Resource Utilization Coordinator jobs in Providence, RI

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Nurse Reviewer
Blue Cross Blue Shield of Rhode Island 15 reviews - Providence, RI
Optimize member benefits to promote effective use of resources. Certified Case Management certification, Certified Professional Utilization Review certification...
Sponsored by Blue Cross Blue Shield of Rhode Island - 30+ days ago
Case Management Nurse - Case Manager - (CM RN)
NursesRx 12 reviews - Taunton, MA
The Care Coordinator will be assigned to selected areas of the Hospital on a rotating basis to perform utilization reviews and other UM activities, as needed...
Sponsored by EmploymentGuide.com - 8 days ago
Appeals and Grievances, Clinical Specialist
Healthfirst 98 reviews - United States
Understanding of Utilization Review Guidelines (NYS ART 44 and 49 PHL), and Inter. Wireless is also not recommended with both options requiring prior approval...
Sponsored by TweetMyJobs.com - 5 days ago

Clinical Reimbursement Coordinator

Genesis HealthCare 758 reviews - Greenville, RI 02828
Revenue Optimization & Resource Utilization:. Education and Resource:. Experience with Medicare/Medicaid reimbursement, MDS completion, clinical resource...

Case Coordinator/ Case Manager

Charlton Memorial Hospital 19 reviews - Fall River, MA
Works collaboratively with the physician(s) and multidiscipline team members both internal and external to the organization to improve patient care through...

Care Management Coordinator

Charlton Memorial Hospital 19 reviews - Fall River, MA
Knowledge of funding, resources, and services is preferred. Work collaboratively with the Case Coordinator(s), Clinical Social Worker(s), Physician(s), and...

RN Clinical Coordinator

Sturdy Memorial Hospital 22 reviews - Attleboro, MA
This is a progressive leadership position that will facilitate an interdisciplinary approach to patient care, patient flow, staffing, resource utilization, and...

Supervisor Retail

Blount Fine Foods, Inc - Fall River, MA
Holding weekly meetings with Process Coordinators (PC’s) and key staff. Utilize Learning & Development for all internal and external resources available....

Nurse Reviewer

Blue Cross Blue Shield of Rhode Island 15 reviews - Providence, RI
Optimize member benefits to promote effective use of resources. Certified Case Management certification, Certified Professional Utilization Review certification...

Hospice Case Manager

HomeCare Hospice - Fall River, MA
Communicates with the Medical Director, other interdisciplinary team members, attending physicians, and other agency personnel for coordination of care and...

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