• Medical Review Coordinator

    Prime Healthcare (Joliet, IL)
    …credentials and licensure. #LI-MP2 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/203251/ medical - review - coordinator -i utilization ... Coordinates and completes the clinical reviews for all patient medical records while working closely with CMO (Chief ...both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able… more
    Prime Healthcare (04/04/25)
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  • Utilization Review

    New York State Civil Service (Bronx, NY)
    NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator , (NY HELPS), New York City Children's Center - Bronx Campus, P25595 ... Children's Center - Bronx Campus is recruiting for a Utilization Review Coordinator to analyze...and evaluate quality, effectiveness, and efficiency of psychiatric and medical services provided to individual diagnosed with mental illness.… more
    New York State Civil Service (04/05/25)
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  • Utilization Review

    HCA Healthcare (Nashville, TN)
    **Description** **Introduction** Do you have the career opportunities as a Utilization Review Coordinator you want with your current employer? We have an ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...of colleagues. Do you want to work as a Utilization Review Coordinator where your… more
    HCA Healthcare (04/09/25)
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  • Utilization Review /Quality…

    SUNY Upstate Medical University (Syracuse, NY)
    Job Summary: The Utilization Review /Quality Assurance Coordinator is responsible for all compliance related paperwork and ensures all compliance paperwork is ... completed in a timely manor for the Upstate/Syracuse City School District school-based mental health care program. This position helps ensure successful visits by DNV and OMH when they occur. Monitors and maintains performance improvement indicators on a… more
    SUNY Upstate Medical University (03/04/25)
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  • Organ Utilization Coordinator

    LifeCenter Northwest (Bellevue, WA)
    Organ Utilization Coordinator Job Details Job Location Bellevue - Bellevue, WA Position Type Full Time Salary Range $75918.00 - $110112.00 Salary Job Posting ... Date(s) Start Date 04/09/2025 Description and Qualifications The Organ Utilization Coordinator (OUC) is accountable for overseeing all activities related to the… more
    LifeCenter Northwest (04/10/25)
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  • CHS Utilization and Appeals…

    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 ... timely follow through. | Reviews providers' requests for services and coordinates utilization /appeals management review . | Assist Utilization and Appeals… more
    Catholic Health Services (02/14/25)
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  • Asst Utilization Coordinator

    WMCHealth (Valhalla, NY)
    Asst Utilization Coordinator - Appeals Company: Westchester Medical Center City/State: Valhalla, NY Category: Nursing/Nursing Management Department: Clinical ... of the procedures specified in the Quality Management, Utilization Review and Discharge Planning Program at Westchester Medical Center. Depending… more
    WMCHealth (03/04/25)
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  • Utilization Review Nurse Supervisor…

    The County of Los Angeles (Los Angeles, CA)
    …administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one of the ... UTILIZATION REVIEW NURSE SUPERVISOR II Print...for and the effective conduct of the system to review patients' medical charts to ascertain the… more
    The County of Los Angeles (03/30/25)
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  • Group Utilization Review Director

    Tenet Healthcare (Detroit, MI)
    …impact of care options May, if licensed RN, oversee work delegated to Utilization Review LVN/LPN and/or Authorization Coordinator . (10% daily, essential) ... management supporting medical necessity and denials prevention. Utilization Management Monitors the review process to...and denials prevention. Utilization Management Monitors the review process to ensure medical necessity patients… more
    Tenet Healthcare (04/20/25)
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  • Case Manager Utilization Review

    Beth Israel Lahey Health (Burlington, MA)
    …a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse Onsite at Lahey Hospital and Medical Center in Burlington Hospital ... patient discharge. 14) Works with the Post Acute Care Coordinator to facilitate timely patient access to post acute...-Case Manager experience as well as Utilization Review experience ( review medical necessity… more
    Beth Israel Lahey Health (04/16/25)
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