member of the Integrated Care Management… more
- University of Virginia (Charlottesville, VA)
- …with UVA Health, UVA Academic departments, patients, external referring providers through utilization of resources , including but not limited to Epic, paging ... UVA. This customer-focused role facilitates a variety of duties that focus on patient , community, and referring provider calls to UVA Health, the ordering of… more
- Trinity Health (Ann Arbor, MI)
- …POSITION PURPOSE Responsible for the complete and accurate collection of patient demographic and financial information for the purpose of establishing the ... patient and service specific record for claims processing and...with questions regarding financial liability or refer to appropriate resource (s). Inform patients on cost of treatment, insurance benefits,… more
- HCA Healthcare (Portsmouth, NH)
- …to learn! **Job Summary and Qualifications** POSITION SUMMARY: The Sr. Clinical Quality/ Patient Safety Specialist is responsible to lead, coordinate and carry ... pet insurance and more. + Free counseling services and resources for emotional, physical and financial wellbeing + 401(k)... safety functions to support the hospital's quality and patient safety plan and programs. The Sr. Specialist… more
- Trinity Health (Howell, MI)
- …POSITION PURPOSE Responsible for the complete and accurate collection of patient demographic and financial information for the purpose of establishing the ... patient and service specific record for claims processing and...with questions regarding financial liability or refer to appropriate resource (s). Inform patients on cost of treatment, insurance benefits,… more
- Houston Methodist (Sugar Land, TX)
- …with Patient Access and/or Bed Management areas. Analyzes medical resource utilization to identify new trends, opportunities, and educational feedback ... Management staff, others as needed and management for data gathering on medical resource utilization , and, as appropriate, resolution of inpatient denials, as… more
- Novant Health (Winston Salem, NC)
- Job Summary The Patient Safety Specialist assists in the development and implementation of patient safety programs. Facilitates cause analysis of actual or ... achieve measurable and sustainable improvements in process and systems related to patient safety. Assist in the development of complex clinical risk reduction… more
- Covenant Health (Lubbock, TX)
- **Description** **Providence is calling for Patient Services Specialist located in Lubbock, TX for Full Time Day Shift** Under the direction of the PAS ... supervisor/manager, the Patient Access Representative is responsible for assisting patients during...+ Experience with insurance eligibility systems. + 3 years utilization of medical terminology in job setting. + Knowledge… more