Utilization Management Coordinator

2 weeks ago

Bartow, United States YesCare Full time

Experience & Requirements:

  • Licensed Registered Professional Nurse currently registered to practice in state of facility.
  • Minimum of five (5) years prior hospital experience with five (5) years corrections experience
  • Minimum of two (2) years prior experience with UM preferred
  • Minimum of one (1) year prior experience with McKesson InterQual systems preferred
  • Previous training and demonstrated competence in Quality Assurance
  • Computer knowledge required
  • Maintains current BLS certification

A background check, security clearance and drug screening are required for this role.

YesCare is an Equal Opportunity/Affirmative Action Employer. In compliance with federal and state employment opportunity laws, qualified applicants are considered for all positions without regard to race, gender, national origin, religion, age, sexual orientation, disability, Vietnam era veteran, or disabled Veteran status. EOE including Disability/Protected Veterans.

Responsibilities:

Below is a list of your responsibilities as a Utilization Management Coordinator with YesCare:

  • Confirms admissions with outside hospitals and notifies the Utilization Management Department of need to report justification for admission
  • Monitors hospitalized patients status and reports back to the Program Manager on site.
  • Provides daily inpatient reports to the HSA and HSS at each institution
  • Works with attending physician and the providers of the Utilization Management Department to arrange discharge plan
  • Coordinates with the hospital utilization nurse to expedite discharge and avoid excessive lengths of stay
  • Notifies appropriate personnel of any hospitalization longer than five (5) days
  • Responsible for ensuring the monthly report is sent to each site and participates in Utilization Review with Clinical Director and other personnel as required
  • Provides assistance in the development and implementation of Utilization Management Policies and Procedures
  • Assists in approval process of outside services
  • Assists in data entry
  • Communicates denial of inpatient charge to providers
  • Assists in negotiating charges and arrangements for outside services
  • Continually seeks inventive methods for reducing outside services costs
  • Reviews forms for completeness and accuracy
  • Serves as resource to sites and providers for authorization numbers
  • Forwards daily inpatient case management abstracts to Corporate UM
  • Reviews requests for outpatient services, codes, and forwards to Corporate UM Medical Director
  • Performs monthly audit of Inpatient, ER and Outpatient Events
  • Performs hospital review of complicated and extended stay cases
  • Provides in-servicing of staff on areas of expertise
  • Liaison between Corporate UM, institution physician and off-site hospital staff
  • Complies with all rules, directives, policies, procedures and protocols of client and YesCare
  • Assumes additional duties as necessary.

YesCare Benefits (only applicable for full-time positions)

  • Health, Dental and Vision Insurance
  • Life and Disability Insurance
  • Generous PTO plan
  • 401k with matching funds
  • Employee Discount and Rewards Program
  • Tuition Assistance
  • Continuing Education Reimbursement

#LI-RC1

About YesCare Health:
Correctional healthcare is not just a job. Its a calling.

By choosing a career with YesCare, you are choosing the opportunity to truly make a difference in the health, well-being, and future of the patients you serve. We take pride in being a pioneer provider of correctional healthcare. As a YesCare professional, you have access to the resources and support to enhance your skills, build a solid foundation to reach your career potential, and contribute to the care and well-being of an underserved population. There is no greater calling. Join YesCare today and be part of our legacy of innovation and clinical expertise.

  • Utilization Management Coordinator

    4 weeks ago

    Bartow, United States YesCare Full time

    Experience & Requirements: - Licensed Registered Professional Nurse currently registered to practice in state of facility. - Minimum of five (5) years prior hospital experience with five (5) years corrections experience - Minimum of two (2) years prior experience with UM preferred - Minimum of one (1) year prior experience with McKesson InterQual systems...

  • Asset Utilization Manager

    6 days ago

    Bartow, United States American Compliance Technologi Full time

    The Asset Utilization Manager is responsible for managing and overseeing the companies’ fleet, equipment, and inventory to ensure optimal utilization, cost of ownership and revenue. This would include managing fleet, equipment acquisitions/disposals inventory levels and restocking for all offices. **DUTIES AND RESPONSIBILITIES**: Oversee the functions of...

