• Unknown (Santa Fe, NM)
    DescriptionRegistered Nurse uses approved screening criteria (Milliman/Interqual/CMS Inpatient List) to determine the medical necessity of a requested ... for appropriate bed assignment. Actively involved in management of inpatient observation patients. Provides consultative role as utilization management nurse… more
    CMP Jobs (12/07/19)
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  • Corizon Health (Linthicum Heights, MD)
    …as you begin or continue to advance your correctional healthcare career. The UM Report Coordinator monitors, organizes and maintains clinical reports that ensure ... that focus on the quality of care for all inpatient and/or outpatient services. This includes, but not limited...1. Review, compile and coordinate the data required for UM Monthly Reports to include, but not limited to… more
    ZipRecruiter (11/22/19)
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  • Beacon Health Options (New York, NY)
    …is responsible for scheduling aftercare follow-up for members discharging from an inpatient acute mental health setting. The Aftercare Coordinator ensures that ... Location: NY - Manhattan About the Position: Beacon Health Options is currently seeking an Aftercare Coordinator to join our team in Manhattan, NY! This position… more
    Neuvoo (12/06/19)
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  • Cameron Craig Group (Elgin, OK)
    …Conducts Ethics Committee twice a year for Education. Directs and supervises Case managers, Pre-cert Coordinator and Social Worker. Monitors Department ... TITLE: Director Case Management LOCATION: ELGIN, OKLAHOMA Are you considering...of interest to you than an opportunity for an Inpatient Physical Therapist exists in this 100 plus bed… more
    Neuvoo (11/28/19)
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  • Getting Hired, Inc. (San Francisco, CA)
    …required.Becoming knowledgeable of payer assigned time frames.Understanding specific payer UM details.Collaborating and alerting facility Case Managers ... support in the certification process to ensure timely authorization of inpatient days followed by timely and accurate documentation.Providing communication and/or… more
    Getting Hired, Inc. (11/25/19)
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  • Unknown (Harrisburg, PA)
    …knowledge and health care/social services experience, the Reviewer reviews Service Coordinator and Participant requests for inpatient and outpatient services, ... and follows Plan CHC process for requesting additional information.Documents case activities for Utilization determinations and discharge planning enterprise… more
    CMP Jobs (12/07/19)
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  • Unknown (Cheney, WA)
    …ICM CCMs function as an advocate, facilitator, outreach coach, educator, care coordinator , and motivational counselor for members and their families for members who ... their care plans and treatment adherence. Coordinating and consulting with the UM Care Manager and medical care management as necessary Attending regularly scheduled… more
    CMP Jobs (12/03/19)
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  • Medical Intake Coordinator

    Adecco Staffing (San Antonio, TX)
    …Provides clerical support to clinical staff in their medical necessity review process. UM Coordinator is expected to maintain production and quality standards. ... serves as the initial intake of pre-service requests, claim reviews and inpatient hospital coordination and diabetic supplies. Coordinates UM processes with… more
    Adecco Staffing (12/04/19)
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  • RN Case Manager

    Sutter Health (Modesto, CA)
    …upon request proof of liability insurance. **PREFERRED QUALIFICATIONS** : + Recent experience as an UM Coordinator and CM in DC Planning in an ED or acute care ... **Position Overview:** The RN Case Manager (RNCM) facilitates utilization management ( UM...right to self-determination." This position will serve to support UM needs on inpatient units and/or the… more
    Sutter Health (12/04/19)
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  • Medical Intake Coordinator

    Robert Half Office Team (San Antonio, TX)
    …Provides clerical support to clinical staff in their medical necessity review process. UM Coordinator is expected to maintain production and quality standards. ... serves as the initial intake of pre-service requests, claim reviews and inpatient hospital coordination and diabetic supplies. Coordinates UM processes with… more
    Robert Half Office Team (11/22/19)
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  • Skilled and Transitional Care Coordinator

    naviHealth, Inc. (Dover, DE)
    Job Summary The Skilled Inpatient and Transitional Care Coordinator plays a dual role as a Skilled Inpatient Care Coordinator (SICC) and Transitional ... other type rounds as needed based upon opportunities. + Perform all Skilled Inpatient Care Coordinator (SICC) specific functions as assigned. + Collaborate… more
    naviHealth, Inc. (10/26/19)
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  • Care Coordinator II

    Morehouse School Of Medicine (Atlanta, GA)
    Position Information Posting Number NONAC1598 Job Title Care Coordinator II Position Title Care Coordinator II Position Type Non-Faculty Salary Department ... Morehouse Healthcare (MHC) Position Summary The Care Coordinator 's primary responsibilities are to facilitate care management and coordination of clinical activities… more
    Morehouse School Of Medicine (11/22/19)
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  • Utilization Management Coordinator

    Providence Health & Services (Torrance, CA)
    …initial and ongoing assessment and management of patients. The UM Coordinator coordinates with multiple disciplines regarding inpatient notification of an ... **Providence is calling a Part time, Day Shift Utilization Management Coordinator to Providence California Regional Services in Torrance, CA.** **We are… more
    Providence Health & Services (11/09/19)
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  • Utilization Management Coordinator

    Providence Health & Services (Torrance, CA)
    …initial and ongoing assessment and management of patients. The UM Coordinator coordinates with multiple disciplines regarding inpatient notification of an ... **Providence is calling a Full Time, Variable Shift Utilization Management Coordinator to Providence California Regional Services in Torrance, CA.** **We are… more
    Providence Health & Services (11/09/19)
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  • Case Manager

    Legacy Health (Portland, OR)
    …of care to prevent unnecessary complications and negative patient outcomes. Communicates with UM RN(s) and with insurance and community case managers, when ... You are the voice, the coordinator and the empathetic advocate of patients facing...this is how you define your role as a Case Manager, we invite you to consider this opportunity.… more
    Legacy Health (11/23/19)
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  • Long Term Services and Supports Reviewer…

    AmeriHealth Caritas (Harrisburg, PA)
    …knowledge and health care/social services experience, the Reviewer reviews Service Coordinator and Participant requests for inpatient and outpatient services, ... follows Plan CHC process for requesting additional information. + Documents case activities for Utilization determinations and discharge planning enterprise platform… more
    AmeriHealth Caritas (11/02/19)
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