- Trinity Health (Syracuse, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** The RN Utilization Management Nurse Coordinator is responsible for both concurrent and ... department productivity to meet targets. + Participates in all aspects of utilization management . Assist with strategies, plans and workflow development in… more
- ManpowerGroup (Rancho Cucamonga, CA)
- Our client, a leading healthcare organization, is seeking a Coordinator - Utilization Management Outpatient to join their team. As a Coordinator - ... service skills which will align successfully in the organization. **Job Title:** Coordinator - Utilization Management Outpatient **Location:** Rancho… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …with the guidance and plans they need for healthy living. JOB SUMMARY: The Utilization Management Care Coordinator works within a multidisciplinary care team ... to assist with the care of members enrolled in our Managed Long Term Care program and facilitate authorization requests for eligible members. PRIMARY RESPONSIBILITIES: + Assists in the prior authorization of services and ongoing authorization requests +… more
- Prime Healthcare (Joliet, IL)
- …licensure. #LI-MP2 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/203251/medical-review- coordinator -i utilization - management ... Overview Department: Utilization Management Schedule: Days, M-F, 8am-4:30pm Facility: Prime Healthcare St. Joseph Hospital of Joliet Location: Joliet, IL 60435… more
- Catholic Health Services (Melville, NY)
- … and Appeals Coordinator will perform activities to help facilitate utilization management and appeals functions to include coordination of specific process ... payment related activities. Position Responsibilities: | Prepares necessary documentation for utilization management and appeals processes, performs data … more
- WMCHealth (Valhalla, NY)
- Asst Utilization Coordinator - Appeals Company: Westchester Medical Center City/State: Valhalla, NY Category: Nursing/Nursing Management Department: Clinical ... Internal Applicant link Job Details: Internal Posting: 02/25/25 to 03/10/25 Assistant Utilization Coordinator Summary: Under general supervision, an incumbent of… more
- Northeast Alabama Regional Medical Center (Anniston, AL)
- Responsible for management and oversight of office functions for the department to include oversight of therapist schedules/appointments, management of ... Diploma; secondary education desired + Prefer 2 years' experience in a clinical setting; Knowledge of office management desired ; Advanced computer skills essential more
- DMS International (Lackland, TX)
- …Responsiveness to our customer's mission + DMS is currently seeking a Training Management Support Coordinator . The Training Management Support Coordinator ... Technical Training Command (NTTC) Lackland Joint Base, San Antonio, TX. The Training Management Support Coordinator must be familiar with applicable Navy rules,… more
- Houston Methodist (Houston, TX)
- … management support to the department staff to facilitate efficient utilization of resources including referrals management , communication and collaboration ... duties of a higher complexity in support of department operations. **The Care Coordinator for the Weight Management Insurance Team is responsible for obtaining… more
- Tenet Healthcare (Detroit, MI)
- …Mgt. Leaders relating to Case Management scope of services, including utilization management , transition management promoting appropriate length of stay, ... and safe and timely patient throughput. Will integrate national standards for utilization management supporting medical necessity and denials prevention. … more
- Beth Israel Lahey Health (Burlington, MA)
- …of three years of medical/surgical nursing care experience. -Two years of Case Management or Utilization Management experience desirable. - Demonstrated ... to ensure a timely process. Registered Nurses (RNs) with utilization review experience, case management experience, and...patient discharge. 14) Works with the Post Acute Care Coordinator to facilitate timely patient access to post acute… more
- St. Peters Health (Helena, MT)
- The Utilization Management Nurse reports directly to Utilization Review RN Coordinator . The UR Nurse supports the UR RN Coordinator in providing ... utilized effectively and efficiently and engages the UR RN Coordinator with improvement ideas when deviations of best practice...serves as a collaborative and supportive liaison and educator to providers and staff around utilization management … more
- Community Health Network (Indianapolis, IN)
- Resource Management Coordinator (PMP) - Office of Transformation - Hybrid Job Ref 2502017 Category Professional & Business Support Job Family Information ... - and we couldn't do it without you. **Make a Difference** The Resource Management Coordinator with the Office of Transformation is responsible for developing… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Case Management (CM) Coordinator position is a proficient CM representative that provides technical, clerical and data management ... case management and social work department staff to facilitate efficient utilization of resources and discharge planning. This position performs the duties and… more
- HCA Healthcare (Overland Park, KS)
- …Eligibility for benefits may vary by location._** We are seeking a Lead Materials Management Coordinator for our team to ensure that we continue to provide ... We want you to apply! **Job Summary and Qualifications** The Lead Materials Management Coordinator Contributes to the company's mission, vision, and values by… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Job Title: Care Coordinator - Care Management (Suffolk)** Mount Sinai Health Partners (MSHP) is the management services organization ... a patient's health. In consultation with the patient's care team, the Care Coordinator provides health education related to symptom management and preventive… more
- Hawaii Pacific Health (Lihue, HI)
- …CDI certification. Knowledge of InterQual, Milliman or other nationally recognized Utilization Management criteria. Knowledge of DRGs or inpatient International ... evaluate how standards are being met. As the Quality Management and Peer Review Clinical Coordinator , you will provide strategic oversight to uphold our patient… more
- Veterans Affairs, Veterans Health Administration (Spokane, WA)
- …initiatives sent from local, VISN, or National VA leadership. As the Care Management Coordinator , the incumbent actively participates in policy development, and ... application. Former EDRP participants ineligible to apply. Responsibilities Program Coordinator Duties: Provides direct supervision, staff development, training, and… 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
- Baptist Memorial (Meridian, MS)
- … management , medical necessity reviews, verification of authorization, resource utilization , and denial prevention. Job Responsibilities + Completes and enters ... Required: RN with 3 years of clinical experience Preferred/Desired: RN with Case Management or Utilization Review experience in a hospital or payer setting… more
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