6,827 Patient Coordination jobs in the United States

POSITION SUMMARY:   Responsible for managing, coordinating and integrating all Care Coordination services within CHRISTUS St. Vincent Health System.  Provides Care Coordination services to patients based on person-centered acuity and coordinates patient in hospital or clinic setting. Contributes to a cooperative and accountable working relationship with other members of the Care Coordination system staff toward the goal of providing continuous high quality services to patients.  Promotes optimal person-centered care that supports and empowers individuals, respects individual choices and meets health care needs of patients.  Works side-by-side with clinical leaders in the development and implementation of protocols.  May work in traditional clinic setting and/or in a training environment (residency program) or other areas as assigned.

MINIMUM QUALIFICATIONS:  

EDUCATION : Registered Nurse, BSN in Nursing, preferred.

CERTIFICATION/LICENSES:   Current New Mexico Nursing License

SKILLS:

• Considerable knowledge of health care facilities, policies and issues, and of the full spectrum of community patient care services
• Considerable knowledge of health care and social management principles
• Ability to coordinate various functions and activities for maximum cooperation and integration of services providers and persons receiving care within a clinic for continuum of care services
• Ability to direct, instruct and advise staff, and to receive and effectively react to day-to-day problems
• Ability to utilize strong communication skills, both written and oral, and effectively demonstrate an interactive style of care coordination
• Ability to understand and implement sensitivity and culture of care measures appropriate to a diverse population
• Ability to work with various levels of the CHRISTUS organization including clinical, financial, administrative and medical staff.

EXPERIENCE: Minimum of two years of experience in a health care setting and related experience with quality, care coordination and population health preferred. 

NATURE OF SUPERVISION:

-Responsible to: Manager of Population Health, Director of Ambulatory Patient Care Services

ENVIRONMENT:

-Bloodborne pathogen:  Multiple settings and variable unpredictable situations including inpatient, specialty and primary care settings

PHYSICAL REQUIREMENTS: Ability to move around settings of care. Requires close work, good vision, dexterity to write as well as to use computer keyboard. Ability to handle stressful situations. Most possess and demonstrate excellent customer service skills.

Description POSITION SUMMARY: Responsible for managing, coordinating and integrating all Care Coordination services within CHRISTUS St. Vincent Health System. Provides Care Coordination services to patients based on person-centered acuity and coordinates patient in hospital or clinic setting. Contributes to a cooperative and accountable working relationship with other members of the Care Coordination system staff toward the goal of providing continuous high quality services to patients. Promotes optimal person-centered care that supports and empowers individuals, respects individual choices and meets health care needs of patients. Works side-by-side with clinical leaders in the development and implementation of protocols. May work in traditional clinic setting and/or in a training environment (residency program) or other areas as assigned. Requirements MINIMUM QUALIFICATIONS: EDUCATION: Registered Nurse, BSN in Nursing, preferred. CERTIFICATION/LICENSES: Current New Mexico Nursing License SKILLS: Considerable knowledge of health care facilities, policies and issues, and of the full spectrum of community patient care services Considerable knowledge of health care and social management principles Ability to coordinate various functions and activities for maximum cooperation and integration of services providers and persons receiving care within a clinic for continuum of care services Ability to direct, instruct and advise staff, and to receive and effectively react to day-to-day problems Ability to utilize strong communication skills, both written and oral, and effectively demonstrate an interactive style of care coordination Ability to understand and implement sensitivity and culture of care measures appropriate to a diverse population Ability to work with various levels of the CHRISTUS organization including clinical, financial, administrative and medical staff. EXPERIENCE: Minimum of two years of experience in a health care setting and related experience with quality, care coordination and population health preferred. NATURE OF SUPERVISION: -Responsible to: Manager of Population Health, Director of Ambulatory Patient Care Services ENVIRONMENT: -Bloodborne pathogen: Multiple settings and variable unpredictable situations including inpatient, specialty and primary care settings PHYSICAL REQUIREMENTS: Ability to move around settings of care. Requires close work, good vision, dexterity to write as well as to use computer keyboard. Ability to handle stressful situations. Most possess and demonstrate excellent customer service skills.

El Camino Health is committed to hiring, retaining and growing the best and brightest professionals who will carry our mission and vision forward. We are proud of our reputation in the community: One built on compassion, innovