- Adventist Health (Portland, OR)
- …by assisting in collaboration, development, implementation, revision and reporting of the case management program. Acts as a liaison between the patient, family, ... Bachelor's Degree in Nursing (BSN): Preferred Experience in a care management role: Preferred Licenses/Certifications: Registered Nurse (RN) licensure in the state… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... required to achieve that purpose. Job Summary The Utilization Management (UM) Admissions Liaison RN II is primarily responsible for receiving/reviewing… more
- Genesis Healthcare (Bowie, MD)
- …skilled and motivated to make a difference.Join the Genesis team as a Clinical Liaison -- LPN where your marketing/sales and clinical skills will be fully engaged.to ... of recent clinical experience.3. Valid driver's license.4. Preferred case management experience.5. Experience in business/development preferred.6. Prior experience in… more
- Fordham University (Bronx, NY)
- …system-related issues for external and internal users. + Assists with workflow management and priorities of the admissions operations group including accurate ... the business school as requested. + Serves as a liaison to Financial Services, Student Accounts, and Enrollment Services...+ Minimum 2 years of experience in financial aid, admissions , or enrollment management ; or related experience.… more
- Genesis Healthcare (Hanover, NH)
- …recent clinical experience is required. Must have a valid driver's license. Utilization review, case management , and discharge planning experience is preferred ... Memorial and NH state Hospital Systems. Join the Genesis team as a Clinical Liaison - RN where your marketing/sales and clinical skills will be fully engaged.to… more
- ERP International (Tinker AFB, OK)
- …and Tasks: Duties may include but are not limited to** : Provides Utilization Management activities and functions by using MTF-specific Quality Improvement ... and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case...nursing case management with social work case management . * Maintain liaison with appropriate community… more
- Ventura County (Ventura, CA)
- …the interdisciplinary approach to providing continuity of care, including Utilization management , Transfer coordination, Discharge planning, and obtaining ... Doctor to coordinate and screen for the appropriateness of admissions and continued stays. This position makes recommendations to...No 03 Please detail your nursing experience with Case Management , Utilization Management , and discharge… more
- Guthrie (Sayre, PA)
- Position Summary: The Utilization Management (UM) Reviewer, in collaboration with other internal and external offices, payors, and providers and staff, is ... responsible for the coordinates Utilization Management (UM) processes and requirements for...the level of care or service for hospital inpatient admissions and short procedures by translating clinical information to… more
- EM Key Solutions, Inc. (Eglin AFB, FL)
- …are not limited to the following: + Develops and implements a comprehensive Utilization Management plan/program in accordance with the facility's goals and ... TRICARE regional offices, MTF staff and professional organizations concerning Utilization Management practices. + Collaborates with staff/departments, including,… more
- EM Key Solutions, Inc. (Eglin AFB, FL)
- …are not limited to, the following: + Develops and implements a comprehensive Utilization Management plan/program in accordance with the facility's goals and ... TRICARE regional offices, MTF staff, and professional organizations concerning Utilization Management practices. + Collaborates with staff/departments,… more
- ProgenyHealth (Elk Grove Village, IL)
- ProgenyHealth is a leading provider of care management solutions for premature and medically complex newborns. Our program promotes appropriate utilization , ... for the members. The clinical care nurse serves as a nurse reviewer for admissions , lengths of stay and a facilitator for discharge planning. This position functions… more
- Sutter Health (Berkeley, CA)
- …systems for the appeal/denial process, tracks and trends data, and coordinates utilization management activities for the assigned area. Collaborates with ... of services and appropriate service reimbursement. Monitors and acts as a liaison between external payers, internal business office, admissions staff, and… more
- Universal Health Services (San Antonio, TX)
- …criteria, programming, data, and administration & admission process to generate desired utilization / admissions to the facility's continuum of care. To provide ... : + Develop and implement strategic military and VA referral account management plans that support the facility clinical resources, resulting in admissions… more
- Martin's Point Health Care (Portland, ME)
- …Nurse required; BSN preferred. + 3+ (total) years clinical nursing experience + Utilization management experience in a managed care or hospital environment ... has been certified as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as a member of a team responsible for ensuring the… more
- Genesis Healthcare (Dover, DE)
- …for life. We're currently seeking a Clinical Admissions Director - Hospital Liaison (focusedon Referral Management ) to join our extraordinary team.* Are you ... to these questions, then WE WOULD LOVE TO HEAR FROMYOU! The Clinical Admissions Director plays a vital role in leveraging existing relationshipsto generate referrals… more
- Somatus (Paducah, KY)
- …accessing resources to adhering to a physician's treatment plan upon discharge. The Hospital Liaison will work with the RNCM, case management and care givers to ... leadership and/or provider engagement to build relationships with case management teams at strategic facilities in assigned area as...ongoing conversations and plans to address areas to reduce admissions and cost utilization + Other duties… more
- Corus Health (Albuquerque, NM)
- …Corus is currently seeking an energetic, connected, and organized Hospice Community Liaison to join our marketing team. This individual is responsible for providing ... and evaluating service information related to admissions utilizing clinical knowledge and expertise to determine patients who would benefit from our hospice… more
- Spokane County (Spokane, WA)
- …Services Organization Utilization Review Integrated Care Coordinator: + Performs utilization management , utilization review, or concurrent review of ... of hospital daily census and of the reasons for admissions and discharges or lack of movement toward discharge....substance use disorder assessment and treatment. + Knowledge of utilization management of public behavioral health. +… more
- Beth Israel Lahey Health (Plymouth, MA)
- …4) reducing readmissions. **Functions and Responsibilities:** **A. Utilization Management ** + Performs review of anticipated admissions utilizing InterQual ... This role is structured around four major functions + Utilization Management + Care Coordination + Discharge...admissions for social reasons + Functions as a liaison between the DEM and community-based resources on an… more
- Rush University Medical Center (Chicago, IL)
- …options and management of adverse events. 4. Serves as a liaison between practice and referral sources 5. Participates in quality metric initiatives supporting ... 3.Establishes and maintains expertise regarding disease, staging, current treatment options and management of adverse events. 4.Serves as a liaison between… more
