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Frye Regional Medical Center includes a 355-bed acute care hospital and features a 32-bed Emergency Department, 29-bed Inpatient Rehabilitation Center, 15-bed Surgical Suite and Inpatient/Outpatient Imaging.
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Experience the highest level of appreciation at UM Baltimore Washington Medical Center — named Top Workplace in the Baltimore area by The Baltimore Sun two years in a row (2019 & 2020); Top Workplace in the USA for 2021.
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Prioritizes and performs UM Coordinator duties to maintain workflow functions as primary responsibility or as back up and as applicable to the department. Administrative Coordinator - Utilization Management.
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Assisting the Occupational Therapy Doctoral program (OTD) Academic Fieldwork Coordinator and Doctoral Capstone Coordinator with identifying, establishing and arranging clinical and capstone experience sites in settings across the country matching the education requirements as noted in ACOTE standards for 75-100 graduate students who each need placements in a variety of settings working across the lifespan.
$16.66 an hourFull-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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RN Coordinator - Utilization Management & Discharge PlanningSummaCare - 1200 E Market Ave, Akron, OHPart-Time / 20 Hours / Days (2 days one wk / 3 days next wk)RemoteSummary:While taking direction from the Manager of UM, the UM Coordinator helps daily to prioritize, coordinate, and implement utilization, discharge planning, regulatory and compliance activities with the UM team.
$33.66ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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BLS required within 3 months of hiring if located within hospital Preferred Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred. While you're busy impacting the healthcare industry, we'll take care of you with benefits that may include health/dental/vision, FSA, matching retirement plans, paid vacation, adoption assistance, annual bonus eligibility, and moreSign on bonus availableResponsibilities JOB SUMMARY / PURPOSE The Care Coordinator RN is responsible for overseeing the progression of care and discharge planning for identified patients requiring these services.
$46.96 - $74.63 an hourPart-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Facilitates using Utilization Management (UM) data to identify high-risk/high-cost patients within MTF population, factoring Adjusted Clinical Groups (ACGs) and Illness Burden Index (IBI). Will also function as a member of the care management team including the Recovery Care Coordinator (RCC), Lead Coordinator, Physical Evaluation Board Liaison Officer (PEBLO), Wounded Warrior, and VA Services.
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Assists UM Coordinator with denials and appeals. Assists UM Coordinator with denials and appeals. Please see the St. Bernards Substance Abuse Policy for further information. Facility resource for denials/appeal process and regulatory compliance as it relates to the infusion center.
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Disseminates these to appropriate UM Reviewer and documents actions taken. Gathers required clinical and demographic data for UM and Appeals cases and disseminates to appropriate recipients.
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The UM Coordinator oversees and facilitates medical necessity appeals as the result of concurrent denials. The UM Coordinator functions as the PRO Liaison facilitating the review process for Hospital Issued Notices of Non-Coverage (HINN's) and discharge reviews as they relate to Care Coordinator activities and directing PRO correspondence and cost outliers to the appropriate internal department.
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The Managed Care Compliance and Audit Coordinator will assist with compliance and auditing functions of PHP/ MSO (Management Services Organization), including, but not limited to, internal and external audit activities to the Claims, UM, Credentialing, CM functions, and quality improvement initiatives.
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Reports to Forensic Nurse Examiner Program Coordinator. All employees are responsible for extending the mission and values of UM Baltimore Washington Medical Center by dedicating oneself to providing the highest quality healthcare services to the communities we serve.
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Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred. In addition, the Care Coordinator RN strives to enhance the patient experience. The Care Coordinator RN is responsible for overseeing the progression of care and discharge planning for identified patients requiring these services.
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The Coordinator, International Student Career Services is a full-time, 100%, 12-month appointment position in the UM University Career Center (UCC), in Student Life. The Coordinator focuses on assessing the unique career needs of international students and designing and implementing relevant and scalable services to meet those needs via multiple delivery modes, as a complement to the resources and service's available within UM schools and colleges.
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The Utilization Management (UM) Coordinator will support clinical staff through completion of the administrative and nonclinical coordinator functional components of Utilization Management The Coordinator is responsible for continuous processing and monitoring of the review and authorization process and ensuring the quality, timeliness and accuracy for corresponding documentation.
$92,051.06 - $138,076.59 a yearFull-timeExpandUpdated 24 days ago
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