- Sea Mar Community Health Centers (Everson, WA)
- …Patient-Centered Medical Home processes and provide documentation demonstrating performance. + Review the medical record for quality and utilization indicators ... is a mandatory COVID-19 and flu vaccine organization Care Coordinator II - Posting #25570 Hourly Rate: $22.63 Position...have any questions regarding the position email Karyn Ramirez, Nurse Manager at ###@seamarchc.org Sea Mar is an Equal… more
- Alameda Health System (Alameda, CA)
- …and a resolution is initiated and presented weekly at Medicare or Utilization Review meetings. **MININUM QUALIFICATIONS** : Education: Graduate of accredited ... AHD Minimum Data Set (MDS) Coordinator - PB + Alameda, CA + Park...Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California. Required Licenses/Certifications: Minimum… more
- Nuvance Health (Danbury, CT)
- …principal liaison between emergency services, surgical services, nursing, finance, physicians, utilization review and medical records to ensure appropriate ... *Description* Summary: The Clinical Care Coordinator - Unit is responsible for providing direction...level within the care continuum. Provides clinically based concurrent review of the medical record to assess and procure… more
- Providence (OR)
- …of Care Planning, Discharge Planning, Coordination of Outpatient Care) + Utilization Management Experience (EX. Concurrent Review , Prior Authorization, Medical ... we must empower them.** **Providence Health Plan is calling a Clinical Program Coordinator RN, Medicare / Medicaid who will:** + Provide care coordination, case… more
- Penn Medicine (Philadelphia, PA)
- …the 12 hour shifts but are fearful you will miss patient contact? If so, our nurse case manager role at Penn Medicine is the perfect transition career for you, and ... will bring you joy and fulfillment. The HUP Nurse Case Manager position creates an exciting opportunity for experienced nurses to expand their knowledge and apply it… more
- Prime Healthcare (Chicago, IL)
- …license. 2. Five (5) years of experience in acute hospital setting in a Utilization Review , Case Management, business office or related department. Experience in ... the direction and supervision of the Clinical Manager, the RN Assessment Coordinator is responsible for conducting and coordinating the completion of the resident… more
- Cleveland Clinic (Garfield Heights, OH)
- …experience. As a Safety, Quality and Patient Experience (SQPE) Specialist - Sepsis Coordinator , you will play a critical role in advancing our sepsis care ... compliance with all standards and favorable performance on safety, quality, utilization , and experience metrics. + Participate in engraining the safety, quality,… more
- Catholic Health Initiatives (Houston, TX)
- …candidates. Review medical information, schedule testing including physician and coordinator consultations, collect data, review results and compile data for ... presentation of patient's case at Medical Review Board. + Primary responsibility for the day-to-day course...collaborating with the entire team to control LOS, ICU utilization and document variances. + Serve as a clinician… more
- University of Miami (North Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... has an exciting opportunity for a full-time Core Desk Coordinator with a hire date of September 2025. Be...and assesses the daily schedule to plan optimal staff utilization and functioning of the operative schedule. Maintains effective… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- About The Role MagnaCare provides Utilization Review / Case Management/ Medical Management/Claims Review services to its clients. Care Coordinators facilitate ... care management and utilization review by performing data collection &...data collection & data entry, and effectively communicating with Nurse Case Reviewers/Managers, employers and claimants in regard to… more