- Freeman Health System (Joplin, MO)
- …quality healthcare solutions. Schedule: Part-Time 30 hours per week What You'll Do The Utilization Review Coordinator provides utilization review ... to assure patients are admitted to the hospital in the correct status according to applied criteria. They work closely with payers to assure correct authorization for admissions are given and if needed to appeal payer decisions. They also assure the system is… more
- Reddy Ice Holdings, Inc. (Dallas, TX)
- …Shift Job Description POSITION PURPOSE The role of the Customer Care Coordinator is to develop customer relationships to increase customer loyalty and interact ... with customers in an efficient and professional manner. The Customer Care Coordinator is responsible for answering incoming calls from customers, answering inquiries… more
- Kaiser Permanente (Sacramento, CA)
- …Experience Minimum three (3) years of home care nursing experience or quality utilization review experience. Education Bachelors degree in nursing or related ... Job Summary: Coordinates quality, utilization and risk management activities for the Home...of important aspects of patient care through ongoing chart review with pre-established criteria. Reports all occurrences which may… more
- Tustin Temporary Emergency Shelter / Orange County Rescue… (Santa Ana, CA)
- Description The Hurtt Family Health Clinic is looking for a full-time Referral Coordinator to join the Patient Services team and provide eligibility and intake ... Appropriate document referral status into patients electronic record. Processes all Review status referrals and Home Health referrals. All referral coordinators will… more
- Sheppard Pratt (Gaithersburg, MD)
- …assist individuals who receive mental health services in supporting utilization & authorization activities for Gaithersburg Residential Rehabilitation Programs. You ... maintain and send monthly reports to other staff members, and track and review the progress of clients. Additional responsibilities will include: Set up meetings… more
- RCM Health Care Services (New York, NY)
- Job Description RN Coordinator of Care - CHHA Registered Nurse, Field based position covering Lower Manhattan or Brooklyn $100,000 - $115,000 and $15,000 Sign on ... Bonus + Amazing Benefits! RN Coordinator of Care Nurse will take on 5 visits...home care needs of your patients. You will also review patient insurance information, coordinate activities involved in each… more
- HC&N Healthcare Solutions (Miller Place, NY)
- …identify trends on a monthly basis Responsible for timely and accurate completion of Utilization Review and Triple Check Serves on, participates in, and attends ... MDS Coordinator A nursing home is currently looking for a highly experienced MDS Coordinator to join their team of dedicated professionals. Responsible for… more
- Indiana University (Bloomington, IN)
- …reviews the unit's financial expenditures and performs periodic oversight and review . Performs account reconciliation and assists the director with the retrieval ... this position manages the most complex office activities to achieve optimum utilization of equipment and employee productivity. May oversee or guide lower-level… more
- PremiStar (Itasca, IL)
- …and submit for billing once matched to biller. Monitor technician locations and utilization to coordinate service and schedules. Record and enter records of customer ... all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. more
- UnitedHealth Group (Puyallup, WA)
- …the link between patients and the appropriate health care personnel, the Clinical Review Coordinator - Onsite is responsible for ensuring efficient, smooth, and ... with the company's technical vision and strategy. The Care Coordinator - Onsite plays an integral role in optimizing patients'...to CMS criteria When H&C Transitions is delegated for utilization management, review referral requests that cannot… more
- Kaiser Permanente (Portland, OR)
- …Provide care management and oversight to members participating in the Patient Review and Coordination Program for WA Medicaid. Succinctly document interventions in ... tools and materials for member coordination. Completion of an annual program review including related policies, desk procedures, and documentation tools. Act as a… more
- UHS (Houston, TX)
- …at: https://bhbhospital.com/ Behavioral Hospital of Bellaire is seeking a Staffing Coordinator to oversee and manage nursing department schedules. This role is ... levels and patient volume. The ideal candidate will balance efficient labor utilization with the delivery of high-quality patient care, making real-time staffing… more
- Actalent (Redlands, CA)
- …based on clinical protocols. This role involves effective communication and interaction with utilization review nurses and health plans regarding UM and referral ... UM Coordinator The Utilization Management (UM) ...under- utilization of specialty services. Communicate effectively with utilization review nurses and health plans on… more
- OptiMindHealth (Reading, MA)
- Physician Liaison / Outreach Coordinator Position Requirement: Part-Time FLSA Status: Non-Exempt Location: Reading , MA Join a leading clinician-led behavioral ... and efficiency. This position is an entry level Physician Liaison / Outreach Coordinator role. Preferred candidates will possess a B2B Sales background with a strong… more
- Atlantic Health System (Livingston, NJ)
- …plan, including transfer eligibility, level of care, resource prioritization & utilization , timely acceptance, and appropriate priority and mode of transport. Acts ... appropriate transport priority and mode, while considering appropriate resource utilization and timeliness of transfer. Communicates transport information to… more
- FirstEnergy Corp. (Cranberry, PA)
- …Co., a subsidiary of FirstEnergy Corp. [FEU]. The Construction Site Coordinator (CSC) has responsibility to coordinate and supervise pre-construction, construction, ... include: Fostering a high-performing safety culture through personal conduct and utilization of human performance principles. Coordinating and supervising smaller to… more
- Town of Andover, NA (Andover, MA)
- …Week: 40 Description Under the direction of the Assistant Superintendent, the program coordinator for World Language will be responsible for the four major areas of ... specific grade levels. Co-facilitate the world language curriculum council to review updated standards and coordinate curriculum mapping, vertical articulation, and… more
- Ardent Health Services (Albuquerque, NM)
- …at least one year physician office experience (adult / family medicine). Quality Improvement, Case Management, Utilization Review , Risk Mgt./Safety experience ... state recognized as a Center of Excellence in Robotic Surgery by Surgical Review Corporation. Responsibilities The patient care coordinator will demonstrate the… more
- UnitedHealth Group (El Paso, TX)
- …financial outcomes and member satisfaction while managing the plan of care. Service Coordinator Level 2 is responsible for overall management of member's case within ... illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefit. Assess, plan, and implement care strategies… more
- Heywood Hospital (Gardner, MA)
- …department policies and procedures, as well as, state and federal regulations. Completes Utilization Review activities and other duties as assigned by Director. ... Provides information and education to patients and their families regarding the discharge planning as part of their specific care needs and works closely with members of the multidisciplinary team including, physicians, patients, families, staff, community… more
