- Kaiser Permanente (Sacramento, CA)
- …Experience Minimum three (3) years of home care nursing experience or quality utilization review experience. Education Bachelors degree in nursing or related ... Job Summary: Coordinates quality, utilization and risk management activities for the Home...of important aspects of patient care through ongoing chart review with pre-established criteria. Reports all occurrences which may… more
- UnitedHealth Group (Gastonia, NC)
- …the link between patients and the appropriate health care personnel, the Clinical Review Coordinator - Onsite is responsible for ensuring efficient, smooth, and ... with the company's technical vision and strategy. The Care Coordinator - Onsite plays an integral role in optimizing patients'...to CMS criteria When H&C Transitions is delegated for utilization management, review referral requests that cannot… more
- Reddy Ice Holdings, Inc. (Dallas, TX)
- …Shift Job Description POSITION PURPOSE The role of the Customer Care Coordinator is to develop customer relationships to increase customer loyalty and interact ... with customers in an efficient and professional manner. The Customer Care Coordinator is responsible for answering incoming calls from customers, answering inquiries… more
- Wellstar Health System (Marietta, GA)
- …in interdisciplinary rounds, and patient/family educationCollaborates effectively with the utilization review nurse, patient's physicians and the ... industry, and in people's lives. Job Summary: The Care Coordinator RN (CC RN) is responsible for assessing transitional...needs, manage the length of stay and promote efficient utilization of resources. Overall, the role integrates and coordinates… more
- Versiti, Inc. (Milwaukee, WI)
- …clinical trials and the flow of information among stakeholders. May serve as a team lead or experienced coordinator mentor. May lead a disease function ... looking for a highly motivated, independent and experienced Senior Clinical Research Coordinator to join our deeply committed adult Benign Hematology Research team.… more
- Indiana University (Bloomington, IN)
- …reviews the unit's financial expenditures and performs periodic oversight and review . Performs account reconciliation and assists the director with the retrieval ... this position manages the most complex office activities to achieve optimum utilization of equipment and employee productivity. May oversee or guide lower-level… more
- Regency Integrated Health Services (Austin, TX)
- …Office and external Case Managers. Gathers information needed for Managed Care Utilization Reviews throughout the resident's stay and communicates this with the ... are met, such as Physician certification and re-certification. Performs concurrent MDS review to assure appropriate RUGs category is achieved through the capture of… more
- OneLegacy (Azusa, CA)
- …travel by personal auto or company auto Summary of Functions: The Organ Team Lead (OTL) provides instruction and guidance to clinical staff on organ donor cases. ... collection of data. The OTL will demonstrate fiscal responsibility with appropriate utilization of clinical resources including staff activity and assignments and by… more
- Cultivate Behavioral Health and Education (Frisco, TX)
- …Local Operations Team, and Staff to ensure quality of care, authorization utilization , and implementation of treatment plans as appropriate. The CM models culture ... Supervise and manage staff, including BCBAs, Program Supervisor, Apprentices, Training Coordinator , Program Specialist, Senior Technicians, RBTs, and BTs Ensure that… more
- Equipment Depot Inc. (Itasca, IL)
- …will report directly to this individual). Will be required to assemble and lead a high-performing, customer-focused team. Ensures that his/her people work as a team ... the day to day management of the rental department. Supervise rental coordinator (s), technician(s), yard coordinator (s), and porter(s). Develop and maintain… more
- Commonwealth Care of Roanoke (Radford, VA)
- …in quality assurance committees: Care Planning Infection Prevention and Control Risk, Utilization Review , Pharmacy, and Safety. Collaborates with DON regarding ... fully implemented during the Center internship. This individual will co- lead , guide and manage a team of licensed nurses...with the Director of Nursing and the DNT Program Coordinator to complete required assignments. ESSENTIAL FUNCTIONS : Reviews… more
- Rogers Behavioral Health (Oconomowoc, WI)
- …Supervisor will have involvement with managed care companies as needed and coordinate with the utilization review manager or lead . Monitor the safety of the ... aftercare providers to ensure continuity of care, if warranted. Communicate with the Utilization Review department to provide information necessary to assist in… more
- Nesco Resource (Dublin, OH)
- …spooling, sealing, capping, clamping, bonding, and coiling. *Basic computer skills to review documents and to load and operate auto-baggers. *Inspect work throughout ... on continuous improvement. Impact and Scope: *Inattention to work area hazards could lead to unsafe conditions. Incorrect assembly of products can lead to… more
- MAP SSG (New York, NY)
- …to the Corporate Governance practice. This position has joint oversight of a coordinator , who will assist with all development efforts. The Manager is responsible ... type). Identify patterns of success and failures in presentations and increase utilization of best practices. Work with partners and colleagues ensure timely… more
- HR Partners (Manhattan, KS)
- …Campus Primary Accountabilities: The Practical Nursing ("PN") Adjunct Clinical Instructor will lead and direct students toward their goal of completion of the PN ... hands-on and simulated lab, and clinical instruction. Contributes to curriculum review , development, and creation to maintain high standards of program integrity.… more
- Colonial Williamsburg (Williamsburg, VA)
- …Executive Director oversees the ongoing success of this marquee program and will lead it through an exciting period of innovation and growth. The Executive Director ... School & Youth Group Programs, and digital educational resources. Lead and build a team of dedicated professionals through...School and Youth Groups. Track and provide metrics to review and measure success against stated annual goals as… more
- County of Los Angeles, CA (Los Angeles, CA)
- …most prone to assaultive behavior or requiring more extensive monitoring and review of their condition and progress. Essential Job Functions Interviews the client, ... and significant others. Provides consultation to community agencies on the utilization of mental health and support services provided by department-owned clinics,… more
- The County of Los Angeles (Los Angeles, CA)
- …OPTION I:One year of experience performing the duties of a Utilization Review Nurse* or Medical Service Coordinator , CCS.** -OR- OPTION II: Two (2) ... UTILIZATION REVIEW NURSE SUPERVISOR I Print...In the County of Los Angeles, a Medical Service Coordinator , CCS (https://www.governmentjobs.com/careers/lacounty/classspecs/1065117) determines medical eligibility of children referred… more
- Trinity Health (Des Moines, IA)
- …(IA), MercyOne Des Moines Join the MercyOne Family! We are looking to hire a Utilization Review RN! Responsible for the review of inpatient and outpatient ... concurrent or post discharge. + Carries out hospital programs and principles of utilization review in compliance with hospital policies and external regulatory… more
- University of Rochester (Rochester, NY)
- …judgment, performs all routine and non-routine Dental Treatment Plan Coordinator and administrative duties requiring highly advanced customer service skills. ... and reviewing daily clerical operations while performing Dental Treatment Plan Coordinator functions. Trains new employees and monitors quality and quantity of… more
