- Guthrie (Troy, PA)
- …CPT/ICD coding, medical record or chart auditing, and experience in utilization management processes preferred. Knowledge of computer applications (such as ... to a $15,000.00 Sign on Bonus! Summary The LPN Utilization Management (UM) Reviewer, in collaboration with...with the hospital Business Office, physician offices, Care Coordination, Medical Director and other hospital departments as… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …nursing judgement, and when necessary, discussions with the provider team and/or Medical Director of UR. + Primary duties and responsibilities: Operational ... and when necessary, discussions with the provider team and/or Medical Director of UR. 3. Performs appropriate...extended recovery admissions as required based on Emory Healthcare's Utilization Management Plan and the UR Department… more
- Integra Partners (Troy, MI)
- The Utilization Management (UM) Nurse Team Lead plays a key role in supporting the day-to-day operations of the UM team and serves as a liaison between frontline ... limited to: + Support the day-to-day operations of the Utilization Management team + Provide leadership, guidance,...and clinical appeals and refer as needed to the Medical Director + Communicate effectively and professionally… more
- Seattle Children's (Seattle, WA)
- …for children with medical complexity Current or previous hospital case management or utilization review experience Current or previous case management ... In partnership with the director , Care Coordination provides leadership, supervision, and oversight...supervision, and oversight of day-to-day operations of the Case Management department. Serves as the central resource to the… more
- Houston Behavioral Healthcare Hospital (Houston, TX)
- …Utilization Management Coordinator, Monday-Friday, 8a-4p. The Lead Utilization Management Coordinator will report to the Director of Utilization ... Review and will be responsible to provide quality case management services to all patients and their families, to...provided to patients or on behalf of patients in medical record and AIS. + Performs required task/duties accurately… more
- CVS Health (Tallahassee, FL)
- …every day. **Position Summary** **Fully remote with requirement to reside in Florida.** + Utilization Management is a 24/7 operation and the work schedule may ... use specific criteria to authorize procedures/services or initiate a Medical Director referral as needed. **Required Qualifications**...in Florida + 3+ years of clinical experience + Utilization Management is a 24/7 operation and… more
- University of Utah Health (Salt Lake City, UT)
- …and trust that are integral to our mission. EO/AA_ The Staff Utilization Coordinator is responsible for providing healthcare operational support services, including ... Timekeeping team. Collaborating closely with Nursing Leadership, the Staff Utilization Coordinator reviews and develops schedules based on agreed-upon staffing… more
- Children's Mercy Kansas City (Kansas City, MO)
- …of our hospital. Overview To provide leadership to integrated inpatient teams; assists Director in the management of department; including personnel and fiscal ... of, and training oversight of programs and services. Responsible for effective utilization review and proper resource management of patients, including patient… more
- Covenant Health (Nashua, NH)
- Summary Conducts medical necessity reviews in accordance with the Utilization Management (UM) plan for patients that are housed on a nursing unit, to include ... required + Minimum of five years broad clinical experience preferred + Case management and/or Utilization Management experience is preferred + Certification… more
- Reno Behavioral Healthcare Hospital (Reno, NV)
- …care issues with the Director of Clinical Services and Chief Medical Officer/ Medical Director as appropriate. + Coordinates an interdisciplinary ... approach to support continuity of care. + Provides utilization management , transfer coordnation, discharge planning, and issuance of all appropriate… more