- State of Connecticut, Department of Administrative Services (Middletown, CT)
- Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment # 251119-5613FP-001 Location Middletown, CT Date Opened 12/11/2025 12:00:00 AM ... Campus Hospital (https://portal.ct.gov/dcf/solnit-center/south) - is accepting applications for a Utilization Review Nurse Coordinator (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5613FP&R1=&R3=)… more
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment # 251212-5613FP-001 Location East Hartford, CT Date Opened 12/16/2025 12:00:00 AM ... to learn more about joining our team as a Utilization Review Nurse Coordinator ! The...facilities for purposes of maximizing reimbursement revenue via Medicare Part B programs; + May review medical… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Utilization Review Coordinator ensures efficient and effective management of utilization review processes, including denials and ... timely authorizations for hospital admissions and extended stays. The Utilization Review Coordinator monitors and...physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the… more
- Devereux Advanced Behavioral Health (Viera, FL)
- …our team where you can take your career to the next level. **Being the Utilization Review Coordinator at Devereux has its Advantages!** Devereux Florida is ... environments with ongoing family involvement and support. As the Utilization Review Coordinator at Devereux...member of our team, you will be a significant part of our commitment to providing a welcoming and… more
- University of Utah Health (Salt Lake City, UT)
- …and trust that are integral to our mission. EO/AA_ + The Staff Utilization Coordinator is responsible for providing healthcare operational support services, ... Timekeeping team. + Collaborating closely with Nursing Leadership, the Staff Utilization Coordinator reviews and develops schedules based on agreed-upon… more
- South Middlesex Opportunity Council (Framingham, MA)
- …Conditions: As part of the responsibilities of this position, the Utilization Management Coordinator will have direct or incidental contact with clients ... and families. This position will coordinate billing and monitor utilization review for the Clinic and Residential...match starting on day one for all full-time and part -time employees. + Additional voluntary benefits including; Term and… more
- Saint Francis Health System (Tulsa, OK)
- …participates in the Patient Care Committee for patient care reviews, and in Utilization Review Staff Committee, providing data and contributing to improvement of ... support to the hospital and treatment team throughout the review of patients, their placement in various levels of...4 years of related experience in behavioral health care, part of which may be experience in Behavioral health… more
- Sharp HealthCare (San Diego, CA)
- …requirements for the position, and employer business practices. **Please Note:** As part of our recruitment process, you may receive communication from Dawn, our ... patient under assigned workload initially and reviews based on review of care plan.Makes rounds and sees every patient...departmental guidelines during hospital stay beginning with the admission review of the case manager and reviews with the… 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
- University of Utah Health (Salt Lake City, UT)
- …and as a team member. **Qualifications** **Qualifications** **Required** + One year Utilization Review or Case Management experience. **Licenses Required** + ... Criteria, knowledge of ICD-9, DRG's and CPT Codes. + Utilization Review Certification designation. + Knowledge of...Statement** _University of Utah Health Hospitals and Clinics, a part of The University of Utah, values candidates who… more
- Tenet Healthcare (Detroit, MI)
- …of care and appropriate level of care Mentor and monitor work delegated to Utilization Review LVN/LPN and/or Authorization Coordinator as needed. (5% daily, ... RN Utilization Review - Case Management -...RN Utilization Review - Case Management - 2506004107 Description :...growth and work-life balance. Ready to be a vital part of our mission? Apply today and bring your… more
- State of Michigan (Lansing, MI)
- …program. To identify psychotropic medication regimens that require additional physician review according to policy, the Utilization Reviewer actively monitors ... Medicaid Utilization Analyst 12 - HSA Psychotropic Medication Oversight...individuals with psychotropic medication regimens that require additional physician review , preparing the physician review materials, and… more
- Humana (Jackson, MS)
- **Become a part of our caring community and help us...in an acute care setting + Previous experience in utilization management/ utilization review for a ... put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to...communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and… more
- Veterans Affairs, Veterans Health Administration (Fargo, ND)
- …The Fargo VA Health Care System is recruiting for 1 full-time Program Coordinator for the Rural Access for Network Growth Enhancement (RANGE) program. This position ... will be filled by a Social Worker (Program Coordinator ) or a Licensed Professional Mental Health Counselor (Program Coordinator ). This position is eligible for… more
- UNC Health Care (Hendersonville, NC)
- …for behavioral health services. Working closely with behavioral health clinicians, utilization review , case management, and finance teams, the Intake ... **Description** Become part of an inclusive organization with over 40,000...appropriate care transition and patient placement. + Liaise with utilization review , psychiatry leadership, risk management, and/or… more
- Access Dubuque (Dubuque, IA)
- Absence Management Payroll Coordinator **Sedgwick** 1 Positions ID: R68239 Posted On 11/21/2025 **Job Overview** By joining Sedgwick, you'll be part of something ... Fortune Best Workplaces in Financial Services & Insurance Absence Management Payroll Coordinator **Our teams connect! We collaborate onsite and have a hybrid work… more
- HCA Healthcare (Gainesville, FL)
- …and improve the patient flow program effectiveness as it relates to utilization review , resource management, and discharge planning and care coordination. ... opportunity to make a real impact. As a(an) RN Coordinator Patient Throughput you can be a part...PCP's to address and resolve issues related to facility utilization and patient flow process and facilitate strong working… more
- State of Colorado (Golden, CO)
- …diagnostic equipment, medication formulary, quality assurance program, and hospitalization utilization review . This position works collaboratively with Agency ... include staffing patterns and assignments, training and quality assurance review in collaboration with the DYS Quality Coordinator...Division of Youth Services and may be used as part of the Division's decision on whether a candidate… more
- Hartford HealthCare (Mansfield Center, CT)
- …patient care decisions to support optimal clinical and operational outcomes. They review visit utilization for care appropriateness and collaborate with ... we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network years an Oasis Workflow Coordinator… more
- Hartford HealthCare (Southington, CT)
- …patient care decisions to support optimal clinical and operational outcomes. They review visit utilization for care appropriateness and collaborate with ... what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network as a Oasis Workflow Coordinator… more
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