- Centers Plan for Healthy Living (Staten Island, NY)
- UM Care Coordinator 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #11764 Monday, April 29, 2024 Centers Plan for Healthy Living's goal is to create the ... and plans they need for healthy living. JOB SUMMARY: The Utilization Management Care Coordinator works within a multidisciplinary care team to assist with… more
- Universal Health Services (Louisville, CO)
- …medical records to determine severity of patient's illness and the appropriateness of level of care . The UM coordinator serves as liaison for patients and ... Centennial Peaks Hospital is seeking a dynamic and talented Utilization Management Coordinator join our team of compassionate, dedicated professionals. The UM … more
- Humana (Evansville, IN)
- …a part of our caring community and help us put health first** The UM Administration Medicaid Claims Coordinator 2 contributes to the administration of clinical ... claims review for Humana's KY Medicaid plan. The UM Administration Coordinator 2 performs varied activities...policies and procedures ensuring best and most appropriate treatment, care or services for members. Decisions are typically focus… more
- Kepro (Richmond, VA)
- …being a vital partner for health solutions in the public sector. Acentra seeks a UM Reviewer & Appeals Coordinator RN/LCSW (Remote within Virginia) to join our ... a blended role as a clinical reviewer and appeals coordinator . In the clinical reviewer role - you will...and coordinating the clinical appeals process with our client. UM Clinical Reviewer: + Using clinical knowledge and nursing… more
- University of Miami (Miami, FL)
- …time Recovery Coordinator 1 to work in Miami, FL. The Recovery Coordinator 1 ( UM LAORA) assists in the recovery, packaging, preservation and transportation ... supervisors for formulating and revising protocols, policies, and standards of care based on clinical experience and exposure. Education Requirements (Essential… more
- University of Miami (Miami, FL)
- …time Recovery Coordinator 1 to work in Miami, FL. The Recovery Coordinator 1 ( UM LAORA) assists in the recovery, packaging, preservation and transportation ... System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at… more
- Universal Health Services (Orlando, FL)
- …services. Central Florida Behavioral Hospital offers a full continuum of care including inpatient treatment services for children, adolescents and adults; and ... that treats patients with dignity and respect, while delivering high-quality care . Website: www.centralfloridabehavioral.com Click here for a Virtual Facility Tour… more
- Dignity Health (Rancho Cordova, CA)
- …and service. **Responsibilities** **Position Summary:** Under the direction of Utilization Management ( UM ) leadership, the UM Coordinator processes prior ... 1993 is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is...to include referral creation, formation, data entry and ensure UM notification. The UM Coordinator … more
- Universal Health Services (Highlands Ranch, CO)
- …clinical diagnosis and the ability to articulate those indicators professionally. The UM Coordinator manages medical necessity by evaluating the patient medical ... Highlands Behavioral Health System is an 86 bed, acute care psychiatric hospital located in Littleton, CO. Highlands features...ensure reimbursement for services provided by the hospital. The UM Coordinator leads physician daily treatment team… more
- Community Based Care of Brevard, Inc. (Rockledge, FL)
- Starting Salary: $45,000/year Position Summary: The Diversion Care Coordinator will be responsible for managing a caseload of families served in Non Judicial In ... for families served in South Brevard County. The Diversion Care Coordinator will coordinate the delivery and...plan outlining family needs, goals and services. Service Utilization UM /Wrap: This is strongly recommended in order to manage… more
- Universal Health Services (Doylestown, PA)
- …response to denial of initial or continued stay certification. + Internally, the UM Coordinator will interface with hospital management, staff, and patients. + ... necessity criteria is met for the current level of care . + Assures timely discharge planning, and assists with...Externally, the UM Coordinator will interface with licensing and… more
- Bassett Healthcare (Cooperstown, NY)
- …apportions resources Reviews Physician admission order and validates status and level of care matches order. Collaborates with UM Nurse to assure that all ... medical records to ensure appropriate bed is assigned, patient care needs are met and treatment plans are execute...on discharge needs/barriers for all patients; initiates intervention by UM Nurse as needed. Identifies need for patient to… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …at multiple hospitals and rounds with detained patients along with the provider. The Care Coordinator RN is responsible for overseeing the progression of care ... and discharge planning for identified patients requiring these services. The Care Coordinator RN performs this role to meet the individual's health needs while… more
- CareOregon (Portland, OR)
- …Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Health Care Coordinator Exemption Status Non - Exempt Department Population Health ... of the listed 9 states. Job Summary The Health Care Coordinator (HCC) acts an entry point...plan if not CO, dental health plan, NEMT dept, UM dept, Social Determinants Dept, Customer Service, etc.) in… more
- Catholic Health Initiatives (Omaha, NE)
- **Overview** The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning for identified patients requiring these ... services. The RN Care Coordinator performs this role to meet...Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred + Able to apply clinical guidelines… more
- Virginia Mason Franciscan Health (Seattle, WA)
- …and more! **Responsibilities** Sign on bonus available for qualified candidates The Care Coordinator RN is responsible for overseeing the progression of ... care and discharge planning for identified patients requiring these services. The Care Coordinator RN performs this role to meet the individual's health… more
- Catholic Health Initiatives (Chattanooga, TN)
- …eligible full time day shift and night shift opportunities **Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of care ... and discharge planning for identified patients requiring these services. The RN Care Coordinator performs this role to meet the individual's health needs while… more
- Universal Health Services (Philadelphia, PA)
- …psychiatric and chemical dependency treatment. We are currently seeking a Utilization Management ( UM ) Coordinator to join our team. Utilization Management ( UM ... Fairmount Behavioral Health System is seeking a Utilization Management ( UM ) Coordinator to reviews patient medical records...of patient's illness and the appropriateness of level of care . Serves as a liaison for patient and hospital… more
- University of Michigan (Ann Arbor, MI)
- CLINICAL CARE COORDINATOR (Ambulatory Care - Pediatric Hematology/Oncology Clinic) Apply Now **Mission Statement** Michigan Medicine improves the health of ... as related to this patient population. + The pediatric hematology/oncology/BMT clinical care coordinator RN will support patient care activities… more
- Providence (Orange, CA)
- **Description** For direct patient care roles: Performs and maintains currency of essential competencies as required by specific area of hire and populations served. ... Medical Staff Administrative Support - Supports the QM/ UM Director, Medical Director, Associate Medical Director, U/M Medical Director, and Administration: +… more