  • Asset Utilization Manager

    1 month ago

    Bartow, United States American Compliance Technologi Full time

    Job DescriptionJob DescriptionThe Asset Utilization Manager is responsible for managing and overseeing the companies’ fleet, equipment, and inventory to ensure optimal utilization, cost of ownership and revenue. This would include managing fleet, equipment acquisitions/disposals inventory levels and restocking for all offices.DUTIES AND...

  • Asset Utilization Manager

    4 weeks ago

    Bartow, United States American Compliance Technologi Full time

    Job DescriptionJob DescriptionThe Asset Utilization Manager is responsible for managing and overseeing the companies’ fleet, equipment, and inventory to ensure optimal utilization, cost of ownership and revenue. This would include managing fleet, equipment acquisitions/disposals inventory levels and restocking for all offices.DUTIES AND...

  • Wet Utilities Project Manager

    2 weeks ago

    Bartow, United States Gpac Full time

    GPAC, in collaboration with a top-tier company specializing in municipal infrastructure construction, is currently seeking a highly motivated and experienced Project Manager to oversee wet utilities projects. The ideal candidate will play a pivotal role in managing projects related to underground utilities, lift stations, storm drainage, gravity sewer,...

  • Utilities Service Technician

    1 month ago

    Bartow, United States Polk County - Florida Full time

    Utilities Service Technician II Paygrade 8 - Non-Exempt $16.36hr. * This position is covered by a collective bargaining agreement * NOW OFFERING $1,000 SIGN ON BONUS!! MAJOR FUNCTION: Performs a variety of customer service field work for water customers. Duties include reading meters and performance of basic and semi-skilled maintenance and preventative...

  • Project Coordinator

    3 weeks ago

    Bartow, United States Global Environmental and Industrial Response LLC Full time

    **Global Environmental & Industrial Response (GEIR)** is looking for a Project Coordinator. This position supports project managers by overseeing administrative tasks, ensuring resource availability and the completion of day-to-day scheduling. **About Us**: Global Environmental and Industrial Response works with our clients to understand environmental,...

  • Digital Marketing Coordinator

    4 weeks ago

    Bartow, United States Rita Staffing Full time

    Job DescriptionJob DescriptionWe are looking for a digital marketing coordinator to support and optimize our organization's digital marketing programs. Initially this position will focus on email marketing and may also assist in coordinating social media marketing. Duties for the digital marketing coordinator will include planning, designing, and testing...

  • Digital Marketing Coordinator

    4 weeks ago

    Bartow, United States Rita Staffing Full time

    Job DescriptionJob DescriptionWe are looking for a digital marketing coordinator to support and optimize our organization's digital marketing programs. Initially this position will focus on email marketing and may also assist in coordinating social media marketing. Duties for the digital marketing coordinator will include planning, designing, and testing...

  • Project Coordinator

    3 weeks ago

    Bartow, United States Global Environmental and Industrial Response LLC Full time

    Job DescriptionJob DescriptionSalary: Global Environmental & Industrial Response (GEIR) is looking for a Project Coordinator. This position supports project managers by overseeing administrative tasks, ensuring resource availability and the completion of day-to-day scheduling.About Us:Global Environmental and Industrial Response works with our clients to...

  • Project Coordinator

    2 weeks ago

    Bartow, Florida, United States Global Environmental and Industrial Response LLC Full time

    Job DescriptionJob DescriptionSalary: Global Environmental & Industrial Response (GEIR) is looking for a Project Coordinator. This position supports project managers by overseeing administrative tasks, ensuring resource availability and the completion of day-to-day scheduling.About Us:Global Environmental and Industrial Response works with our clients to...

