- 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 ... a blended role as a clinical reviewer and appeals coordinator . In the clinical reviewer role - you will...from time to time. Requirements Required Qualifications/Experience: + Active Registered Nurse ( RN ) license or… more
- Universal Health Services (Orlando, FL)
- …Position Summary The Utilization Review Coordinator performs admission and concurrent review ... in the psychiatric and chemical dependency filed preferred. + Valid FL license, eg, RN , LSCW, LMHC or LMFT preferred. + Good oral and written communication skills… 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 ... departments to ensure reimbursement for services provided by the hospital. The UM Coordinator leads physician daily treatment team meetings, manages… 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 ... Position Fairmount Behavioral Health System is seeking a Utilization Management ( UM ) Coordinator to reviews patient medical records to determine severity… more
- Universal Health Services (Louisville, CO)
- …Management Coordinator join our team of compassionate, dedicated professionals. The UM coordinator evaluates patient medical records to determine severity of ... illness and the appropriateness of level of care. The UM coordinator serves as liaison for patients...Social Work, Nursing, or Human Services field preferred. + RN , LCSW, LPC, LMFT preferred + Strong analytical, organizational,… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE : Ambulatory Care: Pediatric RN Coordinator (Kidney & Liver Transplant Program) Apply Now **Mission Statement** Michigan Medicine ... 248754 **Working Title** REGISTERED NURSE : Ambulatory Care: Pediatric RN Coordinator (Kidney & Liver Transplant Program) **Job Title** REGISTERED … more
- Bassett Healthcare (Cooperstown, NY)
- …admission order and validates status and level of care matches order. Collaborates with UM Nurse to assure that all payor and status requirements are aligned ... with Nurse on discharge needs/barriers for all patients; initiates intervention by UM Nurse as needed. Identifies need for patient to receive IM letter;… more
- Virginia Mason Franciscan Health (Federal Way, WA)
- …experience. **Licensure and Certifications:** Required + Current licensure as a Registered Nurse in the state of Washington ( RN -WA). + BLS required within 3 ... more! + Sign on Bonus available **Responsibilities** **JOB SUMMARY / PURPOSE** The Care Coordinator RN is responsible for overseeing the progression of care and… more
- Virginia Mason Franciscan Health (Seattle, WA)
- …(2) years of acute hospital clinical experience + Current licensure as a Registered Nurse in the state of Washington ( RN -WA). + BLS required within 3 months ... Sign on bonus available for qualified candidates The Care Coordinator RN is responsible for overseeing the...experience. + Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ), or UM Certification preferred + Able… 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...experience. + Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ), or UM Certification preferred + Able… more
- Catholic Health Initiatives (Chattanooga, TN)
- …for 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
- Corewell Health (Grand Rapids, MI)
- …experience clinical nursing and or case management/managed care or related field Preferred + Registered Nurse ( RN ) - State of Michigan Upon Hire required ... continuous stay reviews and appeals. Additional support to the UM functions of the Corewell Health South Behavioral Health...within 7 years for those who start in this RN role on or after January 1, 2017 (Spectrum… more
- Corewell Health (Trenton, MI)
- …experience in care management, utilization review, home care and/or discharge planning. Preferred + Registered Nurse ( RN ) - State of Michigan License Upon ... review cases for medical necessity, uses InterQual and/or other UR/ UM Committee-approved medical necessity screening criteria, when appropriate. Works… more
- Corewell Health (Royal Oak, MI)
- …experience in care management, utilization review, home care and/or discharge planning. Preferred + Registered Nurse ( RN ) - State of Michigan License Upon ... review cases for medical necessity, uses InterQual and/or other UR/ UM Committee-approved medical necessity screening criteria, when appropriate. Works… more
- Dignity Health (Northridge, CA)
- …of 3 years nursing experience in an acute hospital setting required. + Current CA Registered Nurse ( RN ) license + Prior Utilization Management experience in ... than 400 care centers. Visit dignityhealth.org/northridgehospital for more information. The RN Utilization Management Coordinator (UMC) is responsible for… more
- Actalent (Santa Barbara, CA)
- …opportunity + Gain experience with a leading healthcare organization Description: The Health Plan Nurse Coordinator (HPNC) is a Registered Nurse who ... Non-profit healthcare network is looking for a registered nurse case manager to join...as Mental/Behavioral Health services. These sub-specialized programs require the RN to perform UM or CM activities… more
- San Antonio Behavioral Health (San Antonio, TX)
- …May consult with staff as needed. Essential Duties: + Collaborate and set standards with registered nurse ( RN ) case managers (CMs) and outcome managers to ... The Utilization Review Coordinator conducts utilization reviews to determine if patients...Identify and facilitate resolution of system process problems impeding UM functions. Identify and resolve delays and obstacles as… more
- University of Michigan (Ann Arbor, MI)
- …as related to this patient population. + The pediatric hematology/oncology/BMT clinical care coordinator RN will support patient care activities in the clinic ... CLINICAL CARE COORDINATOR (Ambulatory Care- Pediatric Hematology/Oncology Clinic) Apply Now...+ As a member of a multidisciplinary team, the nurse in this role will provide nursing care to… more
- Universal Health Services (Scottsdale, AZ)
- …Services, Human Development, Nursing, Business, or related field required. Master's degree and registered nurse licensure or licensed as an LMSW, LCSW, LPC, MFT ... Responsibilities Utilization Review Coordinator Via Linda Behavioral Hospital is a brand-new...inpatient facility serving patients, and special knowledge of the UM department. + Must have or be able to… more
- University of Michigan (Ann Arbor, MI)
- EDUCATIONAL NURSE COORDINATOR (CVC Cardiovascular Moderate Care Unit) Apply Now **Mission Statement** Michigan Medicine improves the health of patients, ... action employer. **Job Detail** **Job Opening ID** 247843 **Working Title** EDUCATIONAL NURSE COORDINATOR (CVC Cardiovascular Moderate Care Unit) **Job Title**… more