- Behavioral Center of Michigan (Warren, MI)
- Under general supervision, the Utilization Review Coordinator provides professional assessment, planning, coordination, implementation and reporting of ... clinical data and supports the operations of Samaritan Behavioral Center. The Utilization Review Coordinator reviews the patient's chart and records clinical… more
- Sedgwick (Knoxville, TN)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Utilization Review Coordinator **PRIMARY PURPOSE** : To assign ... utilization review requests; to verify and enter data in appropriate...and RESPONSIBILITIES** + Accesses, triages and assigns cases for utilization review (UR). + Responds to telephone… more
- PeaceHealth (Eugene, OR)
- **Description** PeaceHealth is seeking a RN Admissions Coordinator / Utilization Review - Psychiatric Unit for a Per Diem/Relief, 0.00 FTE, Variable position. ... / Location Specific Notes** Oregon: Assumes job functions of a Transfer Coordinator as needed. CareConnect access. PeaceHealth is committed to the overall wellbeing… 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
- Prime Healthcare (Reno, NV)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/226984/medical- review - coordinator -- utilization ... status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work independently and use sound… more
- Henry Ford Health System (Warren, 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
- New York State Civil Service (Sherrill, NY)
- …Pathologist 2, Teacher 4 (and all parenthetics), Training Specialist 1 (Nursing), and Utilization Review Coordinator . Additional Comments * If you are ... policy, treatment, and therapeutic programs, and serves on committees such as placement, utilization review , medical records review , and related committees,… more
- St. Bernard's Medical Center (Jonesboro, AR)
- …appropriateness by collaborating with MD, Patient Placement Coordinator , and Utilization Review Coordinator . Complies with guidelines, institutional ... policies and procedures, and other information to determine appropriate transfers and admissions into Medical Center, Emergency Department, and St. Bernards Behavioral Health. more
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