• Daiichi Sankyo, Inc. (Basking Ridge, NJ)
    …develop a cross-functional, integrated study plan and create initial study budget. Review study feasibility assessments provided by the CRO(s), lead the CRO ... risk related plans and ensure study team adherence and utilization . Be aware of and be able to predict...for resource management within their therapeutic area. Management requires review of resources against development pipeline to identify areas… more
    HireLifeScience (03/09/24)
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  • Mindlance (Columbia, SC)
    …mental health/chemical dependency, orthopedic, general medicine/surgery. Or, 4 years' utilization review /case management/clinical/or combination; 2 of the 4 ... Job Title: Managed Care Coordinator Job Location: Columbia, SC Zip Code: 29219,...and reports potential fraud and abuse situations. Managed Care Coordinator Job Requirements . Associate Degree - Nursing, OR,… more
    JobGet (03/09/24)
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  • Regency at Troy (Troy, MI)
    Are you an experienced MDS nurse interested in the next step? The MDS Coordinator provides oversight of the RAI process and conducts assessments and care plan ... coordination for guests. The MDS Coordinator supervises the Care Management Nurse, MDS Nurse.At Ciena Healthcare, we take care of you too, with an attractive benefit… more
    JobGet (03/25/24)
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  • The Laurels of Bedford (Battle Creek, MI)
    …BonusAre you an experienced MDS nurse interested in the next step? The MDS Coordinator provides oversight of the RAI process and conducts assessments and care plan ... coordination for guests. The MDS Coordinator supervises the Care Management Nurse, MDS Nurse.The Laurels of Bedford offers one of the leading employee benefit… more
    JobGet (03/16/24)
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  • The Laurels of Huber Heights (Dayton, OH)
    Are you an experienced MDS nurse interested in the next step? The MDS Coordinator provides oversight of the RAI process and conducts assessments and care plan ... coordination for guests. The MDS Coordinator supervises the Care Management Nurse, MDS Nurse.The Laurels of Huber Heights offers one of the leading employee benefit… more
    JobGet (03/27/24)
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  • Northeast Georgia Health System, Inc (Gainesville, GA)
    …and professional collaboration with others. Performs chart reviews as necessary for utilization review of goal concordant care associated with ACP. Physical ... About the Role:Job SummaryThe Advance Care Planning (ACP) Program Coordinator facilitates improvement of end-of-life health care through practice, education,… more
    JobGet (03/09/24)
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  • Admissions Coordinator

    Devereux Advanced Behavioral Health (Berwyn, PA)
    …joining our Team at Devereux Advanced Behavioral Health!_ **Being an** **Admissions & Utilization Review Coordinator ** **at Devereux has its Advantages** We ... customers - Professional development and job advancement. As an admission and utilization coordinator you will ensure efficient admissions process to meet… more
    Devereux Advanced Behavioral Health (03/13/24)
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  • Integrated Care Coordinator - SCRBH

    Spokane County (Spokane, WA)
    …and discharges or lack of movement toward discharge. + Collaborates with Utilization Review Integrated Care Coordinator regarding continued inpatient ... other related duties as required/assigned. Behavioral Health Administrative Services Organization Utilization Review Integrated Care Coordinator : + Performs… more
    Spokane County (03/18/24)
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  • Quality Assurance Senior Coordinator --UR

    SUNY Upstate Medical University (Syracuse, NY)
    Job Summary: The Utilization Review /Quality Assurance Sr. Coordinator will be responsible for providing clinical information to managed care companies as ... agencies, and other health care related entities. Preferred Qualifications: Utilization Review /Managed Care/Quality Assurance experience. Experience in the… more
    SUNY Upstate Medical University (03/20/24)
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  • RN Utilization Review FT Days

    Tenet Healthcare (Detroit, MI)
    …of care and appropriate level of care Mentor and monitor work delegated to Utilization Review LVN/LPN and/or Authorization Coordinator as needed. (5% daily, ... RN Utilization Review FT Days - 2406000753 Description : The Detroit Medical Center (DMC) is a nationally recognized health care system that serves patients and… more
    Tenet Healthcare (02/22/24)
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  • Central Transfer Coord-RN

