- Saint Francis Health System (Tulsa, OK)
- …participates in the Patient Care Committee for patient care reviews, and in Utilization Review Staff Committee, providing data and contributing to improvement of ... support to the hospital and treatment team throughout the review of patients, their placement in various levels of...and benefits of patients, matching the level of care utilization . Assures compliance with Managed Care Behavioral Health standards… more
- LifeCenter Northwest (Bellevue, WA)
- … (OUM) provides strategic leadership and operational oversight for the Organ Utilization Coordinator Team (OUCT), directing key aspects of abdominal organ ... JOB FUNCTIONS General Responsibilities + Lead and engage daily with the Organ Utilization Coordinator (OUC) team in donor case operations, developing and… more
- Sharp HealthCare (San Diego, CA)
- …roundsReviews every patient under assigned workload initially and reviews based on review of care plan.Makes rounds and sees every patient identified per ... departmental guidelines during hospital stay beginning with the admission review of the case manager and reviews with the...quality of care issues encountered in the course of review .Serves as a resource for staff (as needed), and… more
- Dignity Health (Bakersfield, CA)
- …in the quarterly business review to integrate drug procurement and drug utilization . The coordinator will "take call" as necessary to address emergent ... **Job Summary and Responsibilities** The Clinical Pharmacy Coordinator is responsible for coordinating the clinical programs and decentralized provision of… 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
- St. Peters Health (Helena, MT)
- The Utilization Management RN reports directly to Utilization Review RN Coordinator . The UR RN supports the UR RN Coordinator and other UR team ... members in providing all identified utilization review functions for the organization to...are utilized effectively and efficiently; engages the UR RN Coordinator with improvement ideas when deviations of best practice… more
- Elderwood (Waverly, NY)
- …Insurance Companies + Knowledge of Medicare and Medicaid Managed Care Policies and Utilization Review . Managed Care Coordinator Skills and Competencies + ... Salary $ 20 / $ 22 Overview Managed Care Coordinator Overview Mon-Fri 8am-4pm The Managed Care Coordinator assists and supports the LPN/RN MDS Coordinator … more
- Northeast Family Services (Manchester, NH)
- …with interactions of staff + Participate in development of training plans for data utilization + Acts as project coordinator for all Clinical Quality related ... join our growing team as Clinical Data and Quality Coordinator . As an important member of the operations and...role, as well as establishing KPIs, QA Plans, data utilization , monitoring, and reporting on compliance. If you're looking… more
- Community Based Care of Brevard, Inc. (Orlando, FL)
- …foster homes and group home providers and other specialized settings to monitor utilization . The Placement Support Coordinator ensures the timely coordination of ... Salary: $57,000/year Position Summary: The Placement Support Coordinator ensures placement stabilization of high-end children youth in licensed out of home care and… more