- Behavioral Center of Michigan (Warren, MI)
- Under general supervision, the Utilization Review Coordinator provides professional assessment, planning, coordination, implementation and reporting of ... clinical data and supports the operations of Samaritan Behavioral Center. The Utilization Review Coordinator reviews the patient's chart and records clinical… more
- State of Indiana (Evansville, IN)
- Utilization Review Coordinator -LPN Date Posted: Aug 16, 2025 Requisition ID: 461455 Location: Evansville, IN, US, 47715 Work for Indiana Begin a fulfilling ... Medicaid Services certification as a Psychiatric Medicare/Medicaid Hospital. Role Overview: The Utilization Review Coordinator performs duties within a… more
- Avera (Cresco, IA)
- …like to join us on our mission, apply today! **Position Highlights** POSITION SUMMARY: The Utilization Review Coordinator is a member of the nursing team and ... responsible for coordinating medically appropriate, high-quality, cost-effective care in accordance with federal and/or state statutes, regulations and guidelines by reviewing for medical necessity and appropriateness utilizing medical knowledge, established… 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
- 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
- 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
- Cedars-Sinai (Beverly Hills, CA)
- **Job Description** The Case Management Coordinator provides support to the utilization review process. The coordinator works collaboratively with all ... or Management. + Processes Extensions and Denial Letters, when needed. + Prepares Utilization Review Reports as needed. + Assists the Case/Care Managers in… more
- Cedars-Sinai (Beverly Hills, CA)
- …Will be Doing** The Case Management Coordinator provides support to the utilization review process. The coordinator works collaboratively with all team ... or Management. + Processes Extensions and Denial Letters, when needed. + Prepares Utilization Review Reports as necessary. + Assists the Case/Care Managers in… more
- Louisiana Department of State Civil Service (Monroe, LA)
- …but not be limited to: Infection Control, Discharge Planning, Quality Assurance, DRG Coordinator , Utilization Review , and Support Service Review . ... Registered Nurse-Program Coordinator (Infection Control Nurse) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5078870) Apply Registered… more
- Prime Healthcare (Gadsden, AL)
- …2. Three years of Utilization Review experience as a Medical Review Coordinator - I required. 3. Knowledge of Clinical Pathophysiology and Pharmacology ... and communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work independently and… 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
- Select Medical (Los Angeles, CA)
- …caseload. + Coordinates with other departments, ie: Pre-Admissions, Admissions, Patient Accounts, Utilization Review , PPS Coordinator , etc., to assure ... time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and appropriate… 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 ... ensure timely follow through. Reviews providers' requests for services and coordinates utilization /appeals management review . Assist Utilization and Appeals… more
- WMCHealth (Valhalla, NY)
- Asst Utilization Coordinator Company: Westchester Medical Center City/State: Valhalla, NY Category: Nursing/Nursing Management Department: Clinical Care ... Internal Applicant link Job Details: Internal Posting: 07/1/25 to 07/14/25 Assistant Utilization Coordinator Summary: Under general supervision, an incumbent of… more
- Humana (Dover, DE)
- …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
- CenterWell (Tallahassee, FL)
- …member service or customer service telephone experience desired + Experience with Utilization Review and/or Prior Authorization, preferably within a managed care ... part of our caring community and help us put health first** The Utilization Management (UM) Administrative Coordinator 2 is responsible for providing… more
- Houston Behavioral Healthcare Hospital (Houston, TX)
- … Utilization Management Coordinator will report to the Director of Utilization Review and will be responsible to provide quality case management services ... to all patients and their families, to serve as a member of interdisciplinary team supporting the organization's treatment program and philosophy, and assure the deliverance of quality treatment to patients and their families. Duties: + Assists with collecting… 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
- MyFlorida (Tallahassee, FL)
- …documents in formal written communication or clemency records request received for the review and utilization of the Coordinator before final presentation ... recommendation and all relevant documents in formal written communication for the Coordinator 's review before for final presentation to the requestor not… more
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