Clinical Utilization & Care Coordination Specialist
Remote Jobs
Remote Jobs is seeking a healthcare Utilization Review professional to oversee preadmission and admission assessments, concurrent reviews, and discharge planning. The role requires collaboration with call centers, case management, and insurance payors to ensure appropriate levels of care and timely authorizations. Strong knowledge of medical terminology and UR criteria is essential. You will coordinate physician and peer reviews, assist in dashboard reporting, and support organizational safety #J-18808-Ljbffr Remote Jobs
$122.48k - $159.22k
Job Description Pharmacy Cardiovascular Intensive Care Unit Clinical Specialist, $10,000 Bonus The Pharmacy Clinical Specialist II recognizes specialized... ...medication protocols, order sets, perform medication utilization reviews, and lead performance improvement projects...Suggested$80.77k - $134.63k
...growth of your career. Option Care Health, Inc. is the largest... ...in all 50 states. Through our clinical leadership, expertise and... ...Summary The Clinical Transition Specialist is an experienced sales professional... ...initiates care transition coordination with referral sources and...SuggestedFlexible hours- ...Requirements: POSITION SUMMARY: The Medical Assistant-Clinic Specialist is responsible for a variety of patient care, technical, and clerical related functions.... ...rules, and instructions to properly sanitize and utilize cleaning equipment. Constant and effective...SuggestedLocal areaNight shiftWeekend work
- Job Description I'm hiring for a Pharmacy Cardiovascular Intensive Care Unit Clinical Specialist in Florida! There is potential for 10k sign-on bonus. The Pharmacy Cardiovascular Intensive Care Unit Clinical Specialist recognizes specialized training and experience in a...SuggestedPermanent employmentFull timeRelocation packageShift work
- ...Licensed Clinical Social Worker Hot Job Social Services -... ...responsible for successful coordination, management and overall operation... ...Council) to ensure full utilization including all required reports... ...and strengths in the plan of care. # Formulate a treatment...SuggestedFull timeContract workLocal areaShift work
$25k
...Clinical Care Nurse (RN) The Clinical Care Nurse (RN) is a clinic-based nursing role focused... ...of Care (TOC), reduce avoidable ED utilization, and drive Medicare Advantage Stars... ...Transitions: Care transition support, follow-up coordination, and avoidable readmission prevention...Full timeTemporary workWork at officeMonday to Friday$25k
...Become a part of our caring community The Clinical Care Nurse (RN) is a clinic-based nursing role focused... ...of Care (TOC), reduce avoidable ED utilization, and drive Medicare Advantage Stars... ...:Caretransition support, follow-up coordination, and avoidable readmission...Full timeTemporary workApprenticeshipWork at officeMonday to Friday- ...Dialysis Health Care Team Member Functions as part of the dialysis... ..., organize, and efficiently utilize supplies and equipment to... ...data into the designated clinical application in an accurate and... ...first 4 weeks of dialysis and coordinating their transitional dialysis care...Immediate start
- Care Options for Kids is seeking a Client Service Associate in Delray Beach, FL. This role involves coordinating home care services, providing continuity of care, and maintaining accurate records. The ideal candidate should have a strong focus on customer service and problem...
- Option Care Health is hiring a Clinical Care Transition Specialist / RN in Boca Raton. You will educate patients and families on home infusion services, coordinate hospital-to-home transitions, and build strong referral partnerships to drive patient starts. Travel to care...
$17 - $24.26 per hour
ChenMed LLC in Deerfield Beach, Florida is seeking a Care Promoter to assist in medical tasks and support patient needs. The role involves measuring patient vital signs, preparing patients for exams, and providing health coaching to improve lifestyle choices. Ideal candidates...Hourly pay- ...in Boca Raton, FL is seeking a certified ophthalmic assistant to join our clinical team. You will support providers with patient workups, diagnostic testing, documentation, and care coordination, ensuring accurate records and smooth patient flow. The ideal candidate will...
