- Fallon Health (Worcester, MA)
- **Overview** **The UM Inpatient Service Coordinator is a telphonic role working with hospital offices regarding inpatient or hospital stays processing prior ... and Post-Acute authorization request data and disseminates information to the Utilization Nurses for review . Additionally, supports the authorization process… more
- US Tech Solutions (Columbia, SC)
- …mental health/chemical dependency, orthopedic, general medicine/surgery. Or, 4 years utilization review /case management/clinical/or combination; 2 of the 4 ... **Job Title:** **Registered Nurse UM II** **Location: Columbia SC 29229** **Duration: 3+...member program engagement. + 20% Performs medical or behavioral review /authorization process. Ensures coverage for appropriate services within benefit… more
- Trinity Health (Syracuse, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** The RN Utilization Management Nurse Coordinator is responsible for both concurrent and ... accordance with the utilization requirements and 3rd party payor contracts. The UM department is responsible for LOS and Level of Care to provide effective and… 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
- Tenet Healthcare (Detroit, MI)
- …impact of care options May, if licensed RN, oversee work delegated to Utilization Review LVN/LPN and/or Authorization Coordinator . (10% daily, essential) ... Group Utilization Review Director - 2506000536 Description...developing and maintaining procedure manuals for such activities as: UM annual work plan/evaluation and quarterly and semi-annual … more
- Bassett Healthcare (Cooperstown, NY)
- …a principle liaison between emergency services, surgical services, nursing, finance, physicians, utilization review and medical records to ensure appropriate bed ... with medical staff regarding status, placement, payor requirements, and utilization of resources Identifies patient for readmission risk and...status and level of care matches order Collaborates with UM Nurse to assure that all payor and status… more
- Virginia Mason Franciscan Health (Seattle, WA)
- …located within hospital + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. Preferred + Bachelor's Degree in Nursing ... of service built on collaboration and shared purpose. **Responsibilities** The Care Coordinator RN is responsible for overseeing the progression of care and… more
- Dignity Health (Oxnard, CA)
- …+ AHA BLS card + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ensure ... One Mission. One California (https://youtu.be/RrPuiSnALJY?si=pvQgPZ6ZWZM60TPV) **Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of care… more
- Dignity Health (Glendale, CA)
- …+ AHA BLS card + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ensure ... One Community. One Mission. One California **Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of care and discharge… more
- Dignity Health (San Luis Obispo, CA)
- …+ AHA BLS card + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ensure ... One Community. One Mission. One California **Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of care and discharge… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …to their practice. 13. Performs other duties as assigned, including utilization review as necessary. **Qualifications** **Education and Experience** Required ... bonus eligibility, and more! **Responsibilities** **JOB SUMMARY / PURPOSE** The Care Coordinator RN is responsible for overseeing the progression of care and… more
- Dignity Health (Long Beach, CA)
- …+ AHA BLS card + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ensure ... One Mission. One California (https://youtu.be/RrPuiSnALJY?si=pvQgPZ6ZWZM60TPV) **Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of care… more
- Corewell Health (Royal Oak, MI)
- …patients. 1. Identifies patients that need care management services (ie utilization review ; care coordination; and/or discharge/transition planning). 2. ... years of relevant experience Three to five years' experience in care management, utilization review , home care and/or discharge planning. Preferred + Registered… more
- Bassett Healthcare (Cooperstown, NY)
- …a principal liaison between emergency services, surgical services, nursing, finance, physicians, utilization review and medical records to ensure appropriate bed ... with medical staff regarding status, placement, payor requirements, and utilization of resources. Identifies patient for readmission risk and...status and level of care matches order. Collaborates with UM Nurse to assure that all payor and status… more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Hussman ... Institute has an exciting opportunity for a full time Clinical Research Coordinator 2 position. The incumbent serves as a mid-level clinical research professional… more
- University of Miami (Miami, FL)
- …Troubleshoots insurance and financial concerns with the care team (CIV, utilization review , and CBO)17. Participates in quality improvement ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The University of… more
- Trinity Health (Des Moines, IA)
- …third party payer requirements. . Carries out hospital programs and principles of utilization review in compliance with hospital policies and external regulatory ... Wapello, Warren and Webster counties. **GENERAL SUMMARY:** The RN Patient Flow Coordinator is responsible for appropriately placing patients, based on diagnosis and… more
- Dartmouth Health (New London, NH)
- …days of admission. Initiates discharge planning process. Maintains communication with UM coordinator regarding assessments, outcomes, and projected lengths of ... and all members of the healthcare team. Participates with the physician/multidisciplinary to review the plan and progress of care, to evaluate the effectiveness of… more
Related Job Searches:
Coordinator,
Review,
UM Coordinator,
Utilization,
Utilization Review,
Utilization Review Coordinator