- UCLA Health (Los Angeles, CA)
- …of accurate demographic information, soliciting for insurance information and prior authorization requirements and follow up. Provide general information to incoming ... with patients, referring physicians, transplant team members, insurance companies case managers, governmental agencies, hospital staff, and other groups in… more
- University of Rochester (Rochester, NY)
- …records tracking, treatment planning, financial counseling, and accounts receivable management . Responsible for seamless and timely patient movement through the ... appointments, treatment planning, financial arrangements, and approval phase until case completion. RESPONSIBILITIES: Exercising tact, initiative and independent judgment… more
- University of Southern California (Arcadia, CA)
- …utilization management , care facilitation, and discharge planning functions. The Case Coordinator is accountable for a designated patient caseload and ... POSITION SUMMARY The purpose of the Case Coordinator position is to support...within this role include: facilitation of pre-certification and payer authorization processes, facilitation of the collaborative management … more
- Nuvance Health (Danbury, CT)
- …community care and navigation services, and the patient and family/caregiver.7. Case Management facilitates daily Multi-Disciplinary Rounds (MDRs) incorporating ... necessary.13.Documents avoidable days (if not captured by another Care Transitions Team member), case management assessments, and care plans in a thorough and… more
- Carle Health (Champaign, IL)
- …requirements regarding documentation standards.Comprehends department specific indicators.Performs case management activities of assessment, coordination, ... physician orders.Completes Home Health Aide supervisory visits.Acts as the coordinator of the health care team in order to...and/or blood draws and flushes per agency protocol. Performs case management for patients assigned to her/his… more
- City of Norfolk, Virginia (Norfolk, VA)
- …a Case Manager III in their Child and Adolescents division. The Case Manager III provides case management services (assessment, treatment planning, ... Case Manager III - Child and Adolescent Services...of care. + Participate in regular supervision with Clinical Coordinator and consult with other team members as needed.… more
- St. Luke's University Health Network (Allentown, PA)
- … management of psychiatric cases in the absence of the utilization management coordinator . PHYSICAL AND SENSORY REQUIREMENTS: Able to communicate effectively ... with mental health illness. Previous experience in discharge planning and case management models preferred.Current Behavioral Health department program for… more
- St. Peters Health (Helena, MT)
- …LICENSE/CERTIFICATION/REGISTRY: Nursing licensure in the State of Montana. Certification in Case Management and/or Utilization Review desired. APTITUDES: * ... Management RN reports directly to Utilization Review RN Coordinator . The UR RN supports the UR RN ...admission exceeds the GMLOS, documentation of avoidable, initiation of authorization request and submission of records for post-acute care… more
- Utilities Service, LLC (Newark, DE)
- **Description** **Construction Management Representative** **Job Summary:** We are seeking a dedicated and experienced Construction Management Representative (CM ... Communicate regularly with responsible engineers and the Owner's Construction Management Representative. + Facilitate project completion and closeout activities,… more
- Ivyhill Technologies LLC (Bethesda, MD)
- …Degree and a minimum of 2 years of experience in Utilization Management , Referral Management , Authorization /Denials, or Medical Claims Processing/Insurance ... Team Ivyhill is currently seeking to hire Referral Management (Non-Nurse) Reviewers to support its contract with the Integrated Referral Management and… more