• Assistant Manager Operations / Full-Time…

    Harmony United Psychiatric Care (Winter Garden, FL)
    …and Director of Operations to ensure appropriate and timely use of Utilization Management guidelines. Compensation Package + Excellent base compensation + ... online telehealth platform. Our services include Psychiatric/Psychological Evaluations, Medication Management , Psychotherapy & Counseling, and Neuropsychological Testing Services. Our… more
    Harmony United Psychiatric Care (11/18/25)
    - Related Jobs
  • Appeals Audit Specialist - McLaren Careers

    McLaren Health Care (Mount Pleasant, MI)
    …education sessions to maintain competency and knowledge of regulations in denials, utilization management , care management , clinical documentation, and ... Responsibilities as Assigned:** 1. Supports activities consistent with Integrated Care Management Denials across all MHC subsidiaries. 2. Accountable for achieving… more
    McLaren Health Care (11/11/25)
    - Related Jobs
  • Authorization Coordinator

    Catholic Health Services (Melville, NY)
    …and accurate according to payer requirements. The role will work closely with Utilization Management , Patient Accounts, and other key stakeholders in the revenue ... has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a...necessity. + Utilize WQs and reports, as assigned by management , to ensure completion of financial clearance functions for… more
    Catholic Health Services (11/24/25)
    - Related Jobs
  • Home Health ICM Coordinator

    UCLA Health (Los Angeles, CA)
    …The Home Health ICM Coordinator plays a key role in supporting our Utilization Management team to ensure safe, high-quality, and cost-effective care for ... patients enrolled in UCLA Medicare Advantage and Intensive Case Management programs. Under the supervision of the RN Assistant Director, you will coordinate… more
    UCLA Health (11/15/25)
    - Related Jobs
  • Lead Patient Service Rep / Call Center - Santa…

    Cedars-Sinai (Santa Monica, CA)
    …support activities to address physician and staff concerns such as facilities management , patient billing, utilization management , quality management ... an administrative team lead for the office. This position supports the physician and nursing staff in the delivery of health care by performing a range of… more
    Cedars-Sinai (10/11/25)
    - Related Jobs
  • Senior Primary Therapist - Eating Disorder PHP/IOP…

    Penn Medicine (Princeton, NJ)
    …Effective and timely completion of documentation as well as coordination with utilization management reviewer. + Performance Improvement + Participate in ... individuals to join an interdisciplinary team of therapists, dieticians, nursing , milieu coordinators, and psychiatric providers to deliver evidence-based care.… more
    Penn Medicine (09/27/25)
    - Related Jobs
  • Connection Center Triage RN

    Dignity Health (Rancho Cordova, CA)
    …RN is responsible for providing telephonic clinical assessment, health education and utilization management services to a variety of patients. **Job ... triage nurse experience + Familiarity with an electronic practice management system **Where You'll Work** Dignity Health Medical Foundation, established in 1993,… more
    Dignity Health (11/09/25)
    - Related Jobs
  • Registered Nurse (RN) - Nursing

    Bon Secours Mercy Health (Suffolk, VA)
    …care sites and clinicians are recognized for clinical and operational excellence. **Registered Nurse (RN) - Nursing Coordinator - Harbour View Medical Office** ... thrive. **Summary of Primary Function** Delivers patient care utilizing the nursing process through data collection and assessment, identifies and determines the… more
    Bon Secours Mercy Health (11/19/25)
    - Related Jobs
  • RN - Neuro ICU (Full-Time, 36, Night)

    Queen's Health System (Honolulu, HI)
    …to, initiation and development of the plan of care, patient/family education, utilization management and discharge planning. II. TYPICAL PHYSICAL DEMANDS ... and Family Treatment Center includes occasionally accompanying patients outdoors. Management of confused/disoriented and combative patients may involve tasks which… more
    Queen's Health System (11/26/25)
    - Related Jobs
  • RN - Interventional Recovery Unit (Full Time, 36,…

    Queen's Health System (Honolulu, HI)
    …to, initiation and development of the plan of care, patient/family education, utilization management and discharge planning. II. TYPICAL PHYSICAL DEMANDS ... and Family Treatment Center includes occasionally accompanying patients outdoors. Management of confused/disoriented and combative patients may involve tasks which… more
    Queen's Health System (11/15/25)
    - Related Jobs