Clinical Utilization Review Coordinator
Dallas Regional Medical Center
Dallas Regional Medical Center is seeking aIST Utilization Review/Case Management professional to coordinate clinical reviews of patient records and participate in UR/Case Management meetings. The role requires MPH or related health care training and medical or dental degrees with strong knowledge of pathophysiology and pharmacology.
The ideal candidate will work closely with the Chief Medical Officer, educate departments, and manage chart reviews, payer data requests, and discharge referrals.
#J-18808-LjbffrVacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Clinical Utilization Review Coordinator in Mesquite, TX vacancy
$65 per hour
...RN Case Manager / Utilization Review - Syracuse, NY (\#25268) Location: Acute Care/Academic Medical... .... We partner with hospitals, clinics, nursing homes, multi-specialty groups... ...discharge planning, and interdisciplinary coordination for high-acuity patients while ensuring...SuggestedHourly payFull timePrivate practiceMonday to FridayDay shiftGreenLife Healthcare Staffing
Syracuse, NY1 day ago- ...A leading healthcare staffing firm is seeking a Utilization Review RN in Syracuse, NY. The role involves conducting utilization management activities, certification reviews, and collaborating with healthcare providers. Candidates must have an RN License in NY and at least...SuggestedMonday to Friday
HealthCare Support
Syracuse, NY3 days ago - ...the maintaining the knowledge and skill set related to utilization review, care coordination, performance improvement and professional licensure and... ...community based patient care nursing, preferably in assigned clinical area.Certification/Registration/Licensure:Must have...SuggestedTemporary workMonday to FridayShift work
Credenza Health
Dallas, TX3 days ago - ...healthcare professionals in clinical and non-clinical positions with... ...Responsibilities: Conducts utilization management activities in... ...calls, conducts certification reviews, facilitates the discharge planning... ...and referral process and coordinates denials with physician...SuggestedHourly payCasual workPrivate practiceWork at officeImmediate startMonday to Friday
HealthCare Support
Syracuse, NY1 day ago - ...Reimbursement. POSITION SUMMARY The Clinic Office Coordinator is responsible for the clinic flow and... ...from various electronic systems to be utilized in business decisions, grant reporting... ...machinery. ___ Required to review/inspect own assigned work, the work of...SuggestedWork at office
Envision, Inc.
Dallas, TX27 days ago $1,100 per week
...Registered Nurse - Case Manager/Utilization ReviewVHS is looking for a qualified Registered Nurse - Case Manager/Utilization Review.City: SyracuseState: NYStart Date: TBDEnd Date: TBDDuration: 13 WeeksShift: 8 Hours Days.Skills: NursingW2 Pay Rate: $40.00/hr plus $1,10...Daily paidLocal areaVieMed
Syracuse, NY4 days ago$25k
...caring community As a Clinical Manager at CenterWell Home Health... ...guiding clinical practice, coordinating patient services, and... ...working onsite in-office. Review referrals, determine admission... ...based on documentation review, utilization review findings, and...Full timeTemporary workApprenticeshipWork at officeCenterWell Home Health
Syracuse, NY20 hours ago- ...that connects employees around the world. In the role of Utility EIT/Coordinator , we’ll count on you for: Utility Coordination –... ...documents, time and budget management. Participate in the QA/QC review of plans, specifications, and cost estimates. Perform...Full timeWork at officeRelocation
HDR
Dallas, TX1 day ago $2,093 per week
...Utilization Review RNSyracuse, NY$2093/Weekly Gross**Estimated pay package. Does not include taxes, insurance, or other deductions that may occur8H Days13 Weeks40Short Term Acute Care Hospital502EPICA Day One 401(k) ProgramYou'll receive employer-matching contributions...Weekly payTriage Brand
Syracuse, NY3 days ago- ...SUNY Upstate Medical University in Syracuse seeks a Surgery Clinical Practice Coordinator to coordinate multidisciplinary teams caring for inpatient surgery patients on acute care units (5A, 5B, 7A). The SCPC will collaborate with local and national experts to drive innovative...Local area
SUNY Upstate Medical University
Syracuse, NY1 day ago - ...Overview The Coordinator of Clinical and Educational Services provides clinical supervision, oversight, and guidance for day-to-day operations... ...with interdisciplinary team members and school districts. Review monthly financials for all programs and clinical departments...
Atcoftexas
Dallas, TX1 day ago - ...located in central New York, is seeking a Registered Nurse Inpatient Clinical Care Manager (CCM) to actively manage utilization review and patient progression from admission to discharge. You will coordinate discharge plans, lead daily huddles, and collaborate with a...
St. Joseph's Health
Syracuse, NY1 day ago - ...Medical Center seeks a Registered Nurse for medical necessity Utilization Review in our Dallas facility. The role involves reviewing... ...an active Texas RN license, 5 years of experience including clinical and utilization review, and familiarity with Epic CCM. Join...
