- WMCHealth (Valhalla, NY)
- Asst Utilization Coordinator Company: Westchester Medical Center City/State: Valhalla, NY Category: Nursing/Nursing Management Department: Clinical Care ... Internal Applicant link Job Details: Internal Posting: 07/1/25 to 07/14/25 Assistant Utilization Coordinator Summary: Under general supervision, an incumbent of… more
- State of Indiana (Evansville, IN)
- Utilization Review Coordinator -LPN Date Posted: Jun 19, 2025 Requisition ID: 461455 Location: Evansville, IN, US, 47715 Work for Indiana Begin a fulfilling ... Medicaid Services certification as a Psychiatric Medicare/Medicaid Hospital. Role Overview: The Utilization Review Coordinator performs duties within a… more
- LifePoint Health (Louisburg, NC)
- …job field* **Organization:** **Maria Parham Franklin* **Title:** *Registered Nurse Utilization Review Coordinator * **Location:** *NC-Louisburg* **Requisition ... Registered Nurse (RN) Utilization Review Job Type: Full Time | Day Your experience matters At Maria Parham Hospital, we are driven by a profound commitment to… more
- HCA Healthcare (Atlantis, FL)
- … like you to be a part of our team. **Job Summary and Qualifications** The Utilization Review Coordinator provides clerical support to the Utilization ... Do you want to join an organization that invests in you as a Utilization Review Services Coordinator ? At Parallon, you come first. HCA Healthcare has… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Utilization Review /Quality Assurance Coordinator is responsible for all compliance related paperwork and ensures all compliance paperwork is ... completed in a timely manor for the Upstate/Syracuse City School District school-based mental health care program. This position helps ensure successful visits by DNV and OMH when they occur. Monitors and maintains performance improvement indicators on a… more
- Integra Partners (Troy, MI)
- The UM Coordinator assists and supports the clinical team (UM Nurses/Medical Director) with administrative and non-clinical tasks related to processing ... Utilization Management prior authorizations and appeals. Rate of Pay:...Rate of Pay: $19.00/hour JOB QUALIFICATIONS: KNOWLEDGE/SKILLS/ABILITIES The UM Coordinator 's responsibilities include but are not limited to: +… 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 documents all authorization activities,… more
- Dignity Health (Bakersfield, CA)
- …in the quarterly business review to integrate drug procurement and drug utilization . The coordinator will "take call" as necessary to address emergent ... **Responsibilities** The Clinical Pharmacy Coordinator is responsible for coordinating the clinical programs...and decentralized provision of pharmacist services. The Clinical Pharmacy Coordinator collects of clinical data, analysis of that data… 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 ... of approvals from insurers. Responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and efficient use of hospital… 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 ... of approvals from insurers. Responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and efficient use of hospital… more
- St. Peters Health (Helena, MT)
- The Utilization Management Nurse reports directly to Utilization Review RN Coordinator . The UR Nurse supports the UR RN Coordinator in providing ... functions for the organization and is responsible for ensuring complaint utilization and cost-effective care delivery. The UR Nurse is responsible for tracking… more
- Elderwood (Cheektowaga, NY)
- …Insurance Companies + Knowledge of Medicare and Medicaid Managed Care Policies and Utilization Review . Managed Care Coordinator Skills and Competencies + ... Salary $18.50 - $23.07/Hour Overview Managed Care Coordinator Overview The Managed Care Coordinator assists and supports the LPN/RN MDS Coordinator with case… 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
- UnityPoint Health (West Des Moines, IA)
- … Utilization Management + Shift: 7:00-3:30 + Job ID: 168064 Overview Utilization Management Admissions Coordinator Location: Remote/work from home with strong ... Manager of Utilization Management and RN UM Specialists, the Administrative Coordinator serves a key role in supporting the affiliate-level Utilization … 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 Full Time Days - 2506001461 Description : The Detroit Medical Center (DMC) is a nationally recognized health care system that serves… more
- Hartford HealthCare (Hartford, CT)
- …The primary responsibility of the Metabolic and Bariatric Surgical/Medical Clinical Reviewer (MBSCR) is to ensure the accurate and timely collection, documentation, ... with bariatric surgeons, general surgery teams, the Metabolic and Bariatric Program Coordinator , Medical Weight Loss team, and the Quality Department to identify… more
- New York State Civil Service (Thiells, NY)
- …Pathologist 2, Teacher 4 (and all parenthetics), Training Specialist 1 (Nursing), and Utilization Review Coordinator . Additional Comments * Please note that ... development and implementation. Health & Safety: The TTL will complete routine review and follow up on incidents to ensure protective measures are implemented… more
- Dignity Health (Phoenix, AZ)
- …confidentiality while striving to achieve high levels of patient satisfaction. The Care Coordinator consistently conducts the utilization review process and ... **Responsibilities** The Care Coordinator is responsible for assessing planning facilitating and...+ Collaborate effectively with multiple stakeholders + Understand how utilization management and case management programs integrate. + Ability… more
- Dignity Health (Sacramento, CA)
- …while striving to achieve high levels of patient satisfaction. The RN Care Coordinator consistently conducts the utilization review process and the ... **Responsibilities** **Position Summary:** The RN Care Coordinator is responsible for assessing, planning, facilitating and...contact through discharge on assigned patients. The RN Care Coordinator performs this role in such a manner as… more
- NTT DATA North America (Decatur, IL)
- …when executed as part of an overall sourcing strategy. NTT DATA currently seeks a Utilization Management Coordinator to join our team for a remote position. 100% ... possibility of extension and direct hire Pay Rate $22-$23/hr **Position Summary:** The Utilization Management Coordinator reports to the Director of Claims. This… more