• Utilization Management…

    Saint Francis Health System (Tulsa, OK)
    …in the Patient Care Committee for patient care reviews, and in Utilization Review Staff Committee, providing data and contributing to improvement of internal ... Reviews eligibility and benefits of patients, matching the level of care utilization . Assures compliance with Managed Care Behavioral Health standards in the area… more
    Saint Francis Health System (12/31/25)
    - Related Jobs

  • Utilization Review Nurse

    University of Utah Health (Salt Lake City, UT)
    …communication skills. + Demonstrated knowledge of payers, payer systems, cost effective utilization management and InterQual criteria. + The ability to ... and as a team member. **Qualifications** **Qualifications** **Required** + One year Utilization Review or Case Management experience. **Licenses Required** +… more
    University of Utah Health (10/02/25)
    - Related Jobs

  • Household Coordinator

    Presbyterian Homes and Services (Cottage Grove, MN)
    Overview Presbyterian Homes & Services - Norris Square is seeking a Household Coordinator to join its team. The Household Coordinator is responsible for leading, ... (residents, family and staff). This position will partner with the Clinical Coordinator to lead the Household. REPORTING STRUCTURE: The Household Coordinator … more
    Presbyterian Homes and Services (12/06/25)
    - Related Jobs

  • Social Worker (Program Coordinator )

    Veterans Affairs, Veterans Health Administration (Columbia, MO)
    Summary The incumbent is the Program Coordinator for the Purchased Care programs (HHA, respite, ADHC, VDC) at Truman VA. The incumbent is responsible for development ... the programs and to enable tracking of service activities, utilization of services, patient demographics and other functions. The...drivers' license to stay in compliance with Fleet Car Management policy/procedures which allows them to use a VA… more
    Veterans Affairs, Veterans Health Administration (12/31/25)
    - Related Jobs

  • Dental Treatment Coordinator Lead

    University of Rochester (Rochester, NY)
    …Work Shift: UR - Day (United States of America) Range: UR URCB 206 H Compensation Range: $21.23 - $28.66 _The referenced pay range represents the minimum and ... judgment, performs all routine and non-routine Dental Treatment Plan Coordinator and administrative duties requiring highly advanced customer service skills.… more
    University of Rochester (11/06/25)
    - Related Jobs

  • Department Coordinator IV, OME Student…

    University of Rochester (Rochester, NY)
    …Work Shift: UR - Day (United States of America) Range: UR URG 106 H Compensation Range: $21.36 - $29.90 _The referenced pay range represents the minimum and ... position requires a high degree of self-motivation, independent judgment, time management and exceptional communication skills. This role is multi-project oriented,… more
    University of Rochester (12/05/25)
    - Related Jobs

  • Dental Treatment Coordinator IV

    University of Rochester (Rochester, NY)
    …Core Work Shift: UR - Day (United States of America) Range: UR URCB 206 H Compensation Range: $21.23 - $28.66 _The referenced pay range represents the minimum and ... quality, quantity, and timeliness of tasks performed. + Prepares related logs and management reports. + Assists in the development of goals and objectives for the… more
    University of Rochester (11/06/25)
    - Related Jobs

  • Regulatory Compliance Administrator Hybrid/Remote

    University of Utah (Salt Lake City, UT)
    …State, and Federal guidelines. The incumbent must be highly skilled in time management and possess strong communication skills. The incumbent will work with their ... require coding certification ( CPC , ACS , CCS -P/ H , RHIA , or RHIT ). Preferences Knowledge of..., RHIA , or RHIT ). Preferences Knowledge of utilization review and quality assurance procedures as well as… more
    University of Utah (12/23/25)
    - Related Jobs

  • Predictive Data Analyst / Emergency Appointment…

    The County of Los Angeles (Los Angeles, CA)
    …predictive and prescriptive analytics, to support data-driven program design and management ; and produces dashboards, reports, and other advanced data visualization ... and prevention services including but not limited to forecasting utilization and cost, cost/finance analyses, cost-effectiveness analyses, and predictive/prescriptive… more
    The County of Los Angeles (12/13/25)
    - Related Jobs

  • Regulatory Compliance Manager - Hybrid/Remote

    University of Utah (Salt Lake City, UT)
    …care setting or equivalency; coding certification ( CPC , ACS , CCS -P/ H , RHIA ); knowledge of medical auditing, Federal healthcare program policies and requirements ... human relations and effective communication skills also required. Knowledge of utilization review and quality assurance procedures is preferred. An understanding of… more
    University of Utah (11/15/25)
    - Related Jobs