The University of Texas Southwestern Medical Center
Dallas, TX1 day ago $2,093 per week
...Utilization Review RN Syracuse, NY $2093/Weekly Gross**Estimated pay package. Does not include taxes, insurance, or other deductions that may occur 8H Days 13 Weeks 40 Short Term Acute Care Hospital 502 EPIC A Day One 401(k) Program You'll receive...Weekly payTemporary work- CityDoc Urgent Care is looking for a Clinic Coordinator for their Inwood Village location. The Clinic Coordinator will function in a strategic... ...reports, preparing for and completing clinic audits/reviews/surveys, and maintaining all safety precautions. 3+ years of...Work at office
- ...Conduct medical certification review for medical necessity for... ...admission qualifications, resource utilization, national and local coverage... ...to include 2 years of clinical experience and minimum of 3... ...person to physicians, care coordinators, physician offices and billing...Full timeReliefWork at officeLocal areaNight shiftWeekend work
The University of Texas Southwestern Medical Center
Dallas, TX1 day ago - ...: UTILI004408 Posted : October 13, 2026 Full-Time Locations Showing 1 location Description Position Summary The Utilization Management & Case Review Specialist is responsible for conducting utilization reviews, internal case record reviews, and quality assessments...Full timeFor contractorsWork at officeLocal areaNight shift
- CorVel is seeking a Utilization Review (UR) Intake Specialist to support the UR/Case Management team. This role handles precertification calls, verifies patient and provider data, and enters notes in CareMCsystem while maintaining professional communication with stakeholders...
- The Utilization Review (UR) Intake Specialist provides staff support services including typing reports and correspondence, file handling and forms completion in addition to answering incoming telephone calls, supporting the goals of the Utilization Review / Case Management...Minimum wageFull timeWork at officeLocal areaFlexible hours
- ...Education Loan Repayment Services program office after review of the EDRP application. Former EDRP... ...-At least 2 years of Mental Health experience (Clinic preferred - any MH encourage) -Experience in patient coordination (case management - care coordinator - etc.) -Familiarity...Permanent employmentTemporary workWork at officeImmediate startRemote workMonday to Friday
$200k
...Education Loan Repayment Services program office after review of the EDRP application. Former EDRP... ...At least 2 years of Mental Health experience (Clinic preferred - any MH encourage). Experience in patient coordination (case management, care coordinator, etc.). Familiarity...Permanent employmentTemporary workWork at officeImmediate start- ...Southwestern Medical Center in Dallas seeks an experienced Utilization Review RN for weekend PRN shifts. You will conduct medical necessity... ...Texas RN license and 5 years of experience including 2 years in clinical settings and 3 years in utilization review. #J-18808-Ljbffr...ReliefShift workWeekend work
$10k
...Registered Nurse Inpatient Clinical Care ManagerOffering up to $10,000.00 in sign on... ...Care Manager (CCM) actively manages the utilization review process and patient progression from... ...In addition, they are responsible to coordinate safe and appropriate discharge plan for...Hourly payDaily paidFull timeLocal areaImmediate startRelocation packageSt. Joseph's College of Nursing
Syracuse, NY3 days ago- ...Director Transformers, T&D Hardware & Utility Remote, Nationwide A fast-moving infrastructure supply... ...complex project pursuits involving bill of materials reviews, sourcing strategy, quotations, and delivery coordination for grid and substation applications. Develop...For contractorsRemote work
Blue Signal Search
Syracuse, NY1 day ago - ...Mesquite, TXWe are seeking a Stroke/Chest Pain Coordinator. The Chest Pain Center Coordinator /... ...process, including development and review of protocols, initial and ongoing training... ...acute care hospital environment.Excellent clinical, interpersonal and communication skills...Local areaAfternoon shift
Credenza Health
Mesquite, TX1 day ago - ...The Trailer Pool & Yard Operations Coordinator manages the daily movement, availability... ...This role coordinates spotter dispatch, reviews yard checks, identifies trailer and yard... ...releases, and swaps. # Support trailer utilization and reduce avoidable detention, yard...Relocation packageShift work
RJW Logistics
Mesquite, TX1 day ago $23 - $25 per hour
...range: $23.00 - $25.00 The Treatment Coordinator is a key member of our healthcare team,... ...administrative support, and collaboration with clinical staff to deliver excellent patient care... ..., ensuring optimal appointment utilization Monitor schedules for patient cancellations...Work at officeOral Surgery Partners
Syracuse, NY2 days ago- ...oriented Surgical Insurance Coordinator. The Surgical Insurance Coordinator... ...submission of required clinical documentation and follow-up... ..., appeals, and peer-to-peer reviews with providers and payers as... ...(eCW)Experience utilizing electronic medical record (EMR...Work at office
Integrative Emergency Services
Dallas, TX3 days ago $41.2 - $62.17 per hour
...Job Description: The Clinical Program Coordinator assesses, plans, implements and coordinates treatment processes from diagnosis through follow... ...program with physicians andnurses and concurrently reviews that all care meets evidence-based guidelines. Provides education...Hourly payFull timeRemote workMonday to FridayShift workNight shiftWeekend work- ...chair based on level of acuity and length of treatment. Will monitor of data relative to the utilization of the infusion room and chairs. Acts as a liaison for physicians, clinic staff, infusion room staff, and procedure room staff regarding policies, procedures, and...Monday to Friday
Upstate Cancer Center
Syracuse, NY1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Clinical Utilization Review Coordinator. Be the first to apply!
Related searches
- clinical data coordinator remote Mesquite, TX
- clinical nurse coordinator
- clinical operations coordinator
- medical billing coordinator
- clinical support coordinator
- medical office coordinator
- medical equipment coordinator
- emergency medical services coordinator
- clinical coordinator registered nurse
- clinical resource coordinator