• Utilization Review

    New York State Civil Service (New York, NY)
    …illness. Candidates from outside or within State Service can apply.As a Utilization Review Coordinator , your duties will include:* Reviewing clinical ... care facility regulated by Centers for Medicare and Medicaid Services Utilization Review Standards, or*...on the current Utilization Review Coordinator eligible list.ORCandidates within State Service can… more
    New York State Civil Service (06/12/25)
    - Related Jobs
  • Case Manager and Utilization Review

    Scottish Rite for Children (Dallas, TX)
    …to giving children back their childhood! Job Posting Title: Case Manager and Utilization Review Coordinator Location: Dallas - Hospital Additional Posting ... and other areas as assigned + Serve on the Utilization Review Committee for the Scottish +...Develop and implement individualized care plans + Coordinate medical services and resources + Monitor and evaluate patient progress… more
    Scottish Rite for Children (05/23/25)
    - Related Jobs
  • Registered Nurse Utilization Review

    LifePoint Health (Louisburg, NC)
    …job field* **Organization:** **Maria Parham Franklin* **Title:** *Registered Nurse Utilization Review Coordinator * **Location:** *NC-Louisburg* **Requisition ... Registered Nurse (RN) Utilization Review Job Type: Full Time... plan, which ensures the appropriate use of hospital services , admissions, and extended stays. Key responsibilities include: -… more
    LifePoint Health (05/15/25)
    - Related Jobs
  • Utilization Review Services

    HCA Healthcare (Nashville, TN)
    …**Introduction** Do you want to join an organization that invests in you as a Utilization Review Services Coordinator ? At Parallonr, you come first. ... 3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off...make a difference. We are looking for a dedicated Utilization Review Services Coordinator more
    HCA Healthcare (06/05/25)
    - Related Jobs
  • 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 ... or health care related setting required. Excellent communication and customer service skills required for interface with health care providers, payers, regulatory… more
    SUNY Upstate Medical University (06/03/25)
    - Related Jobs
  • UR Coordinator

    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 ... from insurers. Responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective...* Communicate with insurance providers to obtain authorization for services as needed. * Conduct utilization reviews… more
    San Antonio Behavioral Health (03/30/25)
    - Related Jobs
  • UR Coordinator

    Georgetown Behavioral Health Institute (Georgetown, TX)
    …is a 118 bed inpatient behavioral health hospital and seeking a full-time Outpatient Utilization Review Coordinator . This position is responsible for working ... managed care systems for the authorization, concurrent and retrospective review of inpatient admissions and services . Key...access the full range of their benefits through the utilization review process. Requirements + Education: Master's… more
    Georgetown Behavioral Health Institute (03/19/25)
    - Related Jobs
  • PRN UR Coordinator

    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 ... status of approvals from insurers. Responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and efficient use of… more
    San Antonio Behavioral Health (05/28/25)
    - Related Jobs
  • Program Coordinator -(OMH) LIP Washington…

    Comunilife (New York, NY)
    …and maintain Comunilife policies and procedures, quality assurance, utilization review and outreach activities. The Program Coordinator will collaborate with ... Program Coordinator -(OMH) LIP Washington Heights Job Details Job Location...None Job Shift Day Job Category Nonprofit - Social Services Description Comunilife Inc. is looking to fill a… more
    Comunilife (03/18/25)
    - Related Jobs