- ...LPN Clinic - Orthopaedic Surgery Location: Coral Springs Facility: Coral Springs... ...convenient access to the same world-class care provided at Cleveland Clinic's regional... ...patient care including assessing; planning, coordinating, monitoring, and evaluating the patient'...Shift work
$35 - $45 per hour
...Licensed Clinical Social Worker (LCSW) Location: Broward County, FL Schedule: Full-time Start Date: ASAP Overview: We... ...Collaborate with physicians, case managers, and other professionals to coordinate care Maintain accurate and timely clinical documentation...Hourly payFull timeImmediate start$46.92k
...career, couples reside in on-campus student homes and provide care, guidance, supervision, and support for a group of approximately... ...compensation per couple, including free housing, meals while on duty, utilities, and more) Comprehensive benefits: medical, dental, and...Full timeRelocationRelocation packageFlexible hoursWeekday work$17 - $24.26 per hour
...Care Coordinator We're unique. You should be, too. We're changing lives every day. For... ...transitions of care between primary care, specialists, hospitals, and other healthcare... ...continuity of care. Schedules patients utilizing coordinated provider list (CPL), makes...Hourly payFull timeWork at officeFlexible hoursWeekend workAfternoon shift- ...for an accommodation or an alternative application process. Clinical Therapist - First Responder Full Time Professional Deerfield... ...plus. Works under supervision from the program director and coordinates care as part of the dedicated Shatterproof program with other clinical...Full time
- ...The Role RISE Personal Care Specialists engage in one-on-one interactions with patients and/or customers from the time they enter the... ...of consumption, and safety as part of patient interaction Utilize product and consumption-method knowledge to recommend a safe...Work at officeLocal areaShift workNight shiftWeekend workDay shift
- ...Job Description Job Overview : The Clinical Assistant will support the clinical team... ...aimed at ensuring the highest standard of care for patients. This position involves... ...patient files, documents, and care plans. Coordinate with insurance companies and help with...
- ...The ENTRY PSR I/Lobby Experience Coordinator (LEC) helps with patient care by greeting them upon arrival and answering... .... This individual will also utilize Phlebotomy skills to grow within the... ...confidence, both the forensic and clinical specimen collection and processing...Work experience placementInternshipShift work
- PCC Medical Holding, LLC (Physician Care Centers) seeks a Lead Medical Assistant to oversee daily clinical operations, mentor staff, and coordinate patient care across multiple sites. The role emphasizes leadership, accuracy, and high-quality patient experiences. The Lead...
- Concentra in Florida is seeking a Patient Service Specialist to support the front desk, register patients, manage scheduling, and provide... ...patient management system. The candidate will handle forms, coordinate with clinicians and support staff, and ensure HIPAA and privacy...
$47 per hour
...retrospective chart review for clinical, financial and resource utilization. Coordinates with healthcare Team for optimal... ...knowledge of payer and managed care reimbursement preferred. Ability... ...Review experience required MCG Specialist Certification ISC/HRC required within...Daily paidLocal areaShift workRotating shift- ...procedures of Catholic Palliative Care Services.Essential... ...interdisciplinary team members.Completes clinical note, psychosocial and... ...community referrals, etc.Provides coordination and liaison service between... ...comprehensive discharge plan.Utilizes Support Services Coordinator...Work experience placementInterim roleWork at officeLocal areaAfternoon shift
$14.3 - $20.42 per hour
ChenMed LLC in Deerfield Beach, Florida, is looking for a Patient Care Coordinator who will interact with patients and help schedule their appointments, ensuring accuracy and a high level of customer service. The ideal candidate has strong communication skills, knowledge...Hourly payWork at office$50k
National Youth Advocate Programs in Broward County, FL is seeking a full-time Foster Care Licensing Coordinator. The role requires a current FL Licensing certification or Child Welfare certification and offers a compensation of $50,000 per year. Hours include evenings...Full timeAfternoon shift- Option Care Health in Florida is seeking a Clinical Transition Specialist to educate patients, families and facility staff about home infusion services and facilitate timely discharge. This role focuses on proactive relationship-building with referral sources and hospital...
- ...physical therapy. With regional clinics spanning South... ...personalized, compassionate patient care and clinical autonomy. Here,... ...understanding of patient needs. Utilizes genuine and positive communication... ...of your physician. Coordination of patient care. Completion...Temporary workPrivate practiceWork at office
- ...building the best primary care environment for... ...assisting physicians and clinical staff in the examination... ..., and overall care coordination for patients. This role... ...referrals and hand-offs to specialists or care coordinators... ...for timely action. Utilize tools such as Availity...Temporary workWork at officeFlexible hoursWeekend work
$15 per hour
...Medication Clinic Assistant South County Mental Health Center, Inc. private non-profit... ..., compassionate behavioral health care to individuals and families of all ages... ...outpatient clients Responding to and coordinating care during urgent or crisis situations,...Hourly payFull time
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Clinical Utilization & Care Coordination Specialist. Be the first to apply!
- group home caregiver Deerfield Beach, FL
- home care specialist Deerfield Beach, FL
- foster care specialist Deerfield Beach, FL
- caregiver home care Deerfield Beach, FL
- private caregiver Deerfield Beach, FL
- plant health care specialist Deerfield Beach, FL
- managed care specialist Deerfield Beach, FL
- child care specialist Deerfield Beach, FL
- mental health caregiver Deerfield Beach, FL
- personal caregiver Deerfield Beach, FL




