is looking for a Utilization Review Coordinator to coordinate patients’ services across the continuum of care by promoting effective utilization... VP of Care Management and Team. Provides education to nursing staff. ;eadership team, and providers regarding...
is looking for a PRN Utilization Review Coordinator to coordinate patients’ services across the continuum of care by promoting effective... utilization, monitoring health resources and elaborating with multidisciplinary teams. Benefits of joining NPH Competitive pay...
and Appeals Coordinator will perform activities to help facilitate utilization management and appeals functions to include... for utilization management and appeals processes, performs data management and coordinates communication between members of the...
provides precertification and verification of benefits for incoming patients. Coordinates the utilization management functions... as appeals. This opportunity is a Per Diem, on site, day shift position Benefits for UR Coordinator include: Challenging...
provides precertification and verification of benefits for incoming patients. Coordinates the utilization management functions... as appeals. This opportunity is a Per Diem, on site, day shift position Benefits for UR Coordinator include: Challenging...
Job Summary The Utilization Review (UR) Coordinator is responsible for managing all utilization related activities..., insurance companies, revenue cycle management, and other stakeholders to ensure programming meets payor requirements...
Job Description: Responsibilities Coastal Harbor Health is currently seeking a Utilization Review Coordinator... Per Diem To coordinate and direct Utilization Review functions, monitoring the utilization and continuum of services...
Job Description: Responsibilities Coastal Harbor Health is currently seeking a Utilization Review Coordinator... Per Diem To coordinate and direct Utilization Review functions, monitoring the utilization and continuum of services...
We are recruiting for a motivated RN Registered Nurse, Utilization Coordinator Denver Health Medical Plan - Remote... Resident Job Summary Under general supervision the RN, Utilization Coordinator performs initial inpatient or outpatient...
Internal Posting: 08/1/25 to 08/14/25 Assistant Utilization Coordinator Summary: Under general supervision..., one of which must have been in the area of utilization review, quality assurance, risk management or discharge planning....
to learn more? Responsibilities Responsible for various aspects of utilization management to ensure that care is rendered...) Experience with EPIC and the utilization software InterQual. Experience in discharge planning, case management, or utilization...
acuity and appropriate utilization. Works collectively with hospital operations (social services, business office, Intake..., Nursing) to ensure timely documentation is aligned with patient conditions. Contributes to monthly utilization data trends...
acuity and appropriate utilization. Works collectively with hospital operations (social services, business office, Intake..., Nursing) to ensure timely documentation is aligned with patient conditions. Contributes to monthly utilization data trends...
of education and training programs for staff and physicians to promote best practices in utilization management at the local... utilization management; and driving the development and delivery of education and training programs for staff and physicians...
Job Description: Responsibilities The Utilization Management Specialist is responsible for executing the... UM function, which includes the implementation of case management scenarios, consulting with all services to ensure the provision...
, and documentation requirements that affect utilization management; and leading the development and delivery of education and training... programs for staff and physicians at the local and regional level to promote best practices in utilization management...
Job Description: Responsibilities The Utilization Management Specialist is responsible for executing the... UM function, which includes the implementation of case management scenarios, consulting with all services to ensure the provision...
of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work... Management and Treatment Team meetings. Serves as on-going educator to all departments. Responsible for reviewing patient charts...
) years Case Management/ Appeal/Utilization Management experience in lieu of bachelor's degree. CERTIFICATIONS/LICENSURES...GENERAL SUMMARY: Under minimal supervision, reviews and screens the appropriateness of services, the utilization...
or in writing). * Responsible for the collection of accurate data from utilization of services within the Utilization management... cases, etc). Develop and implement monthly utilization statistics, as necessary, for use in Utilization Management...