- Hackensack Meridian Health (Edison, NJ)
- …to transform healthcare and serve as a leader of positive change. The ** Care Management , Care Coordinator , Utilization Management ** is a member ... of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to… more
- Columbus Regional Hospital (Columbus, IN)
- …+ The Clinical Care Coordinator role integrates and coordinates utilization management , care facilitation and discharge planning function in ... Resource Specialist, a Social Work Specialist and a Clinical Care Coordinator work together to achieve optimal...experience in a clinical practice area + Knowledge of utilization review and InterQual (CRH provides training & time… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …with the guidance and plans they need for healthy living. JOB SUMMARY: The Utilization Management Care Coordinator works within a multidisciplinary ... care team to assist with the care of members enrolled in our Managed Long Term... of members enrolled in our Managed Long Term Care program and facilitate authorization requests for eligible members.… more
- Houston Behavioral Healthcare Hospital (Houston, TX)
- …together. Houston Behavioral Healthcare Hospital (HBHH) currently has an opening for Part-time Utilization Management Coordinator . The Utilization ... by delivering quality services to those entrusted in our care . By embarking on a path with our community... Coordinator will report to the Director of Utilization Review and will be responsible to provide quality… more
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment # 250924-5613FP-001 Location East Hartford, CT Date Opened 9/30/2025 12:00:00 AM Salary ... - is accepting applications for a full-time Utilization Review Nurse Coordinator (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5613FP&R1=&R3=)… more
- Catholic Health Services (Melville, NY)
- … and Appeals Coordinator will perform activities to help facilitate utilization management and appeals functions to include coordination of specific process ... payment related activities. Position Responsibilities: + Prepares necessary documentation for utilization management and appeals processes, performs data … more
- Behavioral Center of Michigan (Warren, MI)
- …all state mandated regulations. Maintains compliancy with regulation changes affecting utilization management . Reviews patient recrods and evaluates patient ... Under general supervision, the Utilization Review Coordinator provides professional assessment,...and advises physicians and other departments of regulations affecting utilization management . Consults with Social Services Department… more
- 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
- BayCare Health System (Largo, FL)
- …of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Coordinator (Homecare) responsibilities include:** + Coordinates ... Community discounts and more Equal Opportunity Employer Veterans/Disabled **Position** Utilization Coordinator - Homecare **Location** US:Florida:Largo:HomeCare Largo… more
- Penn Medicine (Philadelphia, PA)
- …hospice, community resources, transportation, and quality data collection and risk management referral. Responsibilities: + Utilization management ... our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future...**REMOTE RN** role! This role will focus primarily on utilization review which is why **we are seeking individuals… more
- Henry Ford Health System (Warren, MI)
- …required. + Bachelor of Science Nursing required OR four (4) years Case Management / Appeal/ Utilization Management experience in lieu of bachelor's degree. ... SUMMARY: Under minimal supervision, reviews and screens the appropriateness of services, the utilization of hospital resources and the quality of patient care … more
- Prime Healthcare (Reno, NV)
- …and communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work independently and ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/226984/medical-review- coordinator -- utilization -managment/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306)… more
- Community Based Care of Brevard, Inc. (Rockledge, FL)
- Starting Salary: $45,000/year Position Summary: The Diversion Care Coordinator will be responsible for managing a caseload of families served in Non Judicial In ... served in North and Central Brevard County. The Diversion Care Coordinator will coordinate the delivery and...application for daily entry of case activity and the utilization management of service authorizations. 2+ years'… more
- Community Based Care of Brevard, Inc. (Orlando, FL)
- Salary: $52,000/year Position Summary: The Post Adoption/Permanent Guardianship Care Coordinator is responsible for demonstrating strong communication and ... the needs of families, which may include evenings/weekends. The care coordinator will actively participate in, and...application for daily entry of case activity and the utilization management of service authorizations. 2+ years… more
- The County of Los Angeles (Los Angeles, CA)
- …training is needed, and to make recommendations on potential areas for medical care evaluation studies. + Attends Utilization Review Committee meetings to inform ... community partner clinics. Every year, we deliver compassionate, life-saving care to over 600,000 unique patients across LA County....I:One year of experience performing the duties of a Utilization Review Nurse* or Medical Service Coordinator ,… more
- Fairview Health Services (Minneapolis, MN)
- …position supports the inpatient peds units at Masonic Children's Hospital. The Patient Care Management Coordinator provides comprehensive care ... coordination of patients as assigned. The care coordinator assesses the patient's plan of care ...care and develops, implements, monitors, and documents the utilization of resources and progress of the patient through… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Care Coordinator , Quality Management Full Time, 80 Hours Per Pay Period, Day Shift Occasional travel as needed About Us Covenant ... degree in Nursing or related field. Apply/Share Job Title RN CARE COORDINATOR II ID 4246987 Facility Covenant Medical Management Department Name QUALITY … more
- State of Indiana (Indianapolis, IN)
- …through access to high quality care and services. You serve as the utilization management subject-matter expert in health care delivery, develops ... of staff management and evaluation experience; clinical experience in managed care and accredited utilization management experience strongly preferred.… more
- PeaceHealth (Ketchikan, AK)
- **Description** **PeaceHealth is seeking a RN Care Coordinator Inpatient - Care Management for a Part Time, 0.80 FTE, Day position. The salary range for ... nursing experience in an acute care hospital and + Preferred: Utilization management /quality management experience **Credentials** + Required: Registered… more
- UTMB Health (Webster, TX)
- RN Care Coordinator -CLC Care Management M-F 8am-5pm **Webster, Texas, United States** **New** Nursing & Care Management UTMB Health Requisition ... permit to practice professional nursing in Texas. Certification in Care Management CCM or ACM-RN to be...As a key member of the interdisciplinary team, the Care Coordinator will be responsible for planning,… more