- Dignity Health (Los Angeles, CA)
- **Job Summary and Responsibilities** As our Quality Coordinator , you will be a pivotal driver of excellence, implementing and overseeing initiatives to enhance ... administrative staff in the above procedures. + Assists Director in coordinating UR meetings with clinical staff. + Conducts internal audit and utilization review… more
- University of Rochester (Rochester, NY)
- …**Opening:** Work Shift: Number of hours and shift vary depending on assignment Range: UR URG 103 H Compensation Range: $17.43 - $24.40 _The referenced pay range ... represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education,… more
- University of Rochester (Rochester, NY)
- …**Opening:** Work Shift: Number of hours and shift vary depending on assignment Range: UR URG 102 H Compensation Range: $17.00 - $22.10 _The referenced pay range ... represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education,… more
- Corewell Health (Royal Oak, MI)
- …review cases for medical necessity, uses InterQual and/or other UR /UM Committee-approved medical necessity screening criteria, when appropriate. Works ... collaboratively with departmental, revenue cycle, and clinical appeals staff, physicians, and payers to obtain authorization for care and appropriate reimbursement. Determines and assures appropriate status and level of care. Uses defined resources to guide… more
- Henry Ford Health System (Wyandotte, MI)
- …BSN preferred. * One (1) year of Behavioral Health clinical, intake or UR experience required. Additional Information + Organization: Henry Ford Wyandotte Hospital + ... Department: Adult Psych-WH + Shift: Rotating + Union Code: Not Applicable Additional Details This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It… more
- Prime Healthcare (Inglewood, CA)
- …CMO (Chief Medical Officer). Actively participates in the Case management and UR meetings. Serves as on-going educator to all departments. Responsible for reviewing ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/231150/medical-review- coordinator /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityCentinela Hospital… more
- ASM Global (Lake Charles, LA)
- …financial records and information. Working Conditions: Re quir es a bi li tytow ork flexibleho ur s , includingnights , weeken ds andholi da ys , inadditi on to norm ... al businesshou rs . Physic al re quiremen ts inclu de wa lking , stooping , lifti ng up to 3 0 lbs . and sta ndingf or ex te nd ed perio ds of time . Thisde scr i pt ionp ort raysingener al t er msthety pe andlevels of w ork perform ed andnotin te nded to… more
- Community Based Care of Brevard, Inc. (Rockledge, FL)
- …nt ai nsinform ati on re g ar ding the env ir onmentof cur r ent serv ices to ens ur eafle xi ble, resp onsive, cul tu r ally compe tent s er vi ce d el iverysy st ... em . Technical/Functional Expectations: 1. Authorization Coordination-Essential Function: This is strongly recommended to ensure timely delivery of appropriate services while managing the budget allocations and identifying alternative community resources as… more
- WMCHealth (Margaretville, NY)
- …and community members with HCP + Assists in continuous QI + Swing bed Coordinator + Interprets, supports, and recommends Swing Bed policies and procedures + Covers ... UR as needed and attend UR meetings + Inservice new employees + Collection and reporting of data for QI plan + Adheres to NASW Code of Ethics + Maintains… more
- University of Rochester (Brighton, NY)
- …time Scheduled Weekly Hours: 40 Department: 500108 Health Equity Prog Support Ofc Work Shift: UR - Day (United States of America) Range: UR URCA 207 H ... to build up caseload (10%) + Work collaboratively with the Referral Coordinator to determine appropriate candidates for new referrals, reinforce existing connections… more