Utilization Review Coordinator

Job SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team at StateJobsNY. As a key member of our healthcare operations team, you will be responsible for analyzing and evaluating the quality, effectiveness, and efficiency of psychiatric and medical services provided to individuals diagnosed with mental illness.Key...

Job SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team at StateJobsNY. As a key member of our healthcare operations team, you will play a critical role in analyzing and evaluating the quality, effectiveness, and efficiency of psychiatric and medical services provided to individuals diagnosed with mental illness.Key...

Job SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team at StateJobsNY. As a Utilization Review Coordinator, you will play a critical role in analyzing and evaluating the quality, effectiveness, and efficiency of psychiatric and medical services provided to individuals diagnosed with mental illness.Key...

Job SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team at Manhattan Psychiatric Center. As a Utilization Review Coordinator, you will play a critical role in analyzing and evaluating the quality, effectiveness, and efficiency of psychiatric and medical services provided to individuals diagnosed with mental illness.Key...

Job SummaryManhattan Psychiatric Institute is seeking a highly skilled Utilization Review Coordinator to play a critical role in ensuring the delivery of high-quality services to our patients.Key Responsibilities:Review clinical records for completeness and accuracy to ensure compliance with established standards.Collect and analyze data related to the...

Job SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team at StateJobsNY. As a Utilization Review Coordinator, you will play a critical role in analyzing and evaluating the quality, effectiveness, and efficiency of psychiatric and medical services provided to individuals diagnosed with mental illness.Key...

Job Description:Summary:This position is responsible for coordinating, integrating, and monitoring the utilization of physical health (PH) medical and healthcare services for members, ensuring compliance with internal and external standards set by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review. Refer to and...

Job SummaryWe are seeking a highly skilled RN Utilization Review Specialist to join our team at Confident Staff Solutions. As a key member of our Utilization Management team, you will play a critical role in ensuring the efficient use of healthcare resources.Key ResponsibilitiesConduct concurrent reviews of patients' clinical information to identify...

About the JobVNS Health is seeking a skilled Nurse Care Coordinator to lead interdepartmental quality improvement activities, ensuring optimal patient care and compliance with regulatory requirements.Key ResponsibilitiesConduct Clinical Assessments: Perform medication reconciliations, post-discharge transitions of care assessment, and follow-up post...

## Job OverviewWe are seeking a dedicated Utilization Review Nurse to join our healthcare team. The ideal candidate will be responsible for reviewing medical records to ensure that patients receive necessary care and treatment while optimizing healthcare resources.-*Job Description**Initial and concurrent Status Reviews, MDR's, Denial work.*Requirements**RN...

Job OverviewAs an Insurance Utilization Coordinator, you will be responsible for the assessment and management of patient care plans, ensuring that services are delivered in a timely and appropriate manner.Key ResponsibilitiesOversee the concurrent review program, including insurance certification and authorization processes for Psychiatric and Chemical...

Job SummaryPlanet Healthcare is seeking a skilled Travel Nurse RN to fill a Utilization Review position in a dynamic healthcare setting.Key ResponsibilitiesConduct thorough reviews of patient cases to ensure optimal healthcare utilizationCollaborate with healthcare teams to develop and implement effective care plansAnalyze data to identify trends and areas...

Job OverviewThe Insurance Utilization Coordinator plays a crucial role in overseeing the concurrent review program and managing the insurance certification and authorization processes for psychiatric and chemical dependency inpatient units.Key ResponsibilitiesConcurrent Review Management: Oversee all aspects of the concurrent review program, ensuring timely...

About the JobVNS Health is seeking a skilled healthcare professional to lead interdepartmental quality improvement activities, focusing on clinical review, risk management, and patient satisfaction.Key ResponsibilitiesConduct thorough clinical assessments, including medication reconciliations, post-discharge transitions of care, and follow-up...

Job SummaryMetroPlus Health Plan Inc is seeking a skilled RN Care Manager to join our team. As a RN Care Manager, you will be responsible for developing, facilitating, and monitoring care plans for our members. You will work closely with members, their families, primary care physicians, and other healthcare providers to ensure that our members receive the...

Position OverviewDepartment: Utilization ManagementWork Schedule: Monday to Friday, 7:30 AM - 4:00 PM (40 hours per week)Unit Details: ICU - 8 beds, Medical - 25 beds, Surgical - 25 beds. Familiarity with Meditech is preferred.Key ResponsibilitiesConduct concurrent evaluations of patient clinical data to ensure efficiency.Review precertification requests...

About the RoleThe Center for Justice Innovation is seeking a highly skilled and compassionate Jail Diversion Clinical Coordinator to join our team in a groundbreaking systemic reform initiative. As a key member of our Jail Population Review Program, you will play a critical role in identifying incarcerated individuals with behavioral health issues who may be...

Job Title: Document Review AttorneyJob Summary:LHH is seeking a skilled Document Review Attorney to join our team for a one-year English document review project. As a Document Review Attorney, you will be responsible for reviewing a high volume of documents with high productivity and accuracy.Responsibilities:Document Review: View a high volume of documents...

Position OverviewThe Senior Financial Accountant at Med Review Inc. will oversee daily high-level accounting functions within the organization, ensuring timely and precise documentation of transactions and the generation of financial reports. This role is integral and reports directly to the Finance Director. The ideal candidate will possess significant...

About the RoleThis position is part of FTI Consulting's Acuity team, which supports, coordinates, manages, and participates in document reviews at the direction of FTI clients. The primary responsibility of this role is to manage multiple client matters simultaneously, develop and initiate new relationships with existing and prospective clients, and provide...