- Prime Healthcare (Reno, NV)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/226984/ medical - review - coordinator ... America's Best 250 hospitals by Healthgrades, Saint Mary's Regional Medical Center is a 352-bed acute care hospital offering...both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able… more
- New York State Civil Service (Bronx, NY)
- NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator , (NY HELPS), New York City Children's Center - Bronx Campus, P27076 ... Children's Center - Bronx Campus is recruiting for a Utilization Review Coordinator to analyze...and evaluate quality, effectiveness, and efficiency of psychiatric and medical services provided to individual diagnosed with mental illness.… more
- Behavioral Center of Michigan (Warren, MI)
- Under general supervision, the Utilization Review Coordinator provides professional assessment, planning, coordination, implementation and reporting of ... and supports the operations of Samaritan Behavioral Center. The Utilization Review Coordinator reviews the...Reviews patient recrods and evaluates patient progress. Performs continuing review on medical records and identification and… more
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- Utilization Review Nurse Coordinator ...reimbursement revenue via Medicare Part B programs; + May review medical records and compile documents for ... (https://portal.ct.gov/dds/searchable-archive/northregion/north-region/welcome-to-the-north-region?language=en\_US) - is accepting applications for a full-time Utilization Review Nurse Coordinator … more
- State of Indiana (Evansville, IN)
- Utilization Review Coordinator -LPN Date Posted: Oct 1, 2025 Requisition ID: 466513 Location: Evansville, IN, US, 47714 Work for Indiana Begin a fulfilling ... the east side of Evansville, Ind., our facility provides medical treatment for chronic mental illness and substance abuse...Medicare/Medicaid Hospital. Role Overview: This position serves as the Utilization Review Coordinator within a… more
- PeaceHealth (Eugene, OR)
- **Description** PeaceHealth is seeking a RN Admissions Coordinator / Utilization Review - Psychiatric Unit for a Per Diem/Relief, 0.00 FTE, Variable position. ... and Behavioral Health Inpatient Unit staff. + Provides documentation of medical necessity and obtains authorization for treatment regarding acute inpatient… more
- LifeCenter Northwest (Bellevue, WA)
- Organ Utilization Coordinator Job Details Job Location Bellevue HQ - Bellevue, WA Position Type Full Time Salary Range $75918.00 - $110112.00 Salary Job Posting ... Date(s) Start Date 08/05/2025 Description and Qualifications The Organ Utilization Coordinator (OUC) is accountable for overseeing all activities related to the… more
- Penn Medicine (Philadelphia, PA)
- …to share this rewarding and **REMOTE RN** role! This role will focus primarily on utilization review which is why **we are seeking individuals who have between 3 ... leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across… more
- Henry Ford Health System (Warren, MI)
- …Under minimal supervision, reviews and screens the appropriateness of services, the utilization of hospital resources and the quality of patient care rendered. ... Science Nursing required OR four (4) years Case Management/ Appeal/ Utilization Management experience in lieu of bachelor's degree. CERTIFICATIONS/LICENSURES… more
- Catholic Health Services (Melville, NY)
- …Health was named Long Island's Top Workplace! Job Details Position Summary: The Utilization and Appeals Coordinator will perform activities to help facilitate ... timely follow through. + Reviews providers' requests for services and coordinates utilization /appeals management review . + Assist Utilization and Appeals… more
- WMCHealth (Valhalla, NY)
- Asst Utilization Coordinator Company: Westchester Medical Center City/State: Valhalla, NY Category: Nursing/Nursing Management Department: Clinical Care ... of the procedures specified in the Quality Management, Utilization Review and Discharge Planning Program at Westchester Medical Center. Depending… more
- Houston Behavioral Healthcare Hospital (Houston, TX)
- … Utilization Management Coordinator will report to the Director of Utilization Review and will be responsible to provide quality case management services ... work, Psychology or related field, preferred. 1 year experience in a medical related field and/or prior authorization experience preferred. Experience in a… more
- The County of Los Angeles (Los Angeles, CA)
- …REQUIREMENTS: OPTION I:One year of experience performing the duties of a Utilization Review Nurse* or Medical Service Coordinator , CCS.** -OR- OPTION II: ... recommendations on potential areas for medical care evaluation studies. + Attends Utilization Review Committee meetings to inform the committee of new or… more
- The County of Los Angeles (Los Angeles, CA)
- …administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one of the ... UTILIZATION REVIEW NURSE SUPERVISOR II Print...for and the effective conduct of the system to review patients' medical charts to ascertain the… 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** + ... provision of quality based patient care focusing on the medical necessity and efficiency of the delivery of such...Criteria, knowledge of ICD-9, DRG's and CPT Codes. + Utilization Review Certification designation. + Knowledge of… more
- Rush University Medical Center (Chicago, IL)
- **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Operating Room **Work ... the circumstances of each case. **Summary:** The Service Line Coordinator 's primary function is to serve as the clinical...* Work requires the ability to walk throughout the Medical Center and to be standing or walking most… more
- HCA Healthcare (Manchester, NH)
- …growth, we encourage you to apply for our Medical Staff Services Coordinator opening. We promptly review all applications. Highly qualified candidates will ... with purpose and integrity. We care like family! Jump-start your career as a Medical Staff Services Coordinator today with Catholic Medical Center.… more
- Veterans Affairs, Veterans Health Administration (Prescott, AZ)
- Summary The Caregiver Support Program Coordinator for the Program of Comprehensive Assistance to Family Caregivers (PCAFC) is a Social Work Program Coordinator ... duties include, but are not limited to: The Caregiver Support Program Coordinator develops and implements the General Caregiver Support Program specific to his/her… more
- Ventura County (Ventura, CA)
- …awarded by CDPH. + Develops and presents therapeutic class review for medical staff review to include utilization , financial analysis, contract ... medical and pharmacy literature; communicate clearly and effectively; review and verify medication orders accurately and timely through electronic health… more
- Adelante (Surprise, AZ)
- Medical Assistant Coordinator - Surprise Job Details Job Location Adelante Healthcare Surprise - Surprise, AZ Position Type Full Time Education Level HS Diploma ... from accredited school Job Category Health Care Description POSITION SUMMARY The Medical Assistant Coordinator is an entry level leadership role, responsible for… more