  • Project Coordinator

    3 weeks ago

    Bartow, United States Global Environmental and Industrial Response LLC Full time

    Job DescriptionJob DescriptionSalary: $60,000/yrGlobal Environmental & Industrial Response (GEIR) is looking for a Project Coordinator. This position supports project managers by overseeing administrative tasks, ensuring resource availability and the completion of day-to-day scheduling.About Us:Global Environmental and Industrial Response works with our...

  • Safety Coordinator

    3 weeks ago

    Bartow, United States Global Environmental and Industrial Response LLC Full time

    **Global Environmental & Industrial Response (GEIR)** is looking to hire a Safety Coordinator. As the Safety Coordinator, you will ensure that other employees at Global can complete their work safely. Set and enforce safety standards for the workplace based on legal requirements and train employees to help them understand these rules. Monitor working...

  • Safety Coordinator

    1 week ago

    Bartow, United States Global Environmental and Industrial Response Full time

    **Global Environmental & Industrial Response (GEIR)** is looking to hire a Safety Coordinator. As the Safety Coordinator, you will ensure that other employees at Global can complete their work safely. Set and enforce safety standards for the workplace based on legal requirements and train employees to help them understand these rules. Monitor working...

  • Evt Parts Coordinator

    1 week ago

    Bartow, United States Bartow Ford Full time

    The EVT Parts Coordinator is responsible for receiving, inspecting, auditing, distributing, and shipping parts orders. The individual in this role will collaborate with the EVT Manager to control and monitor inventory and maintain accurate stock levels. **Compensation & Benefits** - Pay Range of $15.00 - $18.00 per hour, paid weekly - We offer a...

  • Safety Coordinator

    2 weeks ago

    Bartow, Florida, United States Global Environmental and Industrial Response LLC Full time

    Job DescriptionJob DescriptionSalary: $20 - $25/hr DOEGlobal Environmental & Industrial Response (GEIR) is looking to hire a Safety Coordinator. As the Safety Coordinator, you will ensure that other employees at Global can complete their work safely. Set and enforce safety standards for the workplace based on legal requirements and train employees to help...

  • Safety Coordinator

    3 weeks ago

    Bartow, United States Global Environmental and Industrial Response LLC Full time

    Job DescriptionJob DescriptionSalary: $20 - $25/hr DOEGlobal Environmental & Industrial Response (GEIR) is looking to hire a Safety Coordinator. As the Safety Coordinator, you will ensure that other employees at Global can complete their work safely. Set and enforce safety standards for the workplace based on legal requirements and train employees to help...

  • Safety Coordinator

    4 weeks ago

    Bartow, United States Global Environmental and Industrial Response LLC Full time

    Job DescriptionJob DescriptionSalary: $20 - $25/hr DOEGlobal Environmental & Industrial Response (GEIR) is looking to hire a Safety Coordinator. As the Safety Coordinator, you will ensure that other employees at Global can complete their work safely. Set and enforce safety standards for the workplace based on legal requirements and train employees to help...

  • Safety Coordinator

    3 weeks ago

    Bartow, United States Global Environmental and Industrial Response LLC Full time

    Job DescriptionJob DescriptionSalary: $20 - $25/hr DOEGlobal Environmental & Industrial Response (GEIR) is looking to hire a Safety Coordinator. As the Safety Coordinator, you will ensure that other employees at Global can complete their work safely. Set and enforce safety standards for the workplace based on legal requirements and train employees to help...

  • Budget & Management Services.Senior Budget and Management

    1 month ago

    Bartow, United States Polk County, FL Full time

    SENIOR MANAGEMENT AND BUDGET ANALYST Budget and Management Services PG 22 / EXEMPT $69,409.60 Annually Employee Benefits * Direct Deposit, Bi-Weekly Pay Checks * Medical, Dental, Vision * Life Insurance * FRS Retirement * 10 Paid Holidays * Paid Time Off * Tuition Reimbursement * Education Incentives * Deferred Compensation Plan * Wellness Incentives *...