- Campbell County Health (Gillette, WY)
- … focuses on integrating care management, social services, discharge planning, utilization review and post-hospital services to ensure clinical efficacy ... and best outcomes for our residents. The Coordinator , works to ensure the provision of quality health...empowerment of resident in self-management of disease process. * Utilization review of the resident stay is… more
- Luminis Health (Lanham, MD)
- …to hiring, evaluating performance, issuing final disciplinary actions under the review of Human Resources, and recommending discharge in collaboration with members ... and developmentally experience/opportunities. . Demonstrates the ability to optimize utilization of staff, matching staff talents and proficiencies to organizational… more
- New York State Civil Service (Syracuse, NY)
- NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator , (NY HELPS), Hutchings Psychiatric Center, P26038 Occupational Category ... 13210 Duties Description Hutchings Psychiatric Center is recruiting for a Utilization Review Coordinator to analyze and evaluate quality, effectiveness, and… more
- 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
- Community Health Systems (Franklin, TN)
- **Job Summary** The Utilization Review Coordinator ensures efficient and effective management of utilization review processes, including denials and ... timely authorizations for hospital admissions and extended stays. The Utilization Review Coordinator monitors and documents all authorization activities,… more
- Devereux Advanced Behavioral Health (Viera, FL)
- …our team where you can take your career to the next level. **Being the Utilization Review Coordinator at Devereux has its Advantages!** Devereux Florida is ... less restrictive environments with ongoing family involvement and support. As the Utilization Review Coordinator at Devereux Florida, you will work with… 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
- Georgetown Behavioral Health Institute (Georgetown, TX)
- …is a 118 bed inpatient behavioral health hospital and seeking a full-time Outpatient Utilization Review Coordinator . This position is responsible for working ... help patients access the full range of their benefits through the utilization review process. Requirements + Education: Master's Degree in a relevant field (eg,… more
- South Middlesex Opportunity Council (Framingham, MA)
- …individuals, children and families. This position will coordinate billing and monitor utilization review for the Clinic and Residential Recovery Programs. ... fashion, for the RRS and outpatient clinic programs. + Review denials and partially paid claims and resolve discrepancies....As part of the responsibilities of this position, the Utilization Management Coordinator will have direct or… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …resources and benefits on a case by case basis. Applies case management and utilization review principles in monitoring the delivery of care and promoting ... transform healthcare and serve as a leader of positive change. The ** Utilization Management Coordinator ** utilizes clinical knowledge and understanding of… 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
- Evolent (Annapolis, MD)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management** at Evolent will serve as a point of ... requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly to the… more
- Integra Partners (Troy, MI)
- The UM Coordinator assists and supports the clinical team (UM Nurses/Medical Director) with administrative and non-clinical tasks related to processing ... Utilization Management prior authorization sand appeals. JOB RESPONSIBILITIES +...RESPONSIBILITIES + Monitor incoming faxes + Enter UM authorizations review requests in UM platform using ICD-10 and HCPCS… more
- Saint Francis Health System (Tulsa, OK)
- …participates in the Patient Care Committee for patient care reviews, and in Utilization Review Staff Committee, providing data and contributing to improvement of ... support to the hospital and treatment team throughout the review of patients, their placement in various levels of...and benefits of patients, matching the level of care utilization . Assures compliance with Managed Care Behavioral Health standards… more
- LifeCenter Northwest (Bellevue, WA)
- … (OUM) provides strategic leadership and operational oversight for the Organ Utilization Coordinator Team (OUCT), directing key aspects of abdominal organ ... JOB FUNCTIONS General Responsibilities + Lead and engage daily with the Organ Utilization Coordinator (OUC) team in donor case operations, developing and… more
- Veterans Affairs, Veterans Health Administration (El Paso, TX)
- …intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, ... throughout the continuum of care. Responsibilities The Community Care (CC) Coordinator Registered Nurse (RN) is responsible for executing a streamlined approach… more
- Sharp HealthCare (San Diego, CA)
- …roundsReviews every patient under assigned workload initially and reviews based on review of care plan.Makes rounds and sees every patient identified per ... departmental guidelines during hospital stay beginning with the admission review of the case manager and reviews with the...quality of care issues encountered in the course of review .Serves as a resource for staff (as needed), and… more
- Dignity Health (Bakersfield, CA)
- …in the quarterly business review to integrate drug procurement and drug utilization . The coordinator will "take call" as necessary to address emergent ... **Job Summary and Responsibilities** The Clinical Pharmacy Coordinator is responsible for coordinating the clinical programs and decentralized provision of… 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
- St. Peters Health (Helena, MT)
- The Utilization Management RN reports directly to Utilization Review RN Coordinator . The UR RN supports the UR RN Coordinator and other UR team ... members in providing all identified utilization review functions for the organization to...are utilized effectively and efficiently; engages the UR RN Coordinator with improvement ideas when deviations of best practice… more
