- Trinity Health (Syracuse, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** The RN Utilization Management Nurse Coordinator is responsible for both concurrent and ... retrospective inpatient and outpatient services, in accordance with the utilization requirements and 3rd party payor contracts. The UM department is responsible for… more
- Catholic Health Services (Melville, NY)
- …Health was named Long Island's Top Workplace! Job Details Position Summary: The Utilization and Appeals Coordinator will perform activities to help facilitate ... are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover...through. | Reviews providers' requests for services and coordinates utilization /appeals management review . | Assist Utilization… more
- Evolent (Hartford, CT)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management** at Evolent will serve as a point of ... requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly to the… more
- Sanford Health (WI)
- …**Weekly Hours:** 40.00 **Salary Range:** $21.50 - $28.00 **Job Summary** Monitors the utilization of resources, risk management and quality of care for patients in ... hospitalization to ascertain medical necessity and appropriateness. Assists with retrospective review of specified charts as required. Ability to interact on an… more
- University of Utah Health (Salt Lake City, UT)
- …and as a team member. **Qualifications** **Qualifications** **Required** + One year Utilization Review or Case Management experience. **Licenses Required** + ... Criteria, knowledge of ICD-9, DRG's and CPT Codes. + Utilization Review Certification designation. + Knowledge of...Statement** _University of Utah Health Hospitals and Clinics, a part of The University of Utah, values candidates who… more
- Beth Israel Lahey Health (Burlington, MA)
- …you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse Onsite at Lahey Hospital and Medical Center in Burlington ... Case Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality...status patients by working with physicians to ensure appropriate utilization . 9) Is part of the department's… more
- Prime Healthcare (Garden Grove, CA)
- …communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Works with health information ... management staff, coding staff, physicians, financial services, onsite and remote utilization review teams with regards to admission criteria, medical necessity,… more
- American Airlines (Boston, MA)
- …you'll love this job** + 1-2 sentences about the role + The role is a part of the [INSERT TEAM NAME] team within our [INSERT DEPARTMENT NAME] group. You'll bring ... (TCSM), gate manager (GMS), business partners, and appropriate Turn Coordinator **Turn Coordinator ** + Facilitate turns of...aircraft to mitigate delays and/or achieve on-time departures + Review aircraft turns below minimum ground time or out… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Utilization Review Coordinator ensures efficient and effective management of utilization review processes, including denials and ... timely authorizations for hospital admissions and extended stays. The Utilization Review Coordinator monitors and...physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the… more
- Access Dubuque (Dubuque, IA)
- …care delivery processes, and quality improvement, including tracking of resource utilization and outcome measures. The patient care coordinator supports ... Patient Care Coordinator **MercyOne** 1 Positions ID: TRHEUS00582346MERCYO Posted On 04/19/2025 **Job Overview** **Employment Type:** Full time **Shift:** Day Shift… more
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