• Utilization Management

    Sanford Health (WI)
    …**Weekly Hours:** 40.00 **Salary Range:** $21.50 - $28.00 **Job Summary** Monitors the utilization of resources, risk management and quality of care for patients ... multiple administrative duties including accurate record keeping and electronic data management when needed. Ability to work with growth and development needs… more
    Sanford Health (04/30/25)
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  • Coordinator , Utilization

    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
    Evolent (05/03/25)
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  • CHS Utilization and Appeals…

    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
    Catholic Health Services (02/14/25)
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  • Utilization Review Coordinator

    Kaleida Health (Buffalo, NY)
    ** Utilization Review Coordinator ** Department: BGMC ...2 years of experience in any combination of: case management , home care and utilization ... Hours:** 8a-4p Shift 1 **Job Description** **Position responsible for coordinating utilization management /case review efficiently and effectively while aligning… more
    Kaleida Health (05/06/25)
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  • Medical Management Care Coordinator

    VNS Health (Manhattan, NY)
    …+ Advanced personal computer skills, including Word, Excel or Access Required + Utilization Management experience Preferred CAREERS AT VNS Health The future of ... OverviewCollects specific data in the medical management information system for the clinical staff. Resolves...you. Together, we will revolutionize health care in the home and community. When you join VNS Health, you… more
    VNS Health (05/03/25)
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  • LVN Care Coordinator - Utilization

    Sharp HealthCare (San Diego, CA)
    …**Preferred Qualifications** + 1 Year experience in the acute patient care, SNF, home health, or hospice settings. + Experience as a case manager or discharge ... as required, to discuss high risk patients requiring case management follow up.Attends clinical in-services or required operational/clinical training sessions.… more
    Sharp HealthCare (05/04/25)
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  • Case Manager Utilization Review - Hospital…

    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 ... Description:** The Inpatient Registered Nurse (RN) Case Manager for Hospital at Home Care Transitions coordinates utilization review, discharge planning and… more
    Beth Israel Lahey Health (04/16/25)
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  • Care Coordinator (Health Home Plus)…

    EAC Network (Central Islip, NY)
    Care Coordinator (Health Home Plus) - Long Island Health Home Job Details Job Location 320 Carleton Avenue, Suite 8000 Central Islip, NY, 11722 - Central ... Category Human Service Join Our Team as a Health Home Plus Care Coordinator with EAC Network!...to facilitate client engagement and address barriers to service utilization . + Documentation & Tracking:Keep detailed records, track client… more
    EAC Network (02/07/25)
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  • RN Care Coordinator PCMH (Patient Centered…

    Guthrie (Johnson City, NY)
    …and process. The position is an integral part of the Patient Centered Medical Home Team. The PCMH Care Coordinator has the responsibility and accountability for ... Sign On Bonus For Qualified RNs! Position Summary: Care Coordinator in Primary Care will serve as a practice...in nursing practice. Preferred experience with PCMH process, care management / utilization review, and payer knowledge. Fast paced… more
    Guthrie (05/06/25)
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  • Health Home Care Coordinator I

    Catholic Health (Buffalo, NY)
    …Overtime: Exempt: No Work Schedule: Days Hours: 8:30am to 4:30pm Summary: The Health Home Care Coordinator I will apply the essential activities in conjunction ... patient & family support and referral to community and social/support services).The Health Home Care Coordinator I will be responsible for the following… more
    Catholic Health (04/19/25)
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  • Home Care Coordinator RN

    Loretto Management Corporation (Syracuse, NY)
    …organized manner. + Works in collaboration with the Director of Utilization Management /Information Systems for review of hospitalizations with extended ... Overview PACE CNY is currently hiring for a Home Care Coordinator RN! The ...confidentiality. + Proven patient assessment skills. + Proven organizational, time- management and interpersonal skills. + Strong verbal and written… more
    Loretto Management Corporation (04/23/25)
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  • Operational Excellence Coordinator

