• Utilization Review (UR)…

    Universal Health Services (Harahan, LA)
    …and intensive outpatient). River Oaks Hospital is seeking a dynamic and talented UTILIZATION REVIEW COORDINATOR who Evaluates patient medical records to ... for patient length of stay and level of care. Coordinates utilization review activities with other departments to ensure reimbursement for services provided… more
    Universal Health Services (03/29/24)
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  • Utilization Review

    Universal Health Services (Doylestown, PA)
    Responsibilities Foundations Behavioral Health is currently hiring a full -time Utilization Review Coordinator to support our UM Department in Doylestown, ... Autism Spectrum Disorders or other developmental disorders. Position Responsibilities: + The Utilization Review Coordinator provides support to the program… more
    Universal Health Services (03/29/24)
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  • Utilization Review

    Universal Health Services (Westampton, NJ)
    …of Hampton Behavioral Health Center's mission. We are looking for a Full Time Utilization Review Coordinator . In this role you will assist in screening ... patients to ensure that criteria are met, perform admission clinical reviews, facilitate discharge planning and coordinate continuum of care for the patient with the treatment team. In this position you will interact and communicate with clinical staff,… more
    Universal Health Services (04/22/24)
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  • RN - Lead Care Coordinator

    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 ... **Employment Type:** Full time **Shift:** **Description:** This position is located...the daily caseloads of the UR/UM teams. This includes utilization review of inpatient medical and behavioral… more
    Trinity Health (04/02/24)
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  • Utilization Review

    Universal Health Services (Scottsdale, AZ)
    Responsibilities Utilization Review Coordinator Via Linda Behavioral Hospital is a brand-new behavioral health provider serving Scottsdale and the great ... We opened in February 2022 and now offer a full continuum of inpatient and outpatient services. Our modern...site virtually and much more online at: vialindabehavioral.com The Utilization Review Coordinator reports to… more
    Universal Health Services (04/18/24)
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  • Utilization Review

    Universal Health Services (Phoenix, AZ)
    Responsibilities Utilization Review (UR) Coordinator Opportunity. Position: PRN (as needed) This position is on-site and cannot be done remotely. For nearly ... 60 years, Calvary Healing Center has provided a full continuum of care, specializing in addiction treatment for adults across the Phoenix area and Nationwide.… more
    Universal Health Services (05/05/24)
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  • Utilization Management Coordinator

    Universal Health Services (Sacramento, CA)
    Responsibilities Sierra Vista Hospital is seeking a full -time Utilization Management Coordinator (MSW, MFT, MA, RN) for the Utilization Management ... psychiatric care facility located in south Sacramento, is a full -service mental health facility and a center of support...feedback to assist in optimum patient care and reimbursement. Utilization Management Coordinator will also review more
    Universal Health Services (03/29/24)
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  • Utilization Review

    Universal Health Services (Nashville, TN)
    …families for over 30 years. Website: https://hermitagehall.com/ We are currently looking for a Utilization Review Coordinator to join our team of dedicated ... professionals. This role requires a full background check including fingerprint, drug screen, and employment verification. JOB SUMMARY This position proactively… more
    Universal Health Services (04/04/24)
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  • Utilization Management Coordinator

    Universal Health Services (Philadelphia, PA)
    …and advocates for patient length of stay and level of care. Oversees utilization review activities with other departments to ensure reimbursement for services ... or LSW preferred. Knowledge: Must possess knowledge of psychiatric care, utilization review , insurance reimbursement procedures, etc. Basic computer skills… more
    Universal Health Services (04/25/24)
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  • Utilization Coordinator

    Universal Health Services (Conway, SC)
    Responsibilities Job Posting Lighthouse Behavioral Health Hospital is hiring for a Part Time RN Utilization Review Coordinator . Utilization Review / ... its 300+ Subsidiaries! Flexible Schedule Qualifications Job Requirements The Utilization Review Coordinator position will...include weekdays and weekends as required. We have bot full time and PRN positions available. This is a… more
    Universal Health Services (04/22/24)
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  • Utilization Review

    Trinity Health (Silver Spring, MD)
    …Documentation Quality team and Care Management staffs to support and evaluate utilization review activities; and to facilitate Medicare compliance activities ... **Employment Type:** Full time **Shift:** Day Shift **Description:** **General Summary:**...and timely communication with third party payers of appropriate utilization ; to coordinate with the Physician Advisor, other members… more
    Trinity Health (05/10/24)
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  • Care Coordinator , Utilization

    Hackensack Meridian Health (Hackensack, NJ)
    …Hackensack Meridian Health may include: + Follows departmental workflows for utilization review activities including admission reviews, admission denials, ... a leader of positive change. The Case Management Care Coordinator , Utilization Management is a member of...as required by payer agencies and initiates physician advisor's review as necessary for unwarranted admissions. + Performs chart… more
    Hackensack Meridian Health (05/07/24)
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  • Utilization Management Coordinator

    Universal Health Services (Dover, DE)
    …what we do! Dover Behavioral Health system is seeking qualified candidates for our Utilization Management Coordinator - Full -Time position. In this role, you ... hours, and maintain updated logs and records for the Utilization Review department. Qualifications Minimum: + MSW...experience Preferred: + One (1) year experience as a Utilization Management Coordinator at a long-term care… more
    Universal Health Services (05/02/24)
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  • Care Coordinator , Utilization

    Hackensack Meridian Health (Edison, NJ)
    …regulations for Nursing. **Responsibilities** 1. Follows departmental workflows for utilization review activities including admission reviews, admission denials, ... **Overview** The Care Management, Care Coordinator , Utilization Management is a member...as required by payer agencies and initiates physician advisor's review as necessary for unwarranted admissions. 4. Performs chart… more
    Hackensack Meridian Health (05/07/24)
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  • Utilization Management Coordinator

    Universal Health Services (Chicago, IL)
    …treatment based on payer's criteria and in accordance with the hospital wide Utilization Management Plan. Serves as liaison to 3rd and 4th party reviewers, ... care requirements and payer expectations for patient acuity and appropriate utilization . Completes quality and timely appeal/denial letters. Participates in post… more
    Universal Health Services (05/11/24)
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  • Utilization Management Appeals…

    Universal Health Services (Chicago, IL)
    …year experience in mental health/psychiatry preferred. Knowledge: Possesses knowledge of utilization review , insurance and managed care procedures. Current ... Responsible for all denial and appeal activities for the Utilization Management department, including Expedited Appeals, Standard Appeals, External Independent… more
    Universal Health Services (05/07/24)
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  • Asst Utilization Coordinator

    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
    WMCHealth (04/16/24)
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  • Utilization Management Coordinator

    Universal Health Services (Louisville, CO)
    …patient length of stay and level of care. They will also coordinate utilization review activities with other departments to ensure authorization from insurance ... written skills required. + Prior experience and knowledge of psychiatric care, utilization review , insurance reimbursement procedures, and the DSM-IV. Experience… more
    Universal Health Services (05/03/24)
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  • Utilization Mgmt Coordinator

    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
    Dignity Health (05/03/24)
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  • Utilization Review Nurse Supervisor…

    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 ... $169,609.20 Annually Location Los Angeles County, CA Job Type Full time Job Number Y5126D Department HEALTH SERVICES Opening...and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General… more
    The County of Los Angeles (04/02/24)
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