- Universal Health Services (Oakland Park, FL)
- …are pleased to announce the following available position: Utilization Management Coordinator - RN Denials & Appeals (Experience a must) The main duties ... of the UM Coordinator - RN are: to coordinate and monitor appropriate utilization and documentation of services throughout the course of treatment for patients… more
- Hartford HealthCare (Southington, CT)
- …concisely. **Maintains a flexible schedule to meet the needs of the agency. Licensure: Registered Nurse with a license to practice in the State ofConnecticut ... staff to improve clinical documentation **Ensures standard work minimizes risk for denials **Participates in quality assurance audits, audits, appeals and… more
- Highmark Health (Harrisburg, PA)
- …and contractual requirements. + Documents, monitors, intervenes/resolves and reports clinical denials / appeals and retrospective payer audit denials . ... **Preferred** + None **EXPERIENCE** **Required** + 2 years of recent clinical RN Acute care, Home care, Palliative, Hospice, or Care Management **Preferred** +… more
- Universal Health Services (Jeffersonville, IN)
- …sciences or Diploma or Associate Degree in Nursing from an accredited school as a Registered Nurse or LPN. Experience: A minimum of one (1) year direct clinical ... we offer out-patient programs as well. The Utilization Review Coordinator is responsible for executing the UR function, which...Assures that good customer service practices are utilized. Maintains denials and appeals logs and reviews the… more
- San Antonio Behavioral Health (San Antonio, TX)
- …May consult with staff as needed. Essential Duties: + Collaborate and set standards with registered nurse ( RN ) case managers (CMs) and outcome managers to ... The Utilization Review Coordinator conducts utilization reviews to determine if patients...in patient's medical records. + Reviews notices of potential denials and respond appropriately; ie facilitate Physician to Physician… more
- Universal Health Services (Orlando, FL)
- …of admission review + Performs and maintains records of concurrent review + Appeals denials of admissions or continued stays + Contacts appropriate parties ... Tour (https://tour.metareal.com/apps/player?asset=0aa9f6e3-f4a6-4023-af40-27d6b47a6793&position=5.11x1.73y7.18z&rotation=16.01x-1538.67y0.00z) Position Summary The Utilization Review Coordinator performs admission and concurrent review of… more
- Universal Health Services (Kingwood, TX)
- …continued stay relative to patient diagnosis, treatment and progress. + Appeals inappropriate reimbursement denials with representatives of third-party payers ... Facility Tour (https://kingwoodpines.com/about-us/our-campus/) Position Summary The Utilization Review (UR) Coordinator will perform admission and continued-stay reviews; position also… more