- Integrity Trade Services (Indianapolis, IN)
- …and demographic data to assess for appropriate admissions into Withdrawal Management based on written policies and the Utilization Review manual Record ... full-time* Integrity Trade Services is hiring a CMA/RMA for our withdrawal management client in Indianapolis to start at $18.36. Receive comprehensive benefits… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …program, including problems/issues needing immediate attention. Consults with Medical Director and agency management staff regarding difficult/unusual patient ... a member of the Interdisciplinary Team for assigned functions related to admissions of patients, provision of service information and liaison activities with… more
- Integrated Resources, Inc (New York, NY)
- …and the quality of life for the MetroPlusHealth members. . Coordinate with Utilization Management (UM) department on concurrent and retrospective review. . ... category to the member. . As part of Care Management team, develops a formal care plan for all...risk of unnecessary hospitalizations, ED visits or nursing home admissions . . Identify opportunities to improve the quality of… more
- Signet Health (Clinton, MD)
- …Collaboration and Coordination with providers and State agencies regarding Case management members Collaboration with Community Support Programs Utilization ... to 7:30 pm. This position will report to the Director of Intake and Assessment.You will be responsible for...assessing and managing members referred for Behavioral Health Case management Tracking and management of members identified… more
- RestoraCare Staffing (Houston, TX)
- …Health Clinic (FQHC), skilled nursing facility, or wound clinic). Experience in utilization management , case management , discharge planning or other ... and PC skills Current working knowledge of discharge planning, utilization management , case management , performance...in both areas. Refers cases and issues to Care Management Medical Director in compliance with department… more
- Signet Health (Clinton, MD)
- …Collaboration and Coordination with providers and State agencies regarding Case management members. Collaboration with Community Support Programs. Utilization ... am to 7:30 pmThis position will report to the Director of Intake and AssessmentYou will be responsible for...assessing and managing members referred for Behavioral Health Case management . Tracking and management of members identified… more
- Universal Health Services (Bradenton, FL)
- …Palm Shores Behavioral Health is currently seeking a Director of Admissions and Utilization Management Palm Shores Behavioral Health Center ... home. We are a proud provider of the Patriot Support Program. The Director of Admissions / Utilization Management is responsible for the patient intake… more
- Genesis Healthcare (Hanover, NH)
- …recent clinical experience is required. Must have a valid driver's license. Utilization review, case management , and discharge planning experience is preferred ... Experience in business development preferred. Certifications: CCM, CRRN or CIRS preferred. To protect the health and safety of our patients, residents, employees, family members, and the communities we serve, Genesis has implemented a universal COVID-19… more
- Guthrie (Sayre, PA)
- Position Summary: The Utilization Management (UM) Reviewer, in collaboration with other internal and external offices, payors, and providers and staff, is ... responsible for the coordinates Utilization Management (UM) processes and requirements for...the level of care or service for hospital inpatient admissions and short procedures by translating clinical information to… more
- Sharp HealthCare (San Diego, CA)
- …+ Knowledge of medical terminology, healthcare finances, alternative care options, utilization management , health plan criteria, established criteria such as ... UM Department. Prepares referral requests for outpatient services, elective inpatient admissions , skilled nursing facility admissions , durable medical equipment… more
- Sharp HealthCare (San Diego, CA)
- …time for routine, urgent and expedited referrals as outlined in SCMG's Utilization Management Plan.Decisions will be communicated to the appropriate persons ... + Knowledge of medical terminology, healthcare finances, alternative care options, utilization management , health plan criteria, established criteria such as… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... net required to achieve that purpose. Job Summary The Utilization Management (UM) Admissions Liaison...the acute setting. Works with UM leadership, including the Utilization Management Medical Director , on… more
- Chatham Hills Subacute Care Center (Chatham, NJ)
- Admissions Director The Director ...seven years of recent clinical experience. + Preferred case management experience + Must read, write and speak the ... language + Experience in business/development preferred. + Prior experience in utilization review or discharge planning preferred. The salary for this position… more
- Virginia Mason Franciscan Health (Bremerton, WA)
- …annual bonus eligibility, and more! **Responsibilities** **Job Summary / Purpose** The Utilization Management (UM) Director is responsible for the ... market(s) development, implementation, evaluation and direction of the Utilization Management Program and staff in support of the CommonSpirit Health Care… more
- Acacia Network (Bronx, NY)
- …concurrent review package. + . Submitting concurrent review package and follow up with Utilization Management team at the Managed Care Plan for status. + . ... of referrals. + . Circulate current medical reports for Medical Director to review and approve for admissions . + . Ensure signatures are in consent forms for new… more
- Regis HR Group (Miami, FL)
- Develops, manages and directs the Utilization Management programs for the primary care clinics. The key objective is to drive cost-effective, high-quality care ... Medicare Part A, B and D. Takes data driven approach when formulating utilization management solutions. + Creates, manages and updates preferred specialist… more
- Universal Health Services (San Antonio, TX)
- …to the next shift of patients still in process and reports regularly to the Director of Care Management / Admissions on matters of departmental and personnel ... and uses this information to improve the delivery and utilization of care to best meet the clinical and...requests and coordinates care with referral sources. + Milieu management in admissions : keeps staff members and… more
- University of Maine at Farmington (Farmington, ME)
- Position Title: Admissions Counselor Campus: Farmington Department: Admissions - FADMS Bargaining Unit: UMPSA Salary Band/Wage Band: 01: $42,450.20 Location: ... The University of Maine at Farmington (UMF) is seeking candidates for an Admissions Counselor. As an Admissions Counselor, you will educate incoming first-year… more
- Universal Health Services (Fort Washington, PA)
- …collects pre-admission data and ascertains insurance coverage via Business Office and Utilization Review. + Completes the admissions process by entering required ... department. Website: https://www.brookeglenhospital.com/ POSITION SUMMARY As directed by the Director of Assessment and Referral, the Call Specialist coordinates… more
- Providence (San Pedro, CA)
- …Services (CMS) guidelines and regulations. Under the direction of the Medical Director the Admissions Coordinator evaluates internal and external referrals for ... rehabilitation services. This position is accountable for monitoring of appropriate utilization of unit services in accordance with current Center for… more
