- Humana (St. Paul, MN)
- …put health first** The UM Administration Coordinator 2 contributes to administration of utilization management . The UM Administration ... part of our caring community and help us put health first** The UM Administration Coordinator 2 provides non-clinical support for the policies and procedures… more
- Veterans Affairs, Veterans Health Administration (Biloxi, MS)
- …knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care ... knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care… more
- Veterans Affairs, Veterans Health Administration (Fargo, ND)
- …The Fargo VA Health Care System is recruiting for 1 full-time Program Coordinator for the Rural Access for Network Growth Enhancement (RANGE) program. This position ... will be filled by a Social Worker (Program Coordinator ) or a Licensed Professional Mental Health Counselor (Program Coordinator ). This position is eligible for… more
- Veterans Affairs, Veterans Health Administration (Fargo, ND)
- …The Fargo VA Health Care System is recruiting for 1 full-time Program Coordinator for the Rural Access for Network Growth Enhancement (RANGE) program. This position ... will be filled by a Social Worker (Program Coordinator ) or a Licensed Professional Mental Health Counselor (Program Coordinator ). Responsibilities The Intensive… more
- Veterans Affairs, Veterans Health Administration (Fargo, ND)
- …forms. Evaluate resources and trends to support continuous improvement of resource utilization and management of Community Care expenditures. Serve as point ... Summary The Registered Nurse - Community Care Nurse Coordinator works collaboratively with the interdisciplinary care team including Referral Care Initiative (RCI)… more
- Veterans Affairs, Veterans Health Administration (Manchester, NH)
- …knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care ... Summary This Registered Nurse- Clinical Nurse Coordinator position is located in the Office of...the continuum of care, patient and family education, Veteran self- management after discharge, and supporting factors that impact customer… more
- Tenet Healthcare (Detroit, MI)
- …national standards for case management scope of services including: Utilization Management services supporting medical necessity and denial prevention ... potentially avoidable days Other duties as assigned. POSITION SPECIFIC RESPONSIBILITIES: Utilization Management Balances clinical and financial requirements and… more
- The County of Los Angeles (Los Angeles, CA)
- …SELECTION REQUIREMENTS: OPTION I:One year of experience performing the duties of a Utilization Review Nurse* or Medical Service Coordinator , CCS.** -OR- OPTION ... UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply... Review Nurse is an RN that has Case Management experience whose primary charge is to ensure that… more
- Humana (Jackson, MS)
- …the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing...room, trauma units, etc. + Experience as an MDS Coordinator or discharge planner in an acute care setting… more
- Veterans Affairs, Veterans Health Administration (Glendale, CO)
- …knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care ... regulations, and Veteran Health Administration (VHA) standards and guidelines. Uses nursing knowledge and systems theory to assess, organize, facilitate, and guide… more
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