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The Brook Hospital Dupont located at 1405 Browns Ln is seeking a PRN Utilization Review Coordinator to join our team. Preferred: Three to five years of experience in Utilization Management.
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The Utilization Review Coordinator is responsible for executing the UR function, which includes the implementation of case management scenarios, consulting with all services to ensure the provision of an effective treatment plan for all patients.
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This position will work with all hospital units, business office, medical staff, medical records, utilization review, marketing, nursing, and data processing. Evaluation & Referral Coordinator/Intake CoordinatorAnswer all incoming intake calls and provide appropriate resolution.
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Referral Bonus ProgramAbout Universal Health ServicesOne of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance.
Full-timeExpandUpdated 18 days ago - UpvoteDownvoteShare Job
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QualificationsRequired:Three years nursingBachelor DegreeRegistered NurseDesired:Three years in utilization review, behavioral modification, or case management. ResponsibilitiesThe RN Navigator works closely with patients across all aspects of the continuum of care (primary care physicians, specialists, ancillary services, inpatient and outpatient facilities, wellness programs, etc.
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Work with the regional program director to develop plans and committee oversight for medical care, utilization review, and ethics so that all Kinship PACE quality, medical, and program standards are met.
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Participates in admission, recertification, pre-authorization, and utilization review decisions when needed. Performs peer review of attending physicians’ utilization of services.
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Responsibilities The Brook Hospital Dupont located at 1405 Browns Ln is seeking a PRN Utilization Review Coordinator to join our team. Key Responsibilities include: The UM Coordinator is responsible for managing and coordinating the treatment activities offered to the patient, interface with the treatment team/external case managers/managed care organizations, referring professionals and implementation and supervision of the discharge planning.
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The Department Manager will direct the daily operations of a department including staff training, development, and performance review, utilization of equipment and facilities, safety oversight, quality of services and work product, timely delivery of services and deliverables, and adherence to policies and procedure.
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The Utilization Review coordinator performs activities which support the Utilization Management functions. We are Hiring at UofL Health Utilization Review Coordinators.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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For this position we are seeking a (RN) Registered Nurse with previous experience in Acute Care, Concurrent Review/ Utilization Review / Utilization Management and knowledge of InterQual / MCG guidelines.
$51.49 an hourFull-timeExpandUpdated 1 month ago - UpvoteDownvoteShare Job
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As a Nurse Liaison, you will be an expert in resource management, a master of utilization review, and a compassionate partner for patients and their support network. You are an expert in Utilization Management and have knowledge of URAC and NCQA standards.
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The Utilization Management Representative I will be responsible for coordinating cases for precertification and prior authorization review. Refers cases requiring clinical review to a Nurse reviewer.
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Jobs in this family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management), clinical pharmacy services (such as, therapeutic drug monitoring, drug regimen review, patient education, and medical staff interaction), and oversight (establishing and measuring performance metrics with regard to patient outcomes, medications safety and medication use policies.
$29.06 an hourFull-timeRemoteExpandUpdated 1 month ago - UpvoteDownvoteShare Job
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Enhances the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integration of functions of case management, utilization review and management and discharge planning.
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utilization review jobs in Louisville, KY
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