- Houston Behavioral Healthcare Hospital (Houston, TX)
- …take together. Houston Behavioral Healthcare Hospital (HBHH) currently has an opening for Part -time Utilization Management Coordinator . The ... Coordinator will report to the Director of Utilization Review and will be responsible to provide quality...Review and will be responsible to provide quality case management services to all patients and their families, to… 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
- Veterans Affairs, Veterans Health Administration (El Paso, TX)
- …knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care ... for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care. Responsibilities… more
- Hackensack Meridian Health (Edison, NJ)
- …and serve as a leader of positive change. The **Care Management , Care Coordinator , Utilization Management ** is a member of the healthcare team and ... of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to manage… 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
- Community Health Systems (Franklin, TN)
- **Job Summary** The Utilization Review Coordinator ensures efficient and effective management of utilization review processes, including denials and ... preferred **Knowledge, Skills and Abilities** + Strong knowledge of utilization management principles, payer requirements, and healthcare regulations.… more
- South Middlesex Opportunity Council (Framingham, MA)
- …Working Conditions: As part of the responsibilities of this position, the Utilization Management Coordinator will have direct or incidental contact with ... 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)
- …in the Patient Care Committee for patient care reviews, and in Utilization Review Staff Committee, providing data and contributing to improvement of internal ... 4 years of related experience in behavioral health care, part of which may be experience in Behavioral health...and benefits of patients, matching the level of care utilization . Assures compliance with Managed Care Behavioral Health standards… more
- Henry Ford Health System (Troy, MI)
- …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...Additional Information + Organization: Community Care Services + Department: Pharmacy- Utilization Mgmt + Shift: Day Job + Union Code:… more
- Sharp HealthCare (San Diego, CA)
- …requirements for the position, and employer business practices. **Please Note:** As part of our recruitment process, you may receive communication from Dawn, our ... as required, to discuss high risk patients requiring case management follow up.Attends clinical in-services or required operational/clinical training sessions.… more
- Tenet Healthcare (Detroit, MI)
- …national standards for case management scope of services including: Utilization Management services supporting medical necessity and denial prevention ... potentially avoidable days Other duties as assigned. POSITION SPECIFIC RESPONSIBILITIES: Utilization Management Balances clinical and financial requirements and… more
- The County of Los Angeles (Los Angeles, CA)
- …SELECTION REQUIREMENTS: OPTION I:One year of experience performing the duties of a Utilization Review Nurse* or Medical Service Coordinator , CCS.** -OR- OPTION ... UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply... Review Nurse is an RN that has Case Management experience whose primary charge is to ensure that… more
- Humana (Jackson, MS)
- … part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are...room, trauma units, etc. + Experience as an MDS Coordinator or discharge planner in an acute care setting… more
- University of Utah Health (Salt Lake City, UT)
- …communication skills. + Demonstrated knowledge of payers, payer systems, cost effective utilization management and InterQual criteria. + The ability to ... and as a team member. **Qualifications** **Qualifications** **Required** + One year Utilization Review or Case Management experience. **Licenses Required** +… more
- HCA Healthcare (Ogden, UT)
- …colleagues invested over 156,000 hours volunteering in our communities. As a Materials Management Coordinator with Ridgeline Surgicenter you can be a part ... Fund that offers free employee-only coverage to full-time and part -time colleagues based on income. Learn more about Employee...our organization. We are looking for an enthusiastic Materials Management Coordinator to help us reach our… more
- HCA Healthcare (Overland Park, KS)
- …opportunity to make a difference. We are looking for a dedicated Materials Management Coordinator like you to be a part of our team. **Job Summary and ... an organization that invests in you as a Materials Management Coordinator ? At Overland Park Surgery Center,...Fund that offers free employee-only coverage to full-time and part -time colleagues based on income. Learn more about Employee… more
- Allied Universal (Milwaukee, WI)
- …growth opportunities in the security industry** Allied Universal(R) is hiring an Emergency Management Coordinator . The Emergency Management Coordinator ... a dynamic, welcoming, and collaborative workplace, you will be part of a team that contributes to a culture...and operations for a high profile customer. The Emergency Management Coordinator may expect up to 25%… more
- Community Health Systems (Las Cruces, NM)
- As a AMR Coordinator at Mountainview Regional Medical Group you'll join a team and be a part of a culture that's dedicated to providing top quality care to our ... and student loan assistance for eligible roles. **Job Summary** The AMR Coordinator Clinics provides AMR education and development that promotes efficient … more
- Trinity Health (Boise, ID)
- …The Health Alliance Clinical Team **,** is now hiring for an MA Care Management Coordinator to join their wonderful team! **Position Summary and Highlights** ... **:** + The Medical Assistant Care Management Coordinator plays a crucial role within...preventing high cost diseases and conditions and ensuring appropriate utilization of services. **What Will You Do** **:** +… more