- Campbell County Health (Gillette, WY)
- …and Discharge Coordinator focuses on integrating care management , social services, discharge planning, utilization review and post-hospital services ... care coordination, facilitation of referrals, education, discharge planning, utilization management , and advocacy. ESSENTIAL FUNCTIONS * Completes assessment… more
- Hackensack Meridian Health (Edison, NJ)
- …to transform healthcare and serve as a leader of positive change. The ** Care Management , Care Coordinator , Utilization Management ** is a member ... of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to… more
- Sharp HealthCare (San Diego, CA)
- … care option if patient does not meet acute or skilled level of care .Communicates with the Quality Management Department regarding any quality of service or ... Chula Vista.** **What You Will Do** To provide discharge planning and coordination of care for members hospitalized in the acute care setting in collaboration… 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... of members enrolled in our Managed Long Term Care program and facilitate authorization requests for eligible members.… more
- Veterans Affairs, Veterans Health Administration (El Paso, TX)
- …of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care ... in the community. Assumes responsibility for the coordination of care focused on patient education, self- management , and...the continuum of care . Responsibilities The Community Care (CC) Coordinator Registered Nurse (RN) is… more
- Evolent (Annapolis, MD)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management ** at Evolent will serve as a ... regulatory requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly… more
- Penn State Health (Hershey, PA)
- …direction of a Utilization Management Nurse or Specialist, the Utilization Management Coordinator supports the UM process by obtaining ... orders that prohibit or outlaw discrimination._ **Union:** Non Bargained **Position** UM Coordinator - Utilization Management **Location** US:PA: Hershey |… more
- Houston Behavioral Healthcare Hospital (Houston, TX)
- …together. Houston Behavioral Healthcare Hospital (HBHH) currently has an opening for Part-time Utilization Management Coordinator . The Utilization ... by delivering quality services to those entrusted in our care . By embarking on a path with our community... Coordinator will report to the Director of Utilization Review and will be responsible to provide quality… more
- Behavioral Center of Michigan (Warren, MI)
- …all state mandated regulations. Maintains compliancy with regulation changes affecting utilization management . Reviews patient recrods and evaluates patient ... Under general supervision, the Utilization Review Coordinator provides professional assessment,...and advises physicians and other departments of regulations affecting utilization management . Consults with Social Services Department… more
- Integra Partners (Troy, MI)
- …Director) with administrative and non-clinical tasks related to processing Utilization Management prior authorization sand appeals. JOB RESPONSIBILITIES ... expectations and functions of the UM team + Time Management What will you achieve in the first 12...expected timelines EXPERIENCE: + 1 year as a UM Coordinator in a managed care payer environment… more
- South Middlesex Opportunity Council (Framingham, MA)
- …casual Working Conditions: As part of the responsibilities of this position, the Utilization Management Coordinator will have direct or incidental contact ... children and families. This position will coordinate billing and monitor utilization review for the Clinic and Residential Recovery Programs. Candidates must… 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 a ... to less restrictive environments with ongoing family involvement and support. As the Utilization Review Coordinator at Devereux Florida, you will work with other… more
- Saint Francis Health System (Tulsa, OK)
- …the UM Manager. Reviews eligibility and benefits of patients, matching the level of care utilization . Assures compliance with Managed Care Behavioral Health ... in the Patient Care Committee for patient care reviews, and in Utilization Review Staff Committee, providing data and contributing to improvement… more
- Henry Ford Health System (Troy, MI)
- …and other delegated pharmacist. Facilitates the operations of the Pharmacy Care Management Department by organizing, improving, and implementing pharmacy ... benefit management policies and procedures. Major areas of responsibility include...the equivalent. (October 2004) Additional Information + Organization: Community Care Services + Department: Pharmacy- Utilization Mgmt +… more
- Georgetown Behavioral Health Institute (Georgetown, TX)
- …a 118 bed inpatient behavioral health hospital and seeking a full-time Outpatient Utilization Review Coordinator . This position is responsible for working with ... insurance companies and managed care systems for the authorization, concurrent and retrospective review...insurance coverage and billing practices preferred. Previous experience in utilization review or case management desirable. +… more
- Katmai (Fort Carson, CO)
- …TRICARE Operations Manual (TOM) access to care standards for appropriate utilization of services. Perform utilization management /review for medical ... Provide a comprehensive utilization review (UR) and utilization management (UM) program for all TRICARE...the CMHS. **ESSENTIAL DUTIES & RESPONSIBILITIES** + Act as coordinator /liaison with providers, staff and Managed Care … more
- State of Indiana (Indianapolis, IN)
- …through access to high quality care and services. You serve as the utilization management subject-matter expert in health care delivery, develops ... of staff management and evaluation experience; clinical experience in managed care and accredited utilization management experience strongly preferred.… more
- Tenet Healthcare (Detroit, MI)
- …appropriate level of care Mentor and monitor work delegated to Utilization Review LVN/LPN and/or Authorization Coordinator as needed. (5% daily, essential) ... coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced...for case management scope of services including: Utilization Management services supporting medical necessity and… more
- The County of Los Angeles (Los Angeles, CA)
- …training is needed, and to make recommendations on potential areas for medical care evaluation studies. + Attends Utilization Review Committee meetings to inform ... community partner clinics. Every year, we deliver compassionate, life-saving care to over 600,000 unique patients across LA County....I:One year of experience performing the duties of a Utilization Review Nurse* or Medical Service Coordinator ,… more
- Community Based Care of Brevard, Inc. (Rockledge, FL)
- Starting Salary: $49,700/year Position Summary: The Diversion Care Coordinator will be responsible for managing a caseload of families served in Non Judicial In ... served in North and Central Brevard County. The Diversion Care Coordinator will coordinate the delivery and...application for daily entry of case activity and the utilization management of service authorizations. 2+ years'… more
