• Utilization Management

    Sanford Health (MN)
    …- 28.00 **Department Details** Opportunity to work remotely. **Job Summary** Monitors the utilization of resources, risk management and quality of care for ... multiple administrative duties including accurate record keeping and electronic data management when needed. Ability to work with growth and development needs… more
    Sanford Health (02/20/25)
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  • Care Coordinator - SCMG Utilization

    Sharp HealthCare (San Diego, CA)
    …Care Coordinator , under the direct supervision of the Supervisor, Utilization Management Care Coordinators, prepares referral requests for outpatient ... care, as it related to the position.Bring to attention of the Supervisor, Utilization Management Care Coordinators, and UM Manager, areas of UM non-compliance… more
    Sharp HealthCare (02/06/25)
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  • CHS Utilization and Appeals…

    Catholic Health Services (Melville, NY)
    … and Appeals Coordinator will perform activities to help facilitate utilization management and appeals functions to include coordination of specific process ... payment related activities. Position Responsibilities: | Prepares necessary documentation for utilization management and appeals processes, performs data … more
    Catholic Health Services (02/14/25)
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  • Case Manager Utilization Review - Hospital…

    Beth Israel Lahey Health (Burlington, MA)
    …of three years of medical/surgical nursing care experience. -Two years of Case Management or Utilization Management experience desirable. - Demonstrated ... Description:** The Inpatient Registered Nurse (RN) Case Manager for Hospital at Home Care Transitions coordinates utilization review, discharge planning and… more
    Beth Israel Lahey Health (01/15/25)
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  • Medical Foster Home , Social Work Program…

    Veterans Affairs, Veterans Health Administration (Reno, NV)
    …as program coordinator and is administratively responsible for the Medical Foster Home Program. Coordinator manages the daily operation of the program, and ... Prevention Program, Veterans Justice Outreach, Caregiver Support Program and Community Nursing Home Program. The program coordinator may be the sole practitioner… more
    Veterans Affairs, Veterans Health Administration (02/22/25)
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  • Health Home Plus Care Coordinator

    Evergreen Health (Buffalo, NY)
    …care to everyone in our community. The Health Home Plus Care Coordinator applies the essential activities of case management which include assessment, ... Social/Support Services) to patients within the Center for Care Coordination. The Health Home Plus Care Coordinator provides care coordination for patients with… more
    Evergreen Health (02/22/25)
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  • Care Coordinator (Health Home Plus)…

    EAC Network (Central Islip, NY)
    Care Coordinator (Health Home Plus) - Long Island Health Home Job Details Job Location 320 Carleton Avenue, Suite 8000 Central Islip, NY, 11722 - Central ... Category Human Service Join Our Team as a Health Home Plus Care Coordinator with EAC Network!...to facilitate client engagement and address barriers to service utilization . + Documentation & Tracking:Keep detailed records, track client… more
    EAC Network (02/07/25)
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  • Operational Excellence Coordinator

    Champion Home Builders Inc. (Millen, GA)
    …| _Full Time_ **Work in a place where your team values** **YOU** **.** **Champion Home Builder** **s** **, Inc** **.** wants **YOU!** We are seeking to hire an ... **OpEx Coordinator ** to join our team in Millen, GA. **W**...**Dental, vision, and life insurance** . **WHO IS** **CHAMPION HOME BUILDER** **S** **, INC** **.** **?** For decades,… more
    Champion Home Builders Inc. (02/19/25)
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  • Medical Management Coordinator RN

    DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
    …requests. + Reviews cases referred by the prior-authorization non-clinical medical management coordinator and pre-certification technician staff according to ... and goals. + Clearly and succinctly documents necessary and/or required information in Utilization Management system. + Monitors and complies with all state,… more
    DOCTORS HEALTHCARE PLANS, INC. (02/20/25)
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  • Medical Equipment Management

    HCA Healthcare (Vidalia, GA)
    …We care like family! Jump-start your career as a(an) Facility Equipment Coordinator today with Memorial Health Meadows Hospital. **Benefits** Memorial Health Meadows ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
    HCA Healthcare (01/04/25)
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