- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... required to achieve that purpose. Job Summary The Utilization Management (UM) Admissions Liaison RN II is primarily responsible for receiving/reviewing… more
- The Arc Erie County NY (Williamsville, NY)
- …information with regards to supports and services offered + Monitoring program utilization with regards to admissions /discharges + Participates and follows up ... , Discharges, etc., and updates these as necessary. + Monitors program utilization with regards to admissions /discharges + Participates and follows up… more
- University of Rochester (Rochester, NY)
- …Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500016 Admissions Center-SMH Work Shift: UR - Rotating (United States of America) Range: ... **Responsibilities:** GENERAL SUMMARY Coordinates or manages inpatient and outpatient admissions , including bed assignments and the completion of preliminary… more
- University of Rochester (Rochester, NY)
- …Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500016 Admissions Center-SMH Work Shift: UR - Rotating (United States of America) Range: ... financial eligibility, secures account for billing and coordinates account management through discharge Completes appropriate forms to complete Death Certificate… more
- Ochsner Health (New Orleans, LA)
- …(CCM), Certified Professional Utilization Review (CPUR), Certified Professional in Utilization Management (CPUM) or Certified Professional in Healthcare ... in the delivery of patient care. Preferred - Experience in case management or utilization review. **Certifications** Required - Current Registered Nurse… more
- Alameda Health System (Oakland, CA)
- System Utilization Management SUM Utilization Review RN + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Evening ... FTE:1 + Posted:July 14, 2025 **Summary** **SUMMARY:** The System Utilization Management [SUM] Utilization Review...each individual in the classification. 1. Acts as a liaison between payers, billing, and medical staff by supplying… more
- Alameda Health System (Oakland, CA)
- System Utilization Management SUM Specialist + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Care ... FTE:1 + Posted:July 18, 2025 **Summary** **SUMMARY:** The System Utilization Management (SUM) Care Without Delay RN...each individual in the classification. 1. Acts as a liaison between payers, billing, and medical staff by supplying… more
- Wellpath (Lemoyne, PA)
- … utilization of medical services. The Medical Director of Utilization Management serves as a key liaison with external partners and stakeholders, and ... **How you make a difference** The Medical Director of Utilization Management leads and oversees utilization...to reduce length of inpatient stays and decrease ED admissions . + Evaluate and recommend policy improvement related to… more
- Somatus (Cleveland, OH)
- …accessing resources to adhering to a physician's treatment plan upon discharge. The Hospital Liaison will work with the RNCM, case management and care givers to ... leadership and/or provider engagement to build relationships with case management teams at strategic facilities in assigned area as...ongoing conversations and plans to address areas to reduce admissions and cost utilization + Other duties… more
- UNC Health Care (Rocky Mount, NC)
- …reviews for private insurance companies, Medicare and Medicaid, in accordance with utilization review guidelines. 2. Reviews assigned patients' cases prior to, or ... for pathways, protocols, or guidelines that could improve patient care and utilization of resources. Effectively collaborates with and mobilizes resources and team… more
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