- Evolent (Columbus, OH)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management ** at Evolent will serve as a ... regulatory requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly… more
- CommuniCare Health Services Corporate (Cincinnati, OH)
- Registered Nurse (RN), Mobile MDS Coordinator CommuniCare Health Services is currently looking for a Registered Nurse to fill the key position of RN Mobile MDS ... Coordinator for its skilled nursing facilities throughout our Midwest...experience with Federal Medicare/Medicaid and Managed Care reimbursement system management in working with the MDS and RAI process… more
- Bellefaire JCB (Cleveland, OH)
- Job Summary: The Youth Empowerment Program Coordinator is responsible for the comprehensive implementation and ongoing operation of the Basic Center Program, ... and both clinical and administrative oversight to the program staff. The Coordinator will champion the Positive Youth Development approach, ensuring all program… more
- Elevance Health (Columbus, OH)
- …providers and vendors which include negotiating reimbursement rates, service offerings, utilization management , and quality metrics. + Develop and maintain ... **Director Network Contract Coordinator ** **Location:** This role requires associates to be...year over year units costs for Carelon Medical Benefits Management businesses. **How you will make an impact:** +… more
- Bon Secours Mercy Health (Lorain, OH)
- …as a clinical resource and consultant for the acute rehab program. The Admissions Coordinator RN cross trains to cover case management as needed, which includes ... smooth transition to acute rehab unit. Maintains expertise in clinical field, utilization review and case management ; communicates to insurance companies/third… more
- Nissha Medical Technologies (Norwalk, OH)
- Value Stream Coordinator Summary **Title:** Value Stream Coordinator **ID:** 2598 **Department:** Operations **Location:** Norwalk, OH Description Nissha Medical ... Technologies is seeking a Value Stream Coordinator in Norwalk, OH! This position directly co-ordinates the manufacturing effort of multi-departmental value streams.… more
- MetroHealth (Brooklyn Heights, OH)
- …Coordinates the care of selected patients. Integrates and coordinates access and utilization management , proactive patient panel management , care ... of Science in Nursing. Valid Ohio RN licensure. Three to Five years of case management or managed care experience. Ability to work independently and as a member of a… more
- Highmark Health (Columbus, OH)
- …timeframes and notification requirements are met + Communicate effectively with Utilization Management Staff, providers, other internal and external customers ... and management + Route Cases Based on Established Guidelines + Provide accurate and timely routing of service requests to the nurse reviewer to assure that the… more
- Crossroads Hospice & Palliative Care (Akron, OH)
- …grows, and that ultimately makes a profound difference in our community. Intake Coordinator Qualifications: + Minimum of 1 year of hospice experience required. + ... a medical office or healthcare setting is required. + Excellent time management skills and detail-oriented tendencies. + Must have computer training and… more
- The Salvation Army (Cincinnati, OH)
- …and emergency supervision, crisis intervention, intake and short-term case management . Responsibilities DUTIES:* Support provision of emergency response and ... Providing rotating 24 hour emergency response and comprehensive initial case management .o Assessment immediate needs and conduct intakes.o Coordination with the… more
- Bon Secours Mercy Health (Toledo, OH)
- …Experience** 3 years' experience in clinical health care patient accounting, admitting, utilization review, quality assurance or case management (required) 5 ... years' experience in clinical health care patient accounting, admitting, utilization review, quality assurance or case management (preferred) Many of our… more
- Fifth Third Bank, NA (Dayton, OH)
- …Third Bank. GENERAL FUNCTION: Serves as the trusted advisor and team coordinator to simplify complexity for Private Bank clients by challenging and collaborating ... credentialed specialists to provide wealth planning, investments, private banking, risk management , and trust services. Ensures delivery and execution of Private… more
- Bon Secours Mercy Health (Lima, OH)
- …for clinical and operational excellence. Job Description Provide clinical care management services to identified eligible patients, coordinating care to obtain ... along with the Ambulatory Care Manager (ACM) and Care Coordinator to ensure the assigned patient's individual needs are...enroll and manage patients in program for Complex Case Management . Develop and implement care plans to maximize wellbeing… more
- Cleveland Clinic (Dover, OH)
- …compliance with all standards and favorable performance on safety, quality, utilization , and experience metrics. + Participate in engraining the safety, quality, ... in educating and evaluating clinical and support department staff regarding quality management regulations and standards of care. + Support medical staff quality… more
- Veterans Affairs, Veterans Health Administration (Cincinnati, OH)
- …to patient care. Provide direct patient/resident care including comprehensive management of the physical, psychological, emotional, social, and spiritual needs ... Veterans and families served by these programs. Collaborate with the Admissions Coordinator to ensure safe and appropriate CLC admissions, maximize the … more
- Veterans Affairs, Veterans Health Administration (Cleveland, OH)
- …Participates in managing facility wide performance measures such as access and utilization . Participates in accreditation meetings or surveys as needed. May serve on ... hospital wide committees. May participate in Quality Management activities such as root cause analysis or Morbidity and Mortality conference. Participates in peer… more