- University of New Mexico - Hospitals (Albuquerque, NM)
- …- Coordinates and facilitate communication between Health Information Management, Utilization Review /Case management, Quality Management, physician leadership to ... to clarify documentation in medical records and initiate communication with physician, nurse , or patient care coordinator by utilizing the appropriate "query"… more
- State of Indiana (Indianapolis, IN)
- Utilization Review Coordinator Date Posted:...college or university. * Current licensure as a Registered Nurse (RN) in the State of Indiana. * Two years ... to the treatment team. * Development of the annual utilization review plan. * Serve as the...nursing in the State of Indiana as a Registered Nurse . + Must hold and maintain a CPR certification.… more
- Geisinger (Danville, PA)
- …re-admissions. + Assesses and recommends policies as they relate to readmissions and utilization review activities. + Reviews inpatient level of care and ... of care for preplanned admissions and observation status. Coordinates readmission review . Conducts Inpatient and Outpatient post service reviews and determines… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW ... and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General...REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered Nursing.… more
- Universal Health Services (Conway, SC)
- Responsibilities Job Posting Lighthouse Behavioral Health Hospital is hiring for a Part Time RN Utilization Review Coordinator . Utilization Review / ... within UHS and its 300+ Subsidiaries! Flexible Schedule Qualifications Job Requirements The Utilization Review Coordinator position will consist of Four… more
- Universal Health Services (Jacksonville, FL)
- …as a whole. We are pleased to announce the following available position: PRN Utilization Review Coordinator This position is responsible for monitoring the ... treatment team members, physician's and co-workers throughout the hospital. Qualifications Registered Nurse , LPN or Master's level Social Worker with experience in … more
- Hackensack Meridian Health (Brick, NJ)
- …at Hackensack Meridian _Health_ includes: + Follows departmental workflows for utilization review activities including admission reviews, admission denials, ... a leader of positive change. The **Care Management, Care Coordinator ** , ** Utilization Management** is a member...organization within 1 year *This is an ED specific Utilization Review position. The team member is… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Hackensack Meridian Health may include: + Follows departmental workflows for utilization review activities including admission reviews, admission denials, ... a leader of positive change. The Case Management Care Coordinator , Utilization Management is a member of...as required by payer agencies and initiates physician advisor's review as necessary for unwarranted admissions. + Performs chart… more
- Hackensack Meridian Health (Hackensack, NJ)
- …at Hackensack Meridian Health includes: + Follows departmental workflows for utilization review activities including admission reviews, admission denials, ... a leader of positive change. The **Case Management Care Coordinator , Utilization Management** is a member of...as required by payer agencies and initiates physician advisor's review as necessary for unwarranted admissions. + Performs chart… more
- Hackensack Meridian Health (Neptune, NJ)
- …**Hackensack Meridian** **_Health_** includes: + Follows departmental workflows for utilization review activities including admission reviews, admission denials, ... a leader of positive change. The **Care Management, Care Coordinator , Utilization Management** is a member of...as required by payer agencies and initiates physician advisor's review as necessary for unwarranted admissions. + Performs chart… more
- Hackensack Meridian Health (Edison, NJ)
- …regulations for Nursing. **Responsibilities** 1. Follows departmental workflows for utilization review activities including admission reviews, admission denials, ... **Overview** The Care Management, Care Coordinator , Utilization Management is a member...as required by payer agencies and initiates physician advisor's review as necessary for unwarranted admissions. 4. Performs chart… more
- YesCare Corp (Bartow, FL)
- … Management Department to arrange discharge plan + Coordinates with the hospital utilization nurse to expedite discharge and avoid excessive lengths of stay ... Below is a list of your responsibilities as a ** Utilization Management Coordinator ** with YesCare: + Confirms...report is sent to each site and participates in Utilization Review with Clinical Director and other… more
- Hackensack Meridian Health (Manahawkin, NJ)
- …at Hackensack Meridian Health includes: + Follows departmental workflows for utilization review activities including admission reviews, admission denials, ... serve as a leader of positive change. The Care Coordinator , Care Management is a member of the healthcare...concurrent managed care denial appeals and retrospective medical record utilization reviews. + Obtains and evaluates medical records for… more
- Dignity Health (Northridge, CA)
- …care in accordance with and in compliance of the Behavioral Health Dignity Health Utilization Review Policy. + The UMC will participate on the Behavioral Health ... 400 care centers. Visit dignityhealth.org/northridgehospital for more information. The RN Utilization Management Coordinator (UMC) is responsible for assessing… more
- UPMC (Pittsburgh, PA)
- **UPMC Your Care is hiring Nurse (RN) Clinical Care Coordinator .** The Nurse Clinical Care Coordinator is responsible for delivery of nursing assessment ... face to face assessments that include a clinical assessment and treatment, a review of the medical, functional, behavioral, pharmaceutical, and social needs of the… more
- Beth Israel Lahey Health (Burlington, MA)
- …40 **Work Shift:** Day (United States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Full Time Days 8:00am-4:30pm ... Nurse (RN) Case Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality assurance for Lahey… more
- Penn State Health (Lancaster, PA)
- …Facilitates Team Conferences. Assists with ongoing Quality Assessment and Improvement, Utilization Review , and monthly billing. Encourages a harmonious, ... and coordinates work with state social and health agencies. Assists with utilization review and monthly billing activities. **MINIMUM QUALIFICATION(S):** +… more
- HCA Healthcare (San Antonio, TX)
- …step in your career path, we encourage you to apply for our Clinical Nurse Coordinator Orthopedics opening. We review all applications. Qualified candidates ... **Do you have the career opportunities as a(an) Clinical Nurse Coordinator Orthopedics you want in your...services** + **Facilitates optimal length of stay and appropriate utilization of Hospital resources.** **Methodist Hospital Texsan is a… more
- HCA Healthcare (Asheville, NC)
- …where diversity and inclusion thrive? Submit your application for our Registered Nurse Home Health Clinical Coordinator CarePartners opening with CarePartners ... compelling, we encourage you to apply for our Home Health Clinical Coordinator CarePartners opening. We promptly review all applications. Highly qualified… more
- WellSpan Health (Mount Gretna, PA)
- Care Nurse Coordinator RN - Child Adolescent...with Case Management as indicated. + Participates in the review of policy and procedures on an ongoing basis ... care and treatment progress. + Participates in daily communication with primary nurse , communicating any clinical concerns and assist in developing an action plan… more