    Champion Home Builders Inc. (Millen, GA)
    …Off and others_ **Work in a place where your team values** **YOU** **.** **Champion Home Builder** **s** **, Inc** **.** wants **YOU!** We are seeking to hire an ... **OpEx Coordinator ** to join our team in Millen, GA. **W**...**Dental, vision, and life insurance** . **WHO IS** **CHAMPION HOME BUILDER** **S** **, INC** **.** **?** For decades,… more
    Champion Home Builders Inc. (02/19/25)
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  • Clinical Coordinator - Bonus Eligible

    The Home for Little Wanderers (Walpole, MA)
    **Description** **This position is eligible for a sign-on bonus!** The Home in Walpole, a trauma-informed residential program, seeks a Clinical Coordinator for ... You'll Be Making a Difference** _When you join The Home for Little Wanderers, you join a team of...in Walpole, a trauma-informed residential program seeks a Clinical Coordinator for their campus. Under the supervision of the… more
    The Home for Little Wanderers (04/16/25)
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  • Health Home Plus (HH+) Care…

    New Horizon Counseling Center (Brooklyn, NY)
    The HH+ Care Coordinator functions as a member of an interdisciplinary team to provide care coordination to a caseload of severely mentally ill adults with multiple ... his/her behalf to ensure access to services needed to increase wellness self- management and reduce emergency room visits and/ or hospitalizations. + Conduct… more
    New Horizon Counseling Center (03/04/25)
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  • Care Coordinator - Weight Management

    Houston Methodist (Houston, TX)
    management support to the department staff to facilitate efficient utilization of resources including referrals management , communication and collaboration ... higher complexity in support of department operations. **The Care Coordinator for the Weight Management Insurance Team...could include physician's office, acute care, long term care, home health. + Case Management experience preferred.… more
    Houston Methodist (04/29/25)
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  • Administrative Coordinator - Home

    Comfort Windows (Rochester, NY)
    COMFORT WINDOWS & DOORS is seeking an Administrative Coordinator for our Rochester, NY office. Responsibilities include: + Print, assemble, and confirm accuracy of ... to their convenience; + Strategically schedule multiple installations to maximize efficient utilization of crews; + Interact with sales, service, production, and/or … more
    Comfort Windows (03/19/25)
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  • Utilization Review Nurse

    University of Utah Health (Salt Lake City, UT)
    …communication skills. + Demonstrated knowledge of payers, payer systems, cost effective utilization management and InterQual criteria. + The ability to ... and as a team member. **Qualifications** **Qualifications** **Required** + One year Utilization Review or Case Management experience. **Licenses Required** +… more
    University of Utah Health (05/03/25)
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  • Lead Materials Management

    HCA Healthcare (Overland Park, KS)
    …Eligibility for benefits may vary by location._** We are seeking a Lead Materials Management Coordinator for our team to ensure that we continue to provide ... We want you to apply! **Job Summary and Qualifications** The Lead Materials Management Coordinator Contributes to the company's mission, vision, and values by… more
    HCA Healthcare (04/03/25)
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  • Wraparound Care Coordinator

    New Directions Youth and Family Services (Amherst, NY)
    …well-constructed teams that formulate individualized plans to meet identified needs in the home , school and community. The Care Coordinator also assists families ... Position - Wraparound Care Coordinator Job Type: Full-time (flexible schedule 35-hour work...preserve the family unit through the coordination of in home and community based services and supports and monitors… more
    New Directions Youth and Family Services (03/05/25)
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  • Staffing Coordinator - (Per Diem…

    Virtua Health (Marlton, NJ)
    …the latest technologies, treatments, and techniques to provide exceptional care close to home . A Magnet-recognized health system ranked by US News and World Report, ... our Eat Well food access program (https://www.virtua.org/about/eat-well) , telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient… more
    Virtua Health (03/08/25)
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