    St. Bernard's Medical Center (Jonesboro, AR)
    …appropriateness by collaborating with MD, Patient Placement Coordinator , and Utilization Review Coordinator . Complies with guidelines, institutional ... policies and procedures, and other information to determine appropriate transfers and admissions into Medical Center, Emergency Department, and St. Bernards Behavioral Health. more
    St. Bernard's Medical Center (03/27/24)
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  • Medical Social Worker I

    Covenant Health Inc. (Sevierville, TN)
    …Rounds twice weekly. + Coordinates patient care with nursing staff, physicians, case manager, utilization review coordinator , home health coordinator by ... keeping them informed of progress with patients via verbal communication and chart notes (hand written or computer) in the patients medical record. + Provide Crisis intervention in the Emergency Department or wherever needed both situational and psychosocial.… more
    Covenant Health Inc. (01/17/24)
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  • Program Coordinator -(OMH) LIP Washington…

    Comunilife (New York, NY)
    …and maintain Comunilife policies and procedures, quality assurance, utilization review and outreach activities. The Program Coordinator will collaborate with ... Program Coordinator -(OMH) LIP Washington Heights Job Details Job Location...Description Comunilife Inc. is looking to fill a Program Coordinator position for its Life is Precious, Washington Heights… more
    Comunilife (03/21/24)
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  • Utilization Management Coordinator

    University of Utah Health (Salt Lake City, UT)
    …position is responsible for assisting with the coordination of case management clients, utilization review , concurrent review and medical necessity review ... experience or education equivalency. + Previous experience in a utilization review setting. + Completion of a...its regulations may be referred to the Title IX Coordinator , to the Department of Education, Office for Civil… more
    University of Utah Health (01/25/24)
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  • Organ Utilization Coordinator

    LifeCenter Northwest (Bellevue, WA)
    Organ Utilization Coordinator Job Details Job Location Bellevue - Bellevue, WA Salary Range $66,122.00 - $95,904.00 Salary/year Description and Qualifications ... The Organ Utilization Coordinator (OUC) is accountable for all...after one year of service is complete. A comprehensive review of benefits can be found athttps://lcnw.org/about/employment-opportunities/. The pay… more
    LifeCenter Northwest (02/16/24)
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  • Utilization Management Denial…

    UCLA Health (Los Angeles, CA)
    …point of contact for receiving and resolving member denials. You will review denials for accuracy, confirming the receipt of necessary documentation to support ... the denial and ensuring compliance with all contractual obligations and state and federal laws/regulations. You will extrapolate and summarize essential information for the UM Manager and Medical Director and regularly meet with them for clinical guidance in… more
    UCLA Health (03/27/24)
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  • Utilization Review Nurse Supervisor…

    The County of Los Angeles (Los Angeles, CA)
    UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply  UTILIZATION REVIEW NURSE ... direction, administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one… more
    The County of Los Angeles (01/02/24)
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  • Case Manager with Utilization Review

    Beth Israel Lahey Health (Burlington, MA)
    …Shift:** Evening (United States of America) Joint role of Case Manager and Utilization Review Nurse **Job Description:** The Inpatient Registered Nurse (RN) Case ... Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality...patient discharge. 14) Works with the Post Acute Care Coordinator to facilitate timely patient access to post acute… more
    Beth Israel Lahey Health (01/05/24)
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  • Clinical Utilization Review

    University of Colorado (Aurora, CO)
    Clinical Utilization Review Specialist - 32339 University Staff **Description** **University of Colorado Anschutz Medical Campus** **School of Medicine | ... Department of Psychiatry** **Job Title: Clinical Utilization Review Specialist** **Position: #00217340 - Requisition: #32339** **Sign-on bonus available for… more
    University of Colorado (01/12/24)
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  • Supervisor House Registered Nurse - McLaren…

    McLaren Health Care (Port Huron, MI)
    …morning report to Patient Care Services Manager of Nursing Support or Utilization Review /Patient Placement Coordinator . 9. Initiates continuous communication ... and evaluates bed availability in patient care departments by super census review and continuous rounding. 5. Communicates and coordinates with the managers,… more
    McLaren Health Care (03/13/24)
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