- Luminis Health (Lanham, MD)
- …operational throughout process in collaboration wth other unit leaders, Administrative Coordinator , Care Management , other nursing unit and support services ... to the unit at education/staff development functions as well as designated management functions to promote high quality, cost effective health care. This position… more
- Luminis Health (Lanham, MD)
- …operational throughout process in collaboration wth other unit leaders, Administrative Coordinator , Care Management , other nursing unit and support services ... to the unit at education/staff development functions as well as designated management functions to promote high quality, cost effective health care. This position… more
- Campbell County Health (Gillette, WY)
- …the Admission and Discharge Coordinator focuses on integrating care management , social services, discharge planning, utilization review and post-hospital ... functions of care coordination, facilitation of referrals, education, discharge planning, utilization management , and advocacy. ESSENTIAL FUNCTIONS * Completes… more
- HCA HealthONE Rose (Denver, CO)
- …Nurses! Introduction Do you have the career opportunities as a(an) Clinical Nurse Coordinator Inpatient Surgery you want with your current employer? We have an ... for you to join HCA HealthONE Rose which is part of the nation's leading provider of healthcare services,...Do you want to work as a(an) Clinical Nurse Coordinator Inpatient Surgery where your passion for creating positive… more
- NHS Management (Prattville, AL)
- …rehab services at the highest practicable level for each resident. Provides case management services for certain high-risk Medicare Part A residents to ensure ... and utilization and provides training to facility staff as indicated. Reviews Part B therapy utilization and assists facilities with utilization of… more
- Houston Behavioral Healthcare Hospital (Houston, TX)
- …take together. Houston Behavioral Healthcare Hospital (HBHH) currently has an opening for Part -time Utilization Management Coordinator . The ... Coordinator will report to the Director of Utilization Review and will be responsible to provide quality...Review and will be responsible to provide quality case management services to all patients and their families, to… more
- Evolent (Annapolis, MD)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management ** at Evolent will serve as a ... regulatory requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly… more
- Veterans Affairs, Veterans Health Administration (El Paso, TX)
- …knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care ... for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care. Responsibilities… more
- Hackensack Meridian Health (Edison, NJ)
- …and serve as a leader of positive change. The **Care Management , Care Coordinator , Utilization Management ** is a member of the healthcare team and ... of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to manage… more
- Penn State Health (Hershey, PA)
- …direction of a Utilization Management Nurse or Specialist, the Utilization Management Coordinator supports the UM process by obtaining ... orders that prohibit or outlaw discrimination._ **Union:** Non Bargained **Position** UM Coordinator - Utilization Management **Location** US:PA: Hershey |… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Utilization Review Coordinator ensures efficient and effective management of utilization review processes, including denials and ... preferred **Knowledge, Skills and Abilities** + Strong knowledge of utilization management principles, payer requirements, and healthcare regulations.… more
- South Middlesex Opportunity Council (Framingham, MA)
- …Working Conditions: As part of the responsibilities of this position, the Utilization Management Coordinator will have direct or incidental contact with ... children and families. This position will coordinate billing and monitor utilization review for the Clinic and Residential Recovery Programs. Candidates must… more
- Devereux Advanced Behavioral Health (Viera, FL)
- …our team where you can take your career to the next level. **Being the Utilization Review Coordinator at Devereux has its Advantages!** Devereux Florida is a ... to less restrictive environments with ongoing family involvement and support. As the Utilization Review Coordinator at Devereux Florida, you will work with other… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …to transform healthcare and serve as a leader of positive change. The ** Utilization Management Coordinator ** utilizes clinical knowledge and understanding of ... level of care setting for continued treatment. Employs the utilization management process to assist in setting...shifts. In addition to our compensation for full-time and part -time (20+ hours/week) job positions, HMH offers a comprehensive… more
- Saint Francis Health System (Tulsa, OK)
- …in the Patient Care Committee for patient care reviews, and in Utilization Review Staff Committee, providing data and contributing to improvement of internal ... 4 years of related experience in behavioral health care, part of which may be experience in Behavioral health...and benefits of patients, matching the level of care utilization . Assures compliance with Managed Care Behavioral Health standards… more
- Henry Ford Health System (Troy, MI)
- …other delegated pharmacist. Facilitates the operations of the Pharmacy Care Management Department by organizing, improving, and implementing pharmacy benefit ... management policies and procedures. Major areas of responsibility include...Additional Information + Organization: Community Care Services + Department: Pharmacy- Utilization Mgmt + Shift: Day Job + Union Code:… more
- Sharp HealthCare (San Diego, CA)
- …requirements for the position, and employer business practices. **Please Note:** As part of our recruitment process, you may receive communication from Dawn, our ... as required, to discuss high risk patients requiring case management follow up.Attends clinical in-services or required operational/clinical training sessions.… more
- Tenet Healthcare (Detroit, MI)
- …national standards for case management scope of services including: Utilization Management services supporting medical necessity and denial prevention ... potentially avoidable days Other duties as assigned. POSITION SPECIFIC RESPONSIBILITIES: Utilization Management Balances clinical and financial requirements and… more
- The County of Los Angeles (Los Angeles, CA)
- …SELECTION REQUIREMENTS: OPTION I:One year of experience performing the duties of a Utilization Review Nurse* or Medical Service Coordinator , CCS.** -OR- OPTION ... UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply... Review Nurse is an RN that has Case Management experience whose primary charge is to ensure that… more
- Humana (Jackson, MS)
- … part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are...room, trauma units, etc. + Experience as an MDS Coordinator or discharge planner in an acute care setting… more
