- Universal Health Services (Sacramento, CA)
- …to maximize effectiveness of care by evaluating clinical appropriateness. The Utilization Management Coordinator functions as liaison between payors, the ... Responsibilities Sierra Vista Hospital is seeking a full-time Utilization Management Coordinator (MSW,...and their families. Since 1986, we have offered our clinical expertise to those suffering from emotional, behavioral and… more
- Hackensack Meridian Health (Hackensack, NJ)
- …healthcare and serve as a leader of positive change. The Case 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
- Hackensack Meridian Health (Neptune, 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
- Hackensack Meridian Health (Hackensack, NJ)
- …and serve as a leader of positive change. The **Case 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
- Hackensack Meridian Health (Brick, NJ)
- …and serve as a leader of positive change. The **Care Management , Care Coordinator ** , ** Utilization Management ** is a member of the healthcare team ... of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to manage… more
- Hackensack Meridian Health (Perth Amboy, NJ)
- …healthcare 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
- Universal Health Services (Memphis, TN)
- …our website at www.compassinterventioncenter.com. The Utilization Management Coordinator will possesses knowledge of psychiatric clinical diagnosis and ... Responsibilities Utilization Management Coordinator Compass Intervention Center is seeking a dynamic and talented Utilization Management … more
- Hackensack Meridian Health (Edison, NJ)
- **Overview** The Care Management , Care Coordinator , Utilization Management is a member of the healthcare team and is responsible for coordinating, ... communicating, and facilitating the clinical progression of the patient?s treatment. Accountable for a...treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively… more
- Universal Health Services (Houston, TX)
- Responsibilities Utilization Management Coordinator -PRN Opportunity West Oaks Hospital has provided psychiatric care to the Houston area and surrounding ... West Oaks Hospital is seeking a dynamic and talented Utilization Management Coordinator PRN to...year inpatient psychiatric experience. Preferred experience: 5 years of clinical or case management experience. EEO Statement… more
- Universal Health Services (Conway, SC)
- …Health Hospital is hiring for a Part Time RN Utilization Review Coordinator . Utilization Review / Risk Management Lighthouse Behavioral Health Hospital ... UR Coordinator is also responsible for conducting utilization and quality management activities in accordance...high-quality care through the analysis, review, and evaluation of clinical criteria as it relates to patient treatment and… more
- Hackensack Meridian Health (Manahawkin, NJ)
- …and post-acute services. **Responsibilities** A day in the life of a Care Coordinator , Utilization Management at Hackensack Meridian Health includes: + ... serve as a leader of positive change. The Care Coordinator , Care Management is a member of...skills + Familiar with hospital resources, community resources, and utilization management **Licenses and Certifications Required:** +… more
- Universal Health Services (Chicago, IL)
- …continued treatment based on payer's criteria and in accordance with the hospital wide Utilization Management Plan. Serves as liaison to 3rd and 4th party ... Responsibilities JOB SUMMARY: Performs timely, daily clinical reviews with all payer types, to secure...payers as required. Maintains all records/data pertaining to the Utilization Management Program. Actively participates in … more
- UCLA Health (Los Angeles, CA)
- …Under the direction and supervision of the RN Assistant Director, the Case Management Coordinator is responsible for patient high risk care coordination ... Description Provide key clinical support within a world-class health organization. Help...reviewer in review, and health plan contracts. The Case Management Coordinator will also be responsible for:… more
- Universal Health Services (Chicago, IL)
- …JOB SUMMARY: Responsible for all denial and appeal activities for the Utilization Management department, including Expedited Appeals, Standard Appeals, External ... to resolve issues related to appeals. Maintains all records/data pertaining to the Utilization Management Program. Actively participates in Utilization … more
- State of Indiana (Indianapolis, IN)
- …Nurse (RN) in the State of Indiana. * Two years prior experience with utilization management . * Demonstrated competence in quality assurance and case ... Utilization Review Coordinator Date Posted: May...Medical Director those that require additional expertise. * Review clinical information for concurrent reviews, extending the length of… more
- Universal Health Services (Chicago, IL)
- …based on payer's criteria and in accordance with the hospital wide Utilization Management Plan. Coordinates with the Business Office, Admissions Department ... and Utilization Management Department. Obtains billing and insurance...analysis desired. Knowledgeable in behavioral health managed care and clinical assessment skills to align patient acuity with level… more
- Dignity Health (Northridge, CA)
- …than 400 care centers. Visit dignityhealth.org/northridgehospital for more information. The RN Utilization Management Coordinator (UMC) is responsible for ... setting required. + Current CA Registered Nurse (RN) license + Prior Utilization Management experience in a clinical or insurance setting required. +… more
- Mirror (Newton, KS)
- Job Summary: Under the administrative supervision of the Director of Utilization Management , the URC is responsible for the implementation, and maintenance of ... + Mental health and substance abuse problems according to clinical information given by counselors and/or directors and internal...+ Other duties as requested by the Director of Utilization Management . Qualifications + High School diploma… more
- Universal Health Services (St. Clairsville, OH)
- …in our communities . Job Duties/Responsibilities: + Responsible for executing the Utilization Management function, which includes the implementation of case ... a subsidiary of UHS, is recruiting for a full-time Utilization Review Coordinator , to coordinate ...license. + A minimum of five (5) years direct clinical experience in a psychiatric or mental health treatment… more
- Geisinger (Danville, PA)
- …with decision making and documentation processes. + Works with staff and management team to support recommendations for high risk members to improve transitions ... + Assesses and recommends policies as they relate to readmissions and utilization review activities. + Reviews inpatient level of care and readmission trends… more
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