- ManpowerGroup (Rancho Cucamonga, CA)
- Our client, a leading healthcare organization, is seeking a Coordinator - Utilization Management Outpatient to join their team. As a Coordinator - ... successfully in the organization. **Job Title:** Coordinator - Utilization Management Outpatient **Location:** Rancho Cucamonga, California **What's the… more
- Sharp HealthCare (San Diego, CA)
- …UM Care Coordinator , under the direct supervision of the Supervisor, Utilization Management Care Coordinators, prepares referral requests for outpatient ... care, as it related to the position.Bring to attention of the Supervisor, Utilization Management Care Coordinators, and UM Manager, areas of UM non-compliance… more
- BayCare Health System (Largo, FL)
- …of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Coordinator (Homecare) responsibilities include:** + Coordinates ... bonus + Community discounts and more Equal Opportunity Employer Veterans/Disabled **Position** Utilization Coordinator **Location** Largo | Clinical | PRN **Req… more
- Hackensack Meridian Health (Edison, NJ)
- …computer skills. 5. Familiar with hospital resources, community resources, and utilization management . Licenses and Certifications Required: 1. NJ Licensed ... transform healthcare and serve as a leader of positive change. The Rehab Care Coordinator is a member of the healthcare team and is responsible for coordinating,… more
- Access Dubuque (Dubuque, IA)
- …care delivery processes, and quality improvement, including tracking of resource utilization and outcome measures. The patient care coordinator supports ... Patient Care Coordinator **MercyOne** 1 Positions ID: TRHEUS00582346MERCYO Posted On...care of MercyOne Dyersville Medical Center patients through case management , care coordination, analysis, and overseeing activities. Areas of… more
- Houston Methodist (Houston, TX)
- … management support to the department staff to facilitate efficient utilization of resources including referrals management , communication and collaboration ... duties of a higher complexity in support of department operations. **The Care Coordinator for the Weight Management Insurance Team is responsible for obtaining… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …requests. + Reviews cases referred by the prior-authorization non-clinical medical management coordinator and pre-certification technician staff according to ... and goals. + Clearly and succinctly documents necessary and/or required information in Utilization Management system. + Monitors and complies with all state,… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Job Title:** **Care Coordinator - Care Management ** Mount Sinai Health Partners (MSHP) is the management services organization ... a patient's health. In consultation with the patient's care team, the Care Coordinator provides health education related to symptom management and preventive… more
- Beth Israel Lahey Health (Burlington, MA)
- …of three years of medical/surgical nursing care experience. -Two years of Case Management or Utilization Management experience desirable. - Demonstrated ... team to ensure a timely process. Registered Nurses (RNs) with utilization review experience, case management experience, and med/surg experience… more
- Mount Sinai Health System (New York, NY)
- … management , with extensive involvement and participation in organizing outpatient , community care, discharge planning, and/or continuity of care efforts. + ... **Job Description** The Nurse Clinical Coordinator is a Registered Professional Nurse as well...with all patients and families cared for by the outpatient palliative care/supportive oncology teams. + Provide education to… more
- ChenMed (Louisville, KY)
- …(PMR), market leaders, external clients and HMO to establish, maintain and support outpatient utilization management in PMR and delegated utilization ... necessary. **_Other responsibilities may include:_** + Drive the current delegated/non-delegated utilization management model to a sustainable and reproducible… more
- Rochester Regional Health (Rochester, NY)
- …delivery of care with patients and families in the Physician Practice Management practices. The Clinical Resource Coordinator assists with planning, directing, ... Job Title: Clinical Resource Coordinator Department: Rheumatology Location: Greenfield Medical Campus, Canton,...Defines and directs patients and/or families to appropriate resource utilization . . Increase patients' ability for self- management … more
- Rochester Regional Health (Rochester, NY)
- …delivery of care with patients and families in the Physician Practice Management practices. The Clinical Resource Coordinator assists with planning, directing, ... Job Title: Clinical Resource Coordinator Department: Wound Care Location: Massena Hospital Hours...Defines and directs patients and/or families to appropriate resource utilization . + Increase patients' ability for self- management … more
- County of El Dorado (Placerville, CA)
- …MANAGEMENT UNIT IDEAL CANDIDATE STATEMENT: The ideal candidate for the Quality Management Mental Health Program Coordinator position would be al icensed ... They will have experience in providing SUD services and performing Quality Management and/or Utilization Review activities. They would have excellent written… more
- Dignity Health (Bakersfield, CA)
- …participant in the quarterly business review to integrate drug procurement and drug utilization . The coordinator will "take call" as necessary to address ... as well as TPN and nutrition issues. + The coordinator must possess good management abilities including...of medical and surgical services including minimally invasive and outpatient options. Our family of services includes the area's… more
- Dignity Health (Santa Maria, CA)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... **Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management … more
- Dignity Health (San Bernardino, CA)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... **Responsibilities** Sign-On Bonus Eligible The RN Care Coordinator is responsible for overseeing the progression of...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management … more
- Dignity Health (Oxnard, CA)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... **Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management … more
- Trinity Health (Columbus, OH)
- …Disease Management / Inpatient Navigator** **Position Purpose:** The Disease Management Coordinator provides consultation to patients, families, and nursing ... demeanor in difficult situations . Knowledge of the functional operations of utilization management , discharge planning, business office and third party payers… more
- Trinity Health (Columbus, OH)
- …to the UM Program and at the direction of the Sr. Director of Medical Management . + Coordinates with the utilization review, case management , discharge ... on case-specific issues. + Coordinates with Claims, Member Services, Grievance Coordinator and other operational departments regarding case management issues.… more