- JEFFERSON INDUSTRIES CORPORATION (West Jefferson, OH)
- …products. We embrace programs for product development including product design review and Advanced Product Quality Planning. Our facilities support high quality ... to meeting the needs of our customers. We are actively seeking a Production Coordinator to join our Welding Department on 1st Shift (core schedule, Monday through… more
- New York State Civil Service (Bronx, NY)
- NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator , (NY HELPS), New York City Children's Center - Bronx Campus, P27076 ... York City Children's Center - Bronx Campus is recruiting for a Utilization Review Coordinator to analyze and evaluate quality, effectiveness, and efficiency… more
- State of Indiana (Evansville, IN)
- Utilization Review Coordinator -LPN Date Posted: Oct 30, 2025 Requisition ID: 466513 Location: Evansville, IN, US, 47714 Work for Indiana Begin a fulfilling ... Psychiatric Medicare/Medicaid Hospital. Role Overview: This position serves as the Utilization Review Coordinator within a psychiatric hospital setting. They… more
- Charter Care Health Partners (Providence, RI)
- Summary: The Behavioral Health Intake and Utilization Review Coordinator is responsible for bed management, reviewing intake assessments, verifying clinical ... appropriateness for services, coordinating admissions, and overseeing utilization review activities to ensure timely access to care and appropriate resource … more
- PeaceHealth (Eugene, OR)
- **Description** PeaceHealth is seeking a RN Admissions Coordinator / Utilization Review - Psychiatric Unit for a Per Diem/Relief, 0.00 FTE, Variable position. ... / Location Specific Notes** Oregon: Assumes job functions of a Transfer Coordinator as needed. CareConnect access. PeaceHealth is committed to the overall wellbeing… more
- San Antonio Behavioral Health (San Antonio, TX)
- The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors ... of approvals from insurers. Responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and efficient use of hospital… more
- Prime Healthcare (Reno, NV)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/226984/medical- review - coordinator -- utilization ... status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work independently and use sound… more
- Henry Ford Health System (Warren, MI)
- …Under minimal supervision, reviews and screens the appropriateness of services, the utilization of hospital resources and the quality of patient care rendered. ... Science Nursing required OR four (4) years Case Management/ Appeal/ Utilization Management experience in lieu of bachelor's degree. CERTIFICATIONS/LICENSURES… more
- The County of Los Angeles (Los Angeles, CA)
- …OPTION I:One year of experience performing the duties of a Utilization Review Nurse* or Medical Service Coordinator , CCS.** -OR- OPTION II: Two (2) ... UTILIZATION REVIEW NURSE SUPERVISOR I Print...In the County of Los Angeles, a Medical Service Coordinator , CCS (https://www.governmentjobs.com/careers/lacounty/classspecs/1065117) determines medical eligibility of children referred… more
- New York State Civil Service (Masonville, NY)
- …Pathologist 2, Teacher 4 (and all parenthetics), Training Specialist 1 (Nursing), and Utilization Review Coordinator . Additional Comments * If you are ... policy, treatment, and therapeutic programs, and serves on committees such as placement, utilization review , medical records review , and related committees,… more
- New York State Civil Service (NY)
- …Pathologist 2, Teacher 4 (and all parenthetics), Training Specialist 1 (Nursing), and Utilization Review Coordinator . Additional Comments * Please note that ... Quality Management, Medical Records, Medicaid Compliance Liaison, and the TABS Coordinator . The person is responsible to ensure regulatory compliance (IE: Incident… more
- New York State Civil Service (Ridge, NY)
- …Pathologist 2, Teacher 4 (and all parenthetics), Training Specialist 1 (Nursing), and Utilization Review Coordinator . Additional Comments * Please note that ... Head Recreation Therapist, Licensed Psychologist, Mental Hygiene Nursing Program Coordinator , Nurse Administrator 1, Nurse Administrator 2, Nutrition Services… more
- LifeCenter Northwest (Bellevue, WA)
- Organ Utilization Coordinator Job Details Job Location Bellevue HQ - Bellevue, WA Position Type Full Time Salary Range $75918.00 - $110112.00 Salary Job Posting ... Date(s) Start Date 08/05/2025 Description and Qualifications The Organ Utilization Coordinator (OUC) is accountable for overseeing all activities related to the… more
- Catholic Health Services (Melville, NY)
- …Health was named Long Island's Top Workplace! Job Details Position Summary: The Utilization and Appeals Coordinator will perform activities to help facilitate ... timely follow through. + Reviews providers' requests for services and coordinates utilization /appeals management review . + Assist Utilization and Appeals… more
- Humana (Concord, NH)
- …new systems (proficient to advanced) **Preferred Qualifications** + Experience with Utilization Review and/or Prior Authorization, preferably within a managed ... and help us put health first** The UM Administration Coordinator contributes to administration of utilization management....the nursing team + Builds and pends authorizations for review + Responsible for inbound and outbound calls to… more
- Saint Francis Health System (Tulsa, OK)
- …participates in the Patient Care Committee for patient care reviews, and in Utilization Review Staff Committee, providing data and contributing to improvement of ... support to the hospital and treatment team throughout the review of patients, their placement in various levels of...and benefits of patients, matching the level of care utilization . Assures compliance with Managed Care Behavioral Health standards… 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...its regulations may be referred to the Title IX Coordinator , to the Department of Education, Office for Civil… 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
- Prime Healthcare (Ontario, CA)
- …and communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work independently and ... institution in a Health and Human Services field is highly preferred.2. Utilization Review experience is highly preferred.3. Clinical experience in acute… more
