- Hackensack Meridian Health (Belle Mead, NJ)
- …serve as a leader of positive change. The **Utilization Management Coordinator ** utilizes clinical knowledge and understanding of behavioral health resource ... care for a designated patient caseload. Collaborates with the attending LIP, Clinical Case Manager, nurse, and other members of the treatment team, ACCESS center… more
- Cedars-Sinai (Beverly Hills, CA)
- …fuels innovation. **A Little More About What You Will be Doing** The RN Care Coordinator is responsible for the case management of patient while hospitalized and ... Inpatient Specialty Program (ISP) hospitalists, the RN Care Coordinator will assist patients from the time they are...DC Planning). + 1 year of previous experience in case management in the acute inpatient or… more
- University of Miami (Boca Raton, FL)
- …tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Clinical Research Coordinator 1 The University of Miami/UHealth ... an exciting opportunity for a Full Time Clinical Research Coordinator 1 to work at the UHealth Medical Campus....studies in Neurology. + Assist the PIs in developing UM protocols for submission to IRB, including but not… more
- Saint Francis Health System (Tulsa, OK)
- …offerings. \#ALDIND Saturday and Sunday **This position will be submitting inpatient notification and performing Nonclinical roles .** Job Summary: Provides ... and their receipt of necessary services and appropriate discharge planning. UM Coordinators participate in treatment teams, communicating with providers the details… more
- Cedars-Sinai (CA)
- …experience ( UM or DC Planning). + 1 year of previous experience in case management in the acute inpatient or outpatient settings preferred; knowledge of HMO ... and Medicare rules in inpatient , home health and at the SNF settings preferred...Coordinator - 8 Hour Part Time **Department** : Case Management **Business Entity** : Cedars-Sinai Medical Center **Job… more
- University of Southern California (Alhambra, CA)
- …evaluating their understanding of the process. Some of the major duties of the Case Manager overlap into inpatient duties including: Concurrent review of all ... In collaboration with the interdisciplinary team, the Case Manager provides care coordination services evaluating options and services required to meet an… more
- Sharp HealthCare (San Diego, CA)
- …patient care, SNF, home health, or hospice settings. + Experience as a case manager or discharge planner interacting with managed care payers. + Experience with ... hospital stay beginning with the admission review of the case manager and reviews with the Case ...to acute or visit to the Emergency Department.Informs Director, QI/ UM of any quality issues.Attends hospitalists rounds, as required,… more
- San Antonio Behavioral Health (San Antonio, TX)
- The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient ... Essential Duties: + Collaborate and set standards with registered nurse (RN) case managers (CMs) and outcome managers to ensure that all hospitalized patients… more
- Corewell Health (Dearborn, MI)
- …coordination; and/or discharge/transition planning). + Responsible for managing a case load of patients that includes facilitating utilization management, and/or ... provide effective transition for patients utilizing hospital outpatient, observation or inpatient services. + May review cases for medical necessity, uses InterQual… more
- Corewell Health (Royal Oak, MI)
- …coordination; and/or discharge/transition planning). 2. Responsible for managing a case load of patients that includes facilitating utilization management, and/or ... provide effective transition for patients utilizing hospital outpatient, observation or inpatient services. 4. May review cases for medical necessity, uses InterQual… more
- Trinity Health (Columbus, OH)
- …Member Services, Grievance Coordinator and other operational departments regarding case management issues. + Conducts inpatient concurrent review. + ... other resources as appropriate. Assists in the implementation of Case Management software along with the Plan's UM and QM Program and the review of the Plan's… more
- ERP International (Anchorage, AK)
- …software, and databases for community resources. * Integrate CM and utilization management ( UM ) and integrating nursing case management with social work case ... CM processes. * Develop and implement local strategies using inpatient , outpatient, onsite and telephonic CM * Develop and...Affairs, along with basic knowledge of the Recovery Care Coordinator program. Certification:** o Commission for Case … more
- Tenet Healthcare (Detroit, MI)
- RN Utilization Review - Case Management - 2506004107 Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with ... timely payment for services that may require negotiation with a payor on a case -by- case basis. This position integrates national standards for case … more