- Trinity Health (Maywood, IL)
- …at the Westmont office Join our small but mighty team to guide and manage Utilization Review and Management for the Loyola Physician Partners LPP) Health Plan, a ... outpatient referral authorizations. **Great opportunity for a Lead Care Coordinator to work in an organization that focuses on...the daily caseloads of the UR/UM teams. This includes utilization review of inpatient medical and behavioral… more
- Universal Health Services (Sacramento, CA)
- …providing information and feedback to assist in optimum patient care and reimbursement. Utilization Management Coordinator will also review with payor ... Responsibilities Sierra Vista Hospital is seeking a full-time Utilization Management Coordinator (MSW, MFT, MA, RN) for the Utilization Management… more
- Universal Health Services (Conway, SC)
- …Job Posting Lighthouse Behavioral Health Hospital is hiring for a Part Time RN Utilization Review Coordinator . Utilization Review / Risk ... its 300+ Subsidiaries! Flexible Schedule Qualifications Job Requirements The Utilization Review Coordinator position will...responsive leadership. You are never alone, as you are part of a large network of peer nurses and… more
- Humana (Dublin, OH)
- …member service or customer service telephone experience desired + Experience with Utilization Review and/or Prior Authorization, preferably within a managed care ... **Become a part of our caring community and help us...first** Humana Healthy Horizons in Ohio is seeking a Utilization Management Administration Coordinator 2 who contributes… 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
- 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 NURSE ... direction, administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one… more
- University of Utah Health (Salt Lake City, UT)
- …and as a team member. **Qualifications** **Qualifications** **Required** + One year Utilization Review or Case Management experience. **Licenses Required** + ... Criteria, knowledge of ICD-9, DRG's and CPT Codes. + Utilization Review Certification designation. + Knowledge of...Statement** _University of Utah Health Hospitals and Clinics, a part of The University of Utah, values candidates who… more
- Cabinet Peaks Medical Center (Libby, MT)
- Cabinet Peaks Medical Center is looking for a Peer Review Coordinator to join our Risk Management Team! The Peer Review Coordinator works in ... review data with HIM, Medical Staff Services office, and Utilization Review . Enters risk management event reports into the risk management software program.… more
- Beth Israel Lahey Health (Burlington, MA)
- …**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 potential ... Case Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality...status patients by working with physicians to ensure appropriate utilization . 9) Is part of the department's… more
- Spokane County (Spokane, WA)
- …and discharges or lack of movement toward discharge. + Collaborates with Utilization Review Integrated Care Coordinator regarding continued inpatient ... other related duties as required/assigned. Behavioral Health Administrative Services Organization Utilization Review Integrated Care Coordinator : + Performs… more
- Public Consulting Group (Council Bluffs, IA)
- …and/or healthcare and fraud investigations. + 2-5 years of experience as a utilization review manager conducting, directing, or leading medical necessity reviews ... for coordinating program integrity-related reviews with the medical necessity review team responsible for conducting medical necessity reviews, ensuring services… more
- HCA Healthcare (Las Vegas, NV)
- …and personal growth, we encourage you to apply for our Materials Management Coordinator Part -Time opening. We promptly review all applications. Highly ... like family! Jump-start your career as a Materials Management Coordinator Part -Time today with Las Vegas Sahara....cooperation of staff members + Maintains knowledge base and utilization of contract pricing, keeping current + Responsible for… more
- Baystate Health (Greenfield, MA)
- **We are looking for a Point of Care Coordinator to join our Point of Care Testing team here at Baystate Franklin Medical Center!** **_Resume Required with ... Courtemanche, Healthcare Recruiter_ _###@baystatehealth.org_ **Summary:** The Lab Point of Care Coordinator is a lead position within the Clinical Laboratory that is… more
- Evergreen Health (Jamestown, NY)
- …Care Coordinator is responsible for the following outcomes: Reduce utilization associated with avoidable and preventable inpatient stays; reduce utilization ... Evergreen Health The Telephonic Care Coordinator applies the essential activities of case management...due to the fluidity of the patients served. As part of the Essential Functions for this role, The… more
- Metropolitan Council (St. Paul, MN)
- Associate Outreach Coordinator - Part Time (20 hours per week / benefits eligible) Print ... (https://www.governmentjobs.com/careers/metrocouncil/jobs/newprint/4446208) Apply Associate Outreach Coordinator - Part Time (20 hours per week / benefits… more
- Superior Court of Fulton County (Atlanta, GA)
- …necessary to function effectively in the position. **Performance Aptitudes:** **Data Utilization ** : Requires the ability to review , classify, categorize, ... ADMINISTRATIVE COORDINATOR II **SUPERIOR COURT OF FULTON COUNTY** **JOB...and safety. After joining the Court, you will become part of a fast-paced team dedicated to providing the… more
- HCA Healthcare (Miami, FL)
- …personal growth, we encourage you to apply for our Cardiovascular Quality Coordinator opening. We promptly review all applications. Highly qualified candidates ... you have the career opportunities as a(an) Cardiovascular Quality Coordinator you want with your current employer? We have...you to join HCA Florida Kendall Hospital which is part of the nation's leading provider of healthcare services,… more
- Elevance Health (Gary, IN)
- …you for a credit card, send you a check, or ask you for payment as part of consideration for employment. **LTSS Concierge Coordinator (Remote in Indiana)** + Job ... candidate must be located in the state of Indiana.** The **LTSS Concierge Coordinator ** is responsible for supporting the LTSS Coordinator (or contracted… more
- Elevance Health (Indianapolis, IN)
- …for payment as part of consideration for employment. **LTSS Transition Concierge Coordinator ** + Job Family: MED > Medical Ops & Support (Non-Licensed) + Type: + ... **Description** **Location: Must be located in Indiana** The **LTSS Transition Concierge Coordinator ** is responsible for supporting the LTSS Coordinator (or… more
- HCA Healthcare (Hermitage, TN)
- …opportunity compelling, we encourage you to apply for our Clinical Informatics Coordinator opening. We promptly review all applications. Highly qualified ... inclusion thrive? Submit your application for our Clinical Informatics Coordinator opening with TriStar Summit Medical Center today and...find out what it truly means to be a part of the HCA Healthcare team. **Benefits** TriStar Summit… more