- Premera Blue Cross (Mountlake Terrace, WA)
- …that we serve through our Healthsource blog: https://healthsource.premera.com/ . The **Care Coordinator - Inpatient RN** performs reviews of admissions and ... concurrent stay requests for acute hospitalizations, skilled nursing, and inpatient rehabilitation by applying their clinical knowledge and critical thinking skills,… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …through our Healthsource blog: https://healthsource.premera.com/ . The **Care Coordinator ** - **Clinical Appeals** performs prospective review (benefit advisory/ ... and critical thinking skills to assess the medical necessity of inpatient admissions, outpatient services and procedures, benefit application and provider out… more
- Cedars-Sinai (Beverly Hills, CA)
- …fuels innovation. **A Little More About What You Will be Doing** The RN Care Coordinator is responsible for the case management of patient while hospitalized and ... Inpatient Specialty Program (ISP) hospitalists, the RN Care Coordinator will assist patients from the time they are...DC Planning). + 1 year of previous experience in case management in the acute inpatient or… more
- University of Miami (Miami, FL)
- …tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Clinical Research Coordinator 1 The University of Miami/UHealth ... an exciting opportunity for a Full Time Clinical Research Coordinator 1 to work at the UHealth Medical Campus....operational failures occur. + Assist the PIs in developing UM protocols for submission to IRB, including but not… more
- University of Miami (Boca Raton, FL)
- …tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Clinical Research Coordinator 1 The University of Miami/UHealth ... an exciting opportunity for a Full Time Clinical Research Coordinator 1 to work at the UHealth Medical Campus....studies in Neurology. + Assist the PIs in developing UM protocols for submission to IRB, including but not… more
- Dignity Health (Sacramento, CA)
- …years of nursing experience. + Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred **Where You'll Work** Built-in ... **Job Summary and Responsibilities** **Job Summary:** The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning for… more
- Cedars-Sinai (Beverly Hills, CA)
- …experience ( UM or DC Planning). + 1 year of previous experience in case management in the acute inpatient or outpatient settings preferred + Knowledge of ... : 12509 **Working Title** : Registered Nurse - Care Coordinator - 8 Hour Days **Department** : Case... Coordinator - 8 Hour Days **Department** : Case Management **Business Entity** : Cedars-Sinai Medical Center **Job… more
- Dignity Health (Carmichael, CA)
- …(5) years of nursing experience. + Certified Case Manager (CCM) Accredited Case Manager (ACM-RN) or UM Certification + Bachelor's Degree in Nursing (BSN) ... toward optimal outcomes at the appropriate level of care. The RN Care Coordinator advocates for the patient and family by identifying valuing and addressing patient… 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 patient ... Essential Duties: + Collaborate and set standards with registered nurse (RN) case managers (CMs) and outcome managers to ensure that all hospitalized patients… more
- CareFirst (Baltimore, MD)
- …**PURPOSE:** This position supports the clinical teams (Medicaid and Medicare UM teams) by handling non-clinical tasks related to preauthorization functions, ... inpatient care, utilization review, care coordination and/or quality of...benefit verification, authorization creation and management, claims inquiries and/or case documentation. Assists with member follow up and coordination… more
- Corewell Health (Royal Oak, MI)
- …coordination; and/or discharge/transition planning). 2. Responsible for managing a case load of patients that includes facilitating utilization management, and/or ... provide effective transition for patients utilizing hospital outpatient, observation or inpatient services. 4. May review cases for medical necessity, uses InterQual… more
- Corewell Health (Dearborn, MI)
- …coordination; and/or discharge/transition planning). + Responsible for managing a case load of patients that includes facilitating utilization management, and/or ... provide effective transition for patients utilizing hospital outpatient, observation or inpatient services. + May review cases for medical necessity, uses InterQual… more
