- University of Pennsylvania (Philadelphia, PA)
- …This position has multifaceted functions responsible for managing Slate, the Admissions Customer Relations Management (CRM) system that processes all ... ensure compliance with institutional privacy policies. As the school's liaison for Graduate Admissions User Groups and...A Bachelor's degree with 3-5 years of experience in admissions operations, enrollment management , or higher education… more
- University of Rochester (Rochester, NY)
- …Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500016 Admissions Center-SMH Work Shift: UR - Rotating (United States of America) Range: ... **Responsibilities:** GENERAL SUMMARY Coordinates or manages inpatient and outpatient admissions , including bed assignments and the completion of preliminary… more
- Cedars-Sinai (Los Angeles, CA)
- …Assists with investigation and follow-up regarding customer complaints. + Serves as liaison with other units in the Admissions department. \#Jobs-Indeed ... of service cash collections and cash flow, and provide efficient and appropriate utilization of resources. Acts as a resource for team members by assisting with… more
- Ochsner Health (New Orleans, LA)
- …(CCM), Certified Professional Utilization Review (CPUR), Certified Professional in Utilization Management (CPUM) or Certified Professional in Healthcare ... in the delivery of patient care. Preferred - Experience in case management or utilization review. **Certifications** Required - Current Registered Nurse… more
- Trinity Health (Albany, NY)
- …is to provide on-site support and assistance to hospital case management and hospitalist team to ensure timely identification of inpatients appropriate ... members, referral sources, and external payers regarding the effective and efficient utilization of program services and available resources. + Screening of clients… more
- Ochsner Health (New Orleans, LA)
- …at Ochsner Health and discover your future today!** The Physician Advisor (PA- Utilization Management ) serves as the physician leader in matters relating ... Post-Acute teams, Payors, Administration and Revenue Cycle) to improve utilization management , sustain quality goals, and act...quality control, and patient safety + Act as a liaison with payers to facilitate approvals and prevent denials… more
- Alameda Health System (Oakland, CA)
- System Utilization Management SUM Utilization Review RN + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + ... $102.90 + Req #:41907-31045 + FTE:1 + Posted:Yesterday **Summary** **SUMMARY:** The System Utilization Management [SUM] Utilization Review RN is responsible… more
- State of Massachusetts (Boston, MA)
- …Department of Public Health (DPH), is seeking a skilled Screening Nurse Liaison to oversee patient admissions . This role involves assessing prospective ... and professional staff, while also participating in Census and Utilization Review Committees under the guidance of the Director...and liaising with case managers./ * /Act as a liaison for complex admissions , ensuring access for… more
- Wellpath (Lemoyne, PA)
- … utilization of medical services. The Medical Director of Utilization Management serves as a key liaison with external partners and stakeholders, and ... **How you make a difference** The Medical Director of Utilization Management leads and oversees utilization...to reduce length of inpatient stays and decrease ED admissions . + Evaluate and recommend policy improvement related to… more
- OLV Human Services (Lackawanna, NY)
- Foster Care and 29I Liaison 790 Ridge Rd, Lackawanna, NY 14218, USAReq #497 Friday, January 3, 2025 **Are you looking for a rewarding career?** The Foster Care & 29I ... Liaison will work in collaboration with applicable OLV Human...attend all meetings with OCFS to discuss enrollment numbers, utilization of services, denials and issues with managed care… more
- Ochsner Health (Lafayette, LA)
- …as well as efficiently in high pressure situations. Preferred- Experience in Case Management or Utilization Review Business and Financial Knowledge as well as ... and applies hospital approved medical necessity criteria to review appropriate admissions , levels of care and continued stay. Documents completed reviews in… more
- McLaren Health Care (Mount Clemens, MI)
- …for the appropriate level of care; may include admission/transfer reviews, utilization reviews, and surgical schedule reviews. + Employee facilitates acute rehab ... admissions for those referrals that are appropriate for admission...network. Provides reporting trends and activity to the rehab management team to develops strategic initiatives for market development… more
- Ventura County (Ventura, CA)
- …medical policy with the Health Care Agency Director and Insurance Administrator, Utilization Management staff and Quality Assurance Staff. + Participates, as ... surgical procedures, referrals, tests, medication approvals requiring authorization.) + Develops utilization management standards and guidelines for approval by… more
- Mount Sinai Health System (New York, NY)
- …limited to: a. Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management will be needed using ... **Job Description** **RN/Case Manager MSH Case Management FT Days** The Case Manager (CM) will...length of stay (LOS), improved efficiency, quality and resource utilization . Assignment will be by units/clinical areas of practice… more
- Beth Israel Lahey Health (Boston, MA)
- …patient delivery systems. Collects quality and variance data as well as utilization management . Utilizes clinical experiences and expertise in conjunction with ... rehabilitation, respiratory care, dietetic, Elder Care and other clinical services. 4. Utilization Management /Managed Care: * Coordinates and organizes a timely… more
- Logan Health (Kalispell, MT)
- Logan Health Wellness & Pain Management is proud to offer some of the most comprehensive pain and wellness care in the United States. Job Description Summary Logan ... Health Wellness and Pain Management is looking for an LCSW, LCPC or LMFT...Duties: + Triages referrals from providers and ensures on-going liaison occurs with stakeholders as applicable to assigned area(s).… more
- Catholic Health Initiatives (Omaha, NE)
- …physician serving the hospital through teaching, consulting, and advising the care management and utilization review departments, medical staff members, and the ... continued stay reviews + Assist with length of stay management and utilization of resources + Assist...quality control, and patient safety + Act as a liaison with payers to facilitate approvals and prevent denials… more
- Community Health Systems (Franklin, TN)
- …preferred **Knowledge, Skills and Abilities** + Strong knowledge of utilization management principles, payer requirements, and healthcare regulations. ... Summary** The Utilization Review Coordinator ensures efficient and effective management of utilization review processes, including denials and appeals… more
- Hackensack Meridian Health (Neptune City, NJ)
- … admissions and observations as specified by the facility's Utilization Management /Review Committee for documentation completeness and compliance with ... with physicians, nursing staff, other patient caregivers, Health Information Management Department coding staff, and Emergency Trauma Department (ETD), to… more
- Community Health Systems (Powell, TN)
- …+ Refers cases not meeting criteria to the Physician Advisor or Utilization Management Committee and ensures appropriate follow-up. + Identifies avoidable ... laws and Joint Commission standards. + Acts as a liaison to community agencies, providing resources and services for...experience required + 3-5 years of experience in care management or utilization review required + 1-3… more
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