- State of Indiana (Evansville, IN)
- Utilization Review Coordinator -LPN Date Posted: Jul 18, 2025 Requisition ID: 461455 Location: Evansville, IN, US, 47715 Work for Indiana Begin a fulfilling ... Medicaid Services certification as a Psychiatric Medicare/Medicaid Hospital. Role Overview: The Utilization Review Coordinator performs duties within a… more
- LifePoint Health (Louisburg, NC)
- …job field* **Organization:** **Maria Parham Franklin* **Title:** *Registered Nurse Utilization Review Coordinator * **Location:** *NC-Louisburg* **Requisition ... Registered Nurse (RN) Utilization Review Job Type: Full Time | Day Your experience matters At Maria Parham Hospital, we are driven by a profound commitment to… more
- Avera (Cresco, IA)
- …like to join us on our mission, apply today! **Position Highlights** POSITION SUMMARY: The Utilization Review Coordinator is a member of the nursing team and ... responsible for coordinating medically appropriate, high-quality, cost-effective care in accordance with federal and/or state statutes, regulations and guidelines by reviewing for medical necessity and appropriateness utilizing medical knowledge, established… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Utilization Review /Quality Assurance Coordinator is responsible for all compliance related paperwork and ensures all compliance paperwork is ... completed in a timely manor for the Upstate/Syracuse City School District school-based mental health care program. This position helps ensure successful visits by DNV and OMH when they occur. Monitors and maintains performance improvement indicators on a… more
- San Antonio Behavioral Health (San Antonio, TX)
- The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors ... of approvals from insurers. Responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and efficient use of hospital… more
- San Antonio Behavioral Health (San Antonio, TX)
- The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors ... of approvals from insurers. Responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and efficient use of hospital… more
- Henry Ford Health System (Troy, MI)
- …Under minimal supervision, reviews and screens the appropriateness of services, the utilization of hospital resources and the quality of patient care rendered. ... Science Nursing required OR four (4) years Case Management/ Appeal/ Utilization Management experience in lieu of bachelor's degree. CERTIFICATIONS/LICENSURES… more
- The County of Los Angeles (Los Angeles, CA)
- …OPTION I:One year of experience performing the duties of a Utilization Review Nurse* or Medical Service Coordinator , CCS.** -OR- OPTION II: Two (2) ... UTILIZATION REVIEW NURSE SUPERVISOR I Print...In the County of Los Angeles, a Medical Service Coordinator , CCS (https://www.governmentjobs.com/careers/lacounty/classspecs/1065117) determines medical eligibility of children referred… more
- Cedars-Sinai (Beverly Hills, CA)
- **Job Description** The Case Management Coordinator provides support to the utilization review process. The coordinator works collaboratively with all ... or Management. + Processes Extensions and Denial Letters, when needed. + Prepares Utilization Review Reports as needed. + Assists the Case/Care Managers in… more
- Cedars-Sinai (Beverly Hills, CA)
- …Will be Doing** The Case Management Coordinator provides support to the utilization review process. The coordinator works collaboratively with all team ... or Management. + Processes Extensions and Denial Letters, when needed. + Prepares Utilization Review Reports as necessary. + Assists the Case/Care Managers in… more