- 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 ... Memorial and NH state Hospital Systems. Join the Genesis team as a Clinical Liaison - RN where your marketing/sales and clinical skills will be fully engaged.to… 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
- YesCare Corp (Bartow, FL)
- …Below is a list of your responsibilities as a ** Utilization Management Coordinator** with YesCare: + Confirms admissions with outside hospitals and ... notifies the Utilization Management Department of need to report justification for admission...Provides in-servicing of staff on areas of expertise + Liaison between Corporate UM, institution physician and off-site hospital… more
- Kelsey-Seybold Clinic (Pearland, TX)
- … Review Specialist (LVN)** **Location: Pearland Administrative Office** **Department:** ** Utilization Management ** **Job Type: Full Time** **Salary Range: ... care services requiring authorization prior to services being rendered for members. The Utilization Review Specialist (LVN) serves as a liaison in reviewing… more
- Elevance Health (Miami, FL)
- …of Florida. + Requires minimum of 5 years acute care clinical experience, utilization management or managed care experience; or any combination of education ... Senior RN Utilization Review/ Management (Acute InPatient) JR116937 **Location:**...effective care through assessing the medical necessity of inpatient admissions , outpatient services, focused surgical and diagnostic procedures, out… more
- Universal Health Services (San Antonio, TX)
- …criteria, programming, data, and administration & admission process to generate desired utilization / admissions to the facility's continuum of care. To provide ... : + Develop and implement strategic military and VA referral account management plans that support the facility clinical resources, resulting in admissions… more
- Genesis Healthcare (Dover, DE)
- …for life. We're currently seeking a Clinical Admissions Director - Hospital Liaison (focusedon Referral Management ) to join our extraordinary team.* Are you ... to these questions, then WE WOULD LOVE TO HEAR FROMYOU! The Clinical Admissions Director plays a vital role in leveraging existing relationshipsto generate referrals… more
- Somatus (Grayson, KY)
- …accessing resources to adhering to a physician's treatment plan upon discharge. The Hospital Liaison will work with the RNCM, case management and care givers to ... leadership and/or provider engagement to build relationships with case management teams at strategic facilities in assigned area as...ongoing conversations and plans to address areas to reduce admissions and cost utilization + Other duties… more
- McLaren Health Care (Bay City, MI)
- …for the appropriate level of care; may include admission/transfer reviews, utilization reviews, and surgical schedule reviews. 3. Employee facilitates acute rehab ... admissions for those referrals that are appropriate for admission...network. Provides reporting trends and activity to the rehab management team to develops strategic initiatives for market development… more
- Spokane County (Spokane, WA)
- …Services Organization Utilization Review Integrated Care Coordinator: + Performs utilization management , utilization review, or concurrent review of ... of hospital daily census and of the reasons for admissions and discharges or lack of movement toward discharge....substance use disorder assessment and treatment. + Knowledge of utilization management of public behavioral health. +… more
- Universal Health Services (Madera, CA)
- …to supervision and assignment of staff. + Routinely review job assignments and utilization of staff. Talent Management - Responsible for retention and engagement ... Team. The Director of Intake & Referral, an essential member of Senior Management , is accountable for directing the Assessment and Referral activities at the… more
- Rush University Medical Center (Chicago, IL)
- …options and management of adverse events. 4. Serves as a liaison between practice and referral sources 5. Participates in quality metric initiatives supporting ... 3.Establishes and maintains expertise regarding disease, staging, current treatment options and management of adverse events. 4.Serves as a liaison between… more
- Logan Health (Kalispell, MT)
- Job Description Summary: Logan Health Wellness & Pain Management is proud to offer some of the most comprehensive pain and wellness care in the United States. This ... and experience in assessment, crisis assessment, brief therapies, and clinical case management preferred. + Ability to analyze, intervene and evaluate a range of… more
- Hackensack Meridian Health (Hackensack, NJ)
- … admissions and observations as specified by the facility's Utilization Management /Review Committee for documentation completeness and compliance with ... with physicians, nursing staff, other patient caregivers, Health Information Management Department coding staff, and Emergency Trauma Department (ETD), to… more
- Universal Health Services (Casper, WY)
- …entered in and collected from online corporate databases. Essential Functions: Outreach Liaison Management (As directed by the Director of Business Development) ... of Business Development is responsible for achieving the desired utilization of the organization's continuum of care through the...is fully trained in the UHS model of outreach liaison account management and accountability, and mentors… more
- University of Colorado (Denver, CO)
- **Director of Case Management and Associate Dean of Students** **University of Colorado Denver** Director of Case Management and Associate Dean of Students - ... Title: Student Services Director Working Title: Director of Case Management and Associate Dean of Students FTE: Full-time Salary...(CART) and serve as a consultant to the Special Admissions Committee. This role will work closely with the… more
- Hackensack Meridian Health (Hackensack, NJ)
- … admissions and observations as specified by the facility's Utilization Management /Review Committee for documentation completeness and compliance with ... with physicians, nursing staff, other patient caregivers, Health Information Management Department coding staff, and Emergency Trauma Department (ETD), to… more
- LifePoint Health (Henderson, NC)
- …working in liaison with physician to ensure appropriate and compliant admissions for the unit, completing the admission intake process, collecting and entering ... staff on these changes and regulations. *Reports to:*Director of Case Management *Responsibilities of the Position Coordination of clinical care (medical necessity,… more
- University of Rochester (Rochester, NY)
- …Serve as principal liaison with academic data teams, Office of Enrollment Management , Office of the Provost, the Vice Provost for Undergraduate Education and The ... future academic trends. **JOB DUTIES AND RESPONSIBILITIES:** **Strategic and Analytical Management of Academic Programs and Operations** + Assess course offerings… more
- Avera Marshall (Estherville, IA)
- …B. Representative. To be a Medical Representative of Avera@Home in the community. C. Liaison . To serve as a liaison with community physicians, medical schools ... care planning as follows: 1. To participate in making decisions regarding admissions to Avera@Home's home care or inpatient setting(s), in conjunction with the… more