- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... required to achieve that purpose. Job Summary The Utilization Management (UM) Admissions Liaison RN II is primarily responsible for receiving/reviewing… more
- Cedars-Sinai (CA)
- …Assists with investigation and follow-up regarding customer complaints. + Serves as liaison with other units in the Admissions department. \#Jobs-Indeed ... of service cash collections and cash flow, and provide efficient and appropriate utilization of resources. Acts as a resource for team members by assisting with… more
- Ochsner Health (New Orleans, LA)
- …(CCM), Certified Professional Utilization Review (CPUR), Certified Professional in Utilization Management (CPUM) or Certified Professional in Healthcare ... in the delivery of patient care. Preferred - Experience in case management or utilization review. **Certifications** Required - Current Registered Nurse… more
- Trinity Health (Albany, NY)
- …is to provide on-site support and assistance to hospital case management and hospitalist team to ensure timely identification of inpatients appropriate ... members, referral sources, and external payers regarding the effective and efficient utilization of program services and available resources. + Screening of clients… more
- Fairview Health Services (St. Paul, MN)
- **Overview** M Health Fairview has an immediate opening for a Utilization Management Supervisor. This is a 1.0 FTE (80 hours per two week pay period), ... salaried/exempt role. This position is benefits-eligible. The Utilization Management Supervisor is responsible for the...and various other responsibilities to support the nursing and liaison UM staff. He/she will work closely with the… more
- ERP International (Nellis AFB, NV)
- …No Call, No Weekends, No Holidays! **Job Specific Position Duties:** * Provides Utilization Management activities and functions by using MTF specific Quality ... management disciplines to include discharge planning and referrals for case management . * Utilization management duties incorporate discharge planning to… more
- Ochsner Health (New Orleans, LA)
- …at Ochsner Health and discover your future today!** The Physician Advisor (PA- Utilization Management ) serves as the physician leader in matters relating ... Post-Acute teams, Payors, Administration and Revenue Cycle) to improve utilization management , sustain quality goals, and act...quality control, and patient safety + Act as a liaison with payers to facilitate approvals and prevent denials… more
- Genesis Healthcare (NM)
- …the communities we serve. Responsibilities Join the Genesis team as a Clinical Liaison -- LPN where your marketing/sales and clinical skills will be fully engaged.to ... recent clinical experience. 3. Valid driver's license. 4. Preferred case management experience. 5. Experience in business/development preferred. 6. Prior experience… more
- Sharp HealthCare (San Diego, CA)
- …The UM Care Coordinator, under the direct supervision of the Supervisor, Utilization Management Care Coordinators, prepares referral requests for outpatient ... Us emails, Customer Service emails and CSRs, and Network Management referral requests.Serve as a liaison to...related to the position.Bring to attention of the Supervisor, Utilization Management Care Coordinators, and UM Manager,… more
- Kelsey-Seybold Clinic (Houston, TX)
- …Title: Utilization Review Specialist (LVN)** **Location: Remote** **Department:** ** Utilization Management ** **Job Type: Full Time** **Salary Range: $60,306 ... care services requiring authorization prior to services being rendered for members. The Utilization Review Specialist (LVN) serves as a liaison in reviewing… more