- New York State Civil Service (New York, NY)
- NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator , (NY HELPS), Manhattan Psychiatric Center, P26306 Occupational Category ... Class Competitive Class Travel Percentage 0% Workweek Mon-Fri Hours Per Week 40 Workday From 6 AM To 6...Duties Description Manhattan Psychiatric Center is recruiting for a Utilization Review Coordinator to analyze… more
- Sharp HealthCare (San Diego, CA)
- … Coordinator , under the direct supervision of the Supervisor, Utilization Management Care Coordinators, prepares referral requests for outpatient services, ... well as the SCMG operation documents as appropriate for approval at the UM Care Coordinator level of review .Appropriately identify claims for review by the… more
- Humana (Frankfort, KY)
- …Prior member service or customer service, telephone experience + Experience with Utilization Review and/or Prior Authorization. preferably within a managed care ... and help us put health first** The UM Administration Coordinator contributes to administration of utilization management...of starting base pay for full time (40 hours per week) employment at the time of posting. The… more
- CenterWell (Topeka, KS)
- …member service or customer service telephone experience desired + Experience with Utilization Review and/or Prior Authorization, preferably within a managed care ... Coordinator - Phone Intake contributes to administration of utilization management. The UM Administration Coordinator performs...of starting base pay for full time (40 hours per week) employment at the time of posting. The… 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
- 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 ... and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General...title, beginning and ending dates, number of hours worked per week, and description of work performed.If your application… more
- University of Utah Health (Salt Lake City, UT)
- …as a team member. **Qualifications** **Qualifications** **Required** + **One year** ** Utilization Review or Case Management experience.** **Licenses Required** + ... of InterQual Criteria, knowledge of ICD-9, DRG's and CPT Codes. + Utilization Review Certification designation. + Knowledge of CMS Regulations. **Working… more
- Baptist Memorial (Meridian, MS)
- Overview RN Utilization Review Weekender Job Code: 22818 FLSA Status Job Family: NURSING Job Description Title: RN Utilization Review Weekender Job ... necessity and appropriateness of healthcare services and treatment as prescribed by utilization review standards. The UR Nurse works with providers, insurance… more
- Baptist Memorial (Memphis, TN)
- Overview Purpose of Position and Scope of Responsibility Job Summary The Utilization Review Nurse is responsible for evaluating the medical necessity and ... appropriateness of healthcare services and treatment as prescribed by utilization review standards. The UR Nurse works with providers, insurance companies and… more
- Baptist Memorial (Memphis, TN)
- Overview Job Summary The Utilization Review Nurse is responsible for evaluating the medical necessity and appropriateness of healthcare services and treatment as ... prescribed by utilization review standards. The UR Nurse works...Responsibilities * Completes and enters inpatient and observation admission review against standard criteria per payer guidelines… more
- Hackensack Meridian Health (Brick, NJ)
- …to transform healthcare and serve as a leader of positive change. The **Care Coordinator , Care Management** is a member of the healthcare team and is responsible for ... services. A day in the life of a **Care Coordinator , Care Management** at **Hackensack Meridian** **_Health_** includes: +...or meetings. + Identifies and refers quality issues for review to the Quality Management Program. + Participates in… more
- Veterans Affairs, Veterans Health Administration (Fresno, CA)
- …application of guidelines; and the recommendation of program enhancements. The Coordinator performs program analysis, development, review , research, design, and ... facility and the VA Central Office Caregiver Support Program initiatives. Coordinator administers information and analytical systems to evaluate and enhance the… more
- City and County of San Francisco (San Francisco, CA)
- …SFO teams. For more information about this position, please review the 1844 Asset Coordinator Job Description ... - $131,404 Annually. + Work Schedule: Full-time, 40 hours per week. Shift times will vary, and employees must...SFO teams. For more information about this position, please review the 1844 Airport Systems Coordinator Job… more
- Elderwood (Waverly, NY)
- …Insurance Companies + Knowledge of Medicare and Medicaid Managed Care Policies and Utilization Review . Managed Care Coordinator Skills and Competencies + ... Salary $ 20 / $ 22 Overview Managed Care Coordinator Overview Mon-Fri 8am-4pm The Managed Care Coordinator...of all policies and procedures. + Maintains privacy, as per policies and procedures within a secure environment of… more
- Oregon State University (Salem, OR)
- …Position Information Department Ext 4-H Yth Dev OffCmpus (TEX) Position Title Coordinator -Outreach Program Job Title 4-H Program Coordinator Appointment Type ... designating a position location preference. This 4-H Youth Development Coordinator works as a member of a regional and...check and be determined to be position qualified as per University Standard: 05-010 et seq. Incumbents are required… more
- Rush University Medical Center (Chicago, IL)
- …Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits). **Pay Range:** $37.41 - $64.82 per hour Rush salaries are determined by many factors ... vary depending on the circumstances of each case. **Summary:** The Service Line Coordinator 's primary function is to serve as the clinical nursing expert and lead… more
- Atlantic Health System (Florham Park, NJ)
- …plan, including transfer eligibility, level of care, resource prioritization & utilization , timely acceptance, and appropriate priority and mode of transport. + ... as assigned. + Accurately completes and transmits all required documentation per policies/procedures. + Generates regular and on demand reports as assigned.… more
- Covenant Health Inc. (Knoxville, TN)
- …Registered Nurse Care Coordinator , Quality Management Full Time, 80 Hours Per Pay Period, Day Shift Occasional travel as needed About Us Covenant Medical ... We're a proud member of Covenant Health! Position Summary: The RN Care Coordinator II is responsible for integrating evidenced based clinical practice into the… more
- Veterans Affairs, Veterans Health Administration (Houston, TX)
- …Develops, implements and evaluates clinical guidelines and protocols to establish appropriate utilization of services. The Social Work Program Coordinator is ... by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities Total Rewards of a Allied Health… more
- PruittHealth (Norcross, GA)
- …appropriate data elements are included in the POC. + Review visit utilization for appropriateness as per care guidelines, best practices, and patient ... of the Director of Episode Assessment Coordination (DEAC), the Episode Assessment Coordinator (EAC) is responsible for prospective review of episode related… more
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