- UpvoteDownvoteShare Job
- Suggest Revision
The Clinical Care Coordinator will play a vital role in overseeing Case Management, Utilization Review, and Infection Preventionist functions within this small hospital. Experience in Case Management, Utilization Review, and Infection Preventionist roles within a healthcare setting.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Three to Five (5) years experience in Case Management/Utilization Review (as either CADC, LAADC, LCSW, LMHC, LMFT, or Utilization Review Coordinator). The Utilization Review Specialist will also perform pre-certification reviews, concurrent reviews and will perform appeal reviews as needed.
$48,000 - $52,000 a yearRemoteExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Demonstrates knowledge of utilization review and collaborates with the Utilization Management Specialists to insure the ongoing, comprehensive monitoring and evaluation of patient care, by concurrent and retrospective review to assure appropriate reimbursement.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
- Suggest Revision
The LVN case transition coordinator performs utilization review by using criteria that demonstrate medical necessity to achieve reimbursement for services and ensuring appropriate utilization of hospital resources.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Coordinates, identifies, and/or initiates significant change MDS’ Is prepared to conduct PPS meetings maintaining MDS assessments per Medicare schedule and maintains PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator Remains current with the American Association of Nursing Assessment Coordinators (AANAC) requirements.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
- Suggest Revision
The position’s emphasis will be on care coordination, communication and collaboration with utilization management, nursing, physicians, ancillary departments, insurers and post acute service providers to progress the care toward optimal outcomes at the appropriate level of care.
$46.96 - $74.63 an hourFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
- Suggest Revision
When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Industry: Professional Services, Marketing, Technology, Digital Asset Management (DAM),Category: Content Management System (CMS), Rights Management, Tagging, Metadata, Quality Assurance, Information Science Position Summary: The Digital Content Coordinator is responsible for providing digital content workflow support to our clients, typically working within their DAM, PIM, CMS or other content repository which is a SAAS-accessible application.
$17ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Keep current on federal and state regulatory policies related to utilization management and care coordination (CMS guidelines, Health Plan policies, and benefits) The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients' recovery journeys.
RemoteExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Works with 1915 (i) Care Coordination manager in participating in high-risk multidisciplinary complex case staffing as needed to include Vaya CMO/ Deputy CMO, Utilization Management, Provider Network, and Care Management leadership to address barriers, identify need for specialized services to meet client needs within or outside the current behavioral health system.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
- Suggest Revision
The Utilization Management Coordinator coordinates and monitors daily activities of the utilization management functions of the Care Coordination Department, ensuring the appropriate allocation of hospital resources while maintaining quality of patient care.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Manage assigned caseload in an efficiently and effectively utilizing time management skills. 2+ years of Case Management experience. Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
- Suggest Revision
5+ years of experience as a care manager/utilization management helping individuals with physical/behavioral health needs. Collaborate with AHCCCS and DDD, IHS and 638 Tribal Facilities to improve communication through the utilization of health information exchange (HIE) to improve coordination of care and health outcomes for American Indian members.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Is prepared to conduct PPS meetings maintaining MDS assessments per Medicare schedule and maintains PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator.
ExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Under the direction of the Director of Behavioral Health, Program Manager, or ED Coordinator (as noted above), the Crisis Clinician in the emergency room is responsible for performing a wide range of duties involving patient evaluation, case management, treatment, and discharge planning, and documentation.
ExpandApply NowActive JobUpdated Yesterday
utilization management coordinator jobs
FEATURED BLOG POSTS
What to Say When Terminating an Employee
Terminating an employee is an inevitable part of doing business. Whether you’re re-structuring your department or you’ve identified a few employees who’re not living up to your expectations, letting people go is necessary for keeping your workforce healthy and thriving.
How to Utilize Keywords for Your Job Ads
Before we give you the scoop on how to utilize keywords in job ads, it would be helpful if we defined what keywords are and why they are important. In simple terms,
What Makes a Good Paid Time Off (PTO) Policy
The world of work has undergone some major transformation in recent years. From remote and flexible work to increased emphasis on employee benefits and wellbeing, companies nowadays have to be very intentional about their HR policies and how they approach talent acquisition.
Internal Recruiting: Benefits and 5 Internal Recruiting Methods to Consider
Internal and external recruiting are nearly the same thing. The biggest difference is where candidates are sourced. There are instances where external recruiting may be the best option. However, when you are presented with the opportunity to recruit internally, you should take full advantage of the different internal recruiting methods. Initially you will find that the hiring process gets a little bit easier. Then you'll notice all the other benefits that internal recruiting offers.
How to Answer the Interview Question: What is Your Communication Style?
As a job searcher, you probably have so many questions about job searching. However, once you've landed an interview, your excitement takes your questions to a whole new level. What will you wear? Will you know how to answer all the questions? Have you practiced giving nice firm handshakes?
What Makes a Company a Great Place to Work
After one too many after-hours emails, you’re on the hunt for a new gig. But what makes a company a great place to work? And how will you know when you find one? Finding a motivating, safe, and productive work environment is important for our mental and physical health. If you’re financially frustrated, creatively stuck, or just plain over it, it’s time to find a healthier workplace where you can flourish.
What Makes a Good Boss? The Top 12 Qualities & Attributes
Think back to the best boss you’ve ever had—does someone come to mind? We hope so! Okay, now think back to the worst boss you’ve ever had. I’m sure you can conjure up a few faces.