- Universal Health Services (Colorado Springs, CO)
- …POSITION WILL CONTINUE UNTIL THE POSITION IS FILLED. We have a Full Time Utilization Management Care Coordinator opportunity available, this position ... be flexible with work hours to accommodate work volumes. Knowledge of utilization management and managed care environment is helpful. Experience/Education :… more
- Spokane County (Spokane, WA)
- …Health Administrative Services Organization Utilization Review Integrated Care Coordinator : + Performs utilization management , utilization ... or lack of movement toward discharge. + Collaborates with Utilization Review Integrated Care Coordinator ...or concurrent review of behavioral health inpatient and outpatient care management . + Determines medical necessity for… more
- Universal Health Services (Sacramento, CA)
- …to maximize effectiveness of care by evaluating clinical appropriateness. The Utilization Management Coordinator functions as liaison between payors, the ... and feedback to assist in optimum patient care and reimbursement. Utilization Management Coordinator will also review with payor sources and receive… more
- Centers Plan for Healthy Living (Jamaica, NY)
- …with the guidance and plans they need for healthy living. JOB SUMMARY: The Utilization Management Care Coordinator works within a multidisciplinary ... UM Care Coordinator 90-27 Sutphin Blvd, Jamaica, NY 11435, USA Req... care team to assist with the care of members enrolled in our Managed Long Term … more
- Actalent (Redlands, CA)
- …case management criteria. Skills: Utilization review, prior authorization, Care management , medicare, referral coordinator , utilization ... ncqa, ncqa standards Top Skills Details: Utilization review,prior authorization, Care management ,medicare,referral coordinator , utilization … more
- Universal Health Services (Philadelphia, PA)
- …specialized co-occurring psychiatric and chemical dependency treatment. We are currently seeking a Utilization Management (UM) Coordinator to join our team. ... Utilization Management (UM) Coordinator Position Fairmount Behavioral Health System is...one of the nation's largest and most respected health care management companies operating through its subsidiary… more
- Trinity Health (Maywood, IL)
- …with inpatient UR and/or outpatient referral authorizations. **Great opportunity for a Lead Care Coordinator to work in an organization that focuses on treating ... the whole person, physically, emotionally and spiritually.** We are seeking a **Lead Care Coordinator ** who is dedicated to providing exceptional care to… more
- Universal Health Services (Houston, TX)
- Responsibilities Utilization Management Coordinator -PRN Opportunity West Oaks Hospital has provided psychiatric care to the Houston area and surrounding ... communities for over four decades. Our 176-bed acute care facility is fully accredited and included a 16-bed...West Oaks Hospital is seeking a dynamic and talented Utilization Management Coordinator PRN to… more
- Universal Health Services (Doylestown, PA)
- …is a Monday-Friday full-time position offering full-time benefits and competitive pay. The Utilization Management Coordinator is responsible for all ... of medical necessity and timely discharge planning. + Maintains data on utilization management activities and generates required reports, logs, and files… more
- UCLA Health (Los Angeles, CA)
- …direction and supervision of the RN Assistant Director, the Case Management Coordinator is responsible for patient high risk care coordination activities in ... reviewer in review, and health plan contracts. The Case Management Coordinator will also be responsible for:...diploma, GED, or equivalent * Experience working in case management and care coordination in managed … more
- Houston Behavioral Healthcare Hospital (Houston, TX)
- …together. Houston Behavioral Healthcare Hospital (HBHH) currently has an opening for Full-time Utilization Management Coordinator . The Utilization ... by delivering quality services to those entrusted in our care . By embarking on a path with our community... Coordinator will report to the Director of Utilization Review and will be responsible to provide quality… more
- Universal Health Services (Chicago, IL)
- …in mental health/psychiatry preferred Licensure/Certification: None Knowledge: Possesses knowledge of utilization management , insurance and managed care ... payer's criteria and in accordance with the hospital wide Utilization Management Plan. Serves as liaison to...treatment team to educate and guide on level of care requirements and payer expectations for patient acuity and… more
- WMCHealth (Valhalla, NY)
- Asst Utilization Coordinator Company: Westchester Medical Center City/State: Valhalla, NY Category: Nursing/Nursing Management Department: Clinical Care ... Internal Applicant link Job Details: Internal Posting 4/16/24 to 4/29/24 Assistant Utilization Coordinator Summary: Under general supervision, an incumbent of… more
- Universal Health Services (Chicago, IL)
- …ILPA process and detailed understanding of psychiatric criteria for various levels of care . Possesses knowledge of utilization management , insurance and ... payer's criteria and in accordance with the hospital wide Utilization Management Plan. Coordinates with the Business...of the patient to ensure the appropriate level of care , including appropriateness of the admission. Knowledgeable and able… more
- Universal Health Services (Riverside, CA)
- …collection of accurate data from utilization of services within the Utilization management Department. Prepare useful utilization statistics from this ... the best place to work, practice medicine, and receive care . SUMMARY: Verifies eligibility and benefits for patient services.... utilization statistics, as necessary, for use in Utilization Management Department and Utilization … more
- Universal Health Services (Savannah, GA)
- Responsibilities Coastal Harbor Health is currently seeking a Utilization Review Coordinator ( Fulltime ) To coordinate and direct Utilization Review ... a 114-bed hospital for children and adolescents, providing both short- and long-term inpatient care , and a 50 bed inpatient hospital serving men and women, ages 18… more
- Universal Health Services (Jacksonville, FL)
- …Registered Nurse, LPN or Master's level Social Worker with experience in Utilization Management , preferred. Good communication (verbal and written) skills are ... a whole. We are pleased to announce the following available position: PRN Utilization Review Coordinator This position is responsible for monitoring the… more
- Sanford Health (MN)
- …am to 4 pm **Job Summary** Monitors the utilization of resources, risk management and quality of care for patients in accordance to established guidelines ... multiple administrative duties including accurate record keeping and electronic data management when needed. Ability to work with growth and development needs… more
- UCLA Health (Los Angeles, CA)
- …within a world-class health organization. Help drive the continued delivery of exceptional patient care . Take your career to the next level. You can do all this and ... or equivalent * Three or more years of managed care experience (eg, MSO, IPA, or health plan) *...become Los Angeles' trusted provider of exceptional, compassionate patient care . If you're looking to experience greater challenge and… more
- UPMC (Shrewsbury, PA)
- UPMC Pinnacle Medical Group, Outpatient Care Management Team is adding an OP Nurse Coordinator I (Registered Nurse, RN) to their team in Hanover/York area. ... Coordinator I will be a member of the care delivery team who works to establish trusting patient...goals of care . + The goals of care management are to maintain clinical stability,… more