- New York State Civil Service (New York, NY)
- NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator , (NY HELPS), New York State Psychiatric Institute, P25409 Occupational ... Qualifications New York State Psychiatric Institue is recruiting for a Utilization Review Coordinator to analyze and evaluate quality, effectiveness, and… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Utilization Review Quality Assurance Coordinator is responsible for all compliance related paperwork and ensures paperwork is completed in a ... Monitor open encounters and report any issues to the Business Manager. Review utilization of services in order to comply with regulatory and institutional… more
- Prime Healthcare (Boonton Township, NJ)
- …#LI-MS3 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/172970/ utilization - review - coordinator ... outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service… 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 ... and serve as a leader of positive change. The Utilization Management Coordinator utilizes clinical knowledge and...transition to alternative levels of care. + Perform concurrent utilization review applying identified criteria at prescribed… 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
- Trinity Health (Maywood, IL)
- …at the Westmont office Join our small but mighty team to guide and manage Utilization Review and Management for the Loyola Physician Partners LPP) Health Plan, a ... outpatient referral authorizations. **Great opportunity for a Lead Care Coordinator to work in an organization that focuses on...the daily caseloads of the UR/UM teams. This includes utilization review of inpatient medical and behavioral… more
- Spokane County (Spokane, WA)
- …and discharges or lack of movement toward discharge. + Collaborates with Utilization Review Integrated Care Coordinator regarding continued inpatient ... other related duties as required/assigned. Behavioral Health Administrative Services Organization Utilization Review Integrated Care Coordinator : + Performs… more
- New York State Civil Service (Tupper Lake, NY)
- …Hearing Therapist, Speech Language Pathologist, Speech Language Pathologist 2, Teacher 4, Utilization Review Coordinator . Duties Description PRIMARY DUTIES ... 1:Chief Occupational Therapist, Chief Physical Therapist, Chief Recreation Therapist, Coordinator Intensive Case Management Services, Developmental Disabilities Program Specialist… more
- Comunilife (New York, NY)
- …and maintain Comunilife policies and procedures, quality assurance, utilization review and outreach activities. The Program Coordinator will collaborate with ... Program Coordinator -(OMH) LIP Washington Heights Job Details Job Location...Description Comunilife Inc. is looking to fill a Program Coordinator position for its Life is Precious, Washington Heights… more
- Trinity Health (Hartford, CT)
- …and works collaboratively with the inpatient care Coordinators, Social Workers and Utilization Review Coordinator to assist in facilitating discharges. ... **What will you do:** + Manages all incoming phone calls, + provides exceptional customer service in person and over the phone with patient, staff and family members. + completes a variety of clerical and data entry assignments. + Maintains schedules and… more
- Hackensack Meridian Health (Hackensack, NJ)
- …at Hackensack Meridian Health includes: + Follows departmental workflows for utilization review activities including admission reviews, admission denials, ... serve as a leader of positive change. The **Care Coordinator , Utilization Management** is a member of...as required by payer agencies and initiates physician advisor's review as necessary for unwarranted admissions. + Performs chart… more
- Hackensack Meridian Health (Neptune, NJ)
- …**Hackensack Meridian** **_Health_** includes: + Follows departmental workflows for utilization review activities including admission reviews, admission denials, ... a leader of positive change. The **Care Management, Care Coordinator , Utilization Management** is a member of...as required by payer agencies and initiates physician advisor's review as necessary for unwarranted admissions. + Performs chart… more
- Hackensack Meridian Health (Holmdel, NJ)
- …at Hackensack Meridian _Health_ includes: + Follows departmental workflows for utilization review activities including admission reviews, admission denials, ... a leader of positive change. The **Care Management, Care Coordinator , Utilization Management** is a member of...as required by payer agencies and initiates physician advisor's review as necessary for unwarranted admissions. + Performs chart… more
- Hackensack Meridian Health (Hackensack, NJ)
- …regulations for Nursing. **Responsibilities** + Follows departmental workflows for utilization review activities including admission reviews, admission denials, ... a leader of positive change. The Case Management Care Coordinator , Utilization Management is a member of...as required by payer agencies and initiates physician advisor's review as necessary for unwarranted admissions. + Performs chart… more
- LifeCenter Northwest (Bellevue, WA)
- Organ Utilization Administrative Coordinator Job Details Job Location Bellevue - Bellevue, WA Position Type Full Time Salary Range $23.55 - $34.15 Hourly ... Description and Qualifications The Organ Utilization Administrative Coordinator is responsible for supporting the Organ Utilization Director and the… 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: 09/04/24 to 09/17/24 Assistant Utilization Coordinator Summary: Under general supervision, an incumbent of… more
- WMCHealth (Valhalla, NY)
- Asst Utilization Coordinator - Cardiovascular Company: Westchester Medical Center City/State: Valhalla, NY Category: Nursing/Nursing Management Department: ... link Job Details: Internal Posting: 08/29/24 to 09/11/24 Assistant Utilization Coordinator for Cardiovascular **Cardiovascular Experience Preferred Summary:… more
- Evolent Health (Columbus, OH)
- …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
- Trinity Health (Pontiac, MI)
- …RN licensure within the State of Michigan. Certified Professional in Utilization Review /Management preferred. **C** **Special Skill / Aptitudes** Understanding ... care utilization management experience. Knowledge of regulations relative to utilization review . Knowledge of Federal, State and Local regulations sources.… more
- UCLA Health (Los Angeles, CA)
- …can do all this and more at UCLA Health. Under the direction of the Utilization Management, Assistant Manager, you will play a key role in processing and managing ... referrals and authorizations following established procedures within the medical group utilization department + Prepare and process referrals according to Delegation… more