• Utilization Review

    New York State Civil Service (Bronx, NY)
    NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator , (NY HELPS), New York City Children's Center - Bronx Campus, P25595 ... York City Children's Center - Bronx Campus is recruiting for a Utilization Review Coordinator to analyze and evaluate quality, effectiveness, and efficiency… more
    New York State Civil Service (04/05/25)
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  • Utilization Review

    HCA Healthcare (Nashville, TN)
    **Description** **Introduction** Do you have the career opportunities as a Utilization Review Coordinator you want with your current employer? We have an ... committed, caring group of colleagues. Do you want to work as a Utilization Review Coordinator where your passion for creating positive patient interactions… more
    HCA Healthcare (04/09/25)
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  • Utilization Review /Quality…

    SUNY Upstate Medical University (Syracuse, NY)
    Job Summary: The Utilization Review /Quality Assurance Coordinator is responsible for all compliance related paperwork and ensures all compliance paperwork is ... completed in a timely manor for the Upstate/Syracuse City School District school-based mental health care program. This position helps ensure successful visits by DNV and OMH when they occur. Monitors and maintains performance improvement indicators on a… more
    SUNY Upstate Medical University (03/04/25)
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  • Utilization Review

    Prime Healthcare (Boonton Township, NJ)
    …#LI-TS1 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/195356/ utilization - review - coordinator ... outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service… more
    Prime Healthcare (02/06/25)
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  • Utilization Review RN (1.0 FTE)

    St. Peters Health (Helena, MT)
    The Utilization Management Nurse reports directly to Utilization Review RN Coordinator . The UR Nurse supports the UR RN Coordinator in providing ... functions for the organization and is responsible for ensuring complaint utilization and cost-effective care delivery. The UR Nurse is responsible for tracking… more
    St. Peters Health (02/15/25)
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  • UR Coordinator

    Community Health Systems (Franklin, TN)
    **Job Summary** The Utilization Review Coordinator ensures efficient and effective management of utilization review processes, including denials and ... timely authorizations for hospital admissions and extended stays. The Utilization Review Coordinator monitors and documents all authorization activities,… more
    Community Health Systems (04/12/25)
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  • UR Coordinator

    San Antonio Behavioral Health (San Antonio, TX)
    The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors ... of approvals from insurers. Responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and efficient use of hospital… more
    San Antonio Behavioral Health (03/30/25)
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  • UR Coordinator

    Georgetown Behavioral Health Institute (Georgetown, TX)
    …is a 118 bed inpatient behavioral health hospital and seeking a full-time Outpatient Utilization Review Coordinator . This position is responsible for working ... help patients access the full range of their benefits through the utilization review process. Requirements + Education: Master's Degree in a relevant field (eg,… more
    Georgetown Behavioral Health Institute (03/19/25)
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  • Medical Review Coordinator I…

    Prime Healthcare (Joliet, IL)
    …licensure. #LI-MP2 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/203251/medical- review - coordinator -i utilization ... status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work independently and use sound… more
    Prime Healthcare (04/04/25)
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  • Quality Assurance Senior Coordinator --UR

    SUNY Upstate Medical University (Syracuse, NY)
    Job Summary: The Utilization Review /Quality Assurance Sr. Coordinator will be responsible for providing clinical information to managed care companies as ... agencies, and other health care related entities. Preferred Qualifications: Utilization Review /Managed Care/Quality Assurance experience. Experience in the… more
    SUNY Upstate Medical University (03/10/25)
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