- Bakersfield Behavioral Healthcare Hospital (Bakersfield, CA)
- …Empowerment Sincerity Job Summary The UR Coordinator is responsible for the utilization review process at BBHH. Administrative and clerical functions of the ... delivery of safe, quality patient care. This is a PART -TIME position working a maximum of 24 hours per...community. *Benefits eligibility varies based on employment status (full-time, part -time, per diem, temporary, etc.). Some of the benefits… more
- Universal Health Services (Pembroke, MA)
- …Lives we Touch. We are currently seeking a Part Time, 24 hour per week, Utilization Review Coordinator to function as a primary liaison between all third ... for payment in the inpatient and partial levels of hospitalization. The Utilization Review Coordinator works collaboratively with all payers as well as… more
- Universal Health Services (Brookline, MA)
- Responsibilities Utilization Review Coordinator Opportunity - HRI Hospital is seeking a Full-time Utilization Review Coordinator to join our ... inpatient services and several partial hospitalization programs. We are part of the largest private mental health system in...our Tuition Discount partnership with Chamberlin University As the Utilization Review Coordinator , you will:… more
- Mirror (Newton, KS)
- … Management, the URC is responsible for the implementation, and maintenance of utilization review programs to facilitate the use of behavioral health resources ... with team meetings to discuss any issues related to utilization review processes or delays. + Participates...delays. + Participates in team meetings and actively takes part in clinical case discussions. + Acts as liaison… more
- Universal Health Services (Phoenix, AZ)
- Responsibilities Utilization Review (UR) Coordinator Opportunity. Position: PRN (as needed) This position is on-site and cannot be done remotely. For nearly ... and music. Our website: https://calvarycenter.com/ Summary of Duties The UR Coordinator advocates for the patient's access to services during treatment team… more
- Universal Health Services (Austin, TX)
- …exchange ideas and review current topics within the industry. POSITION SUMMARY: The Utilization Review Coordinator PRN is a key member of the Austin ... We welcome new Grads! Join us and be a part of our organization servicing our communities mental health...in formulating appeals. + Maintains appropriate records of the utilization review data and activities; updates patient… more
- Universal Health Services (Conway, SC)
- …Job Posting Lighthouse Behavioral Health Hospital is hiring for a Part Time RN Utilization Review Coordinator . Utilization Review / Risk ... its 300+ Subsidiaries! Flexible Schedule Qualifications Job Requirements The Utilization Review Coordinator position will...responsive leadership. You are never alone, as you are part of a large network of peer nurses and… more
- Hackensack Meridian Health (Neptune, NJ)
- …**Hackensack Meridian** **_Health_** includes: + Follows departmental workflows for utilization review activities including admission reviews, admission denials, ... a leader of positive change. The **Care Management, Care Coordinator , Utilization Management** is a member of...as required by payer agencies and initiates physician advisor's review as necessary for unwarranted admissions. + Performs chart… more
- YesCare Corp (Bartow, FL)
- …for ensuring the monthly report is sent to each site and participates in Utilization Review with Clinical Director and other personnel as required + Provides ... Below is a list of your responsibilities as a ** Utilization Management Coordinator ** with YesCare: + Confirms...of Inpatient, ER and Outpatient Events + Performs hospital review of complicated and extended stay cases + Provides… more
- Conviva (Tallahassee, FL)
- …member service or customer service telephone experience desired + Experience with Utilization Review and/or Prior Authorization, preferably within a managed care ... **Become a part of our caring community and help us...Coordinator - Phone Intake contributes to administration of utilization management. The UM Administration Coordinator performs… more
- Humana (Columbus, OH)
- …member service or customer service telephone experience desired + Experience with Utilization Review and/or Prior Authorization, preferably within a managed care ... **Become a part of our caring community and help us...Healthy Horizons in Ohio is seeking a UM Administration Coordinator 2 that contributes to administration of utilization… more
- Dignity Health (Northridge, CA)
- …care in accordance with and in compliance of the Behavioral Health Dignity Health Utilization Review Policy. + The UMC will participate on the Behavioral Health ... 400 care centers. Visit dignityhealth.org/northridgehospital for more information. The RN Utilization Management Coordinator (UMC) is responsible for assessing… more
- Geisinger (Danville, PA)
- …re-admissions. + Assesses and recommends policies as they relate to readmissions and utilization review activities. + Reviews inpatient level of care and ... of care for preplanned admissions and observation status. Coordinates readmission review . Conducts Inpatient and Outpatient post service reviews and determines… more
- 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
- Beth Israel Lahey Health (Burlington, MA)
- …0 **Work Shift:** Day (United States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Per Diem, potential for weekends, days, ... Case Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality...status patients by working with physicians to ensure appropriate utilization . 9) Is part of the department's… more
- 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
- Public Consulting Group (Cedar Rapids, IA)
- …and/or healthcare and fraud investigations. + 2-5 years of experience as a utilization review manager conducting, directing, or leading medical necessity reviews ... for coordinating program integrity-related reviews with the medical necessity review team responsible for conducting medical necessity reviews, ensuring services… more
- Baystate Health (Greenfield, MA)
- **We are looking for a Point of Care Coordinator to join our Point of Care Testing team here at Baystate Franklin Medical Center!** **_Resume Required with ... Courtemanche, Healthcare Recruiter_ _###@baystatehealth.org_ **Summary:** The Lab Point of Care Coordinator is a lead position within the Clinical Laboratory that is… more
- Evergreen Health (Jamestown, NY)
- …Care Coordinator is responsible for the following outcomes: Reduce utilization associated with avoidable and preventable inpatient stays; reduce utilization ... Evergreen Health The Telephonic Care Coordinator applies the essential activities of case management...due to the fluidity of the patients served. As part of the Essential Functions for this role, The… more
- American Airlines (New York, NY)
- …irregular and/or extended hours, weekends and holidays. Click here to see what it takes to be part of the Fleet team, and click here to see what a day in the life of ... maintain integrity of departure gating and reduce customer impact + Proactively review future bank aircraft minimum equipment lists (MELs) for operational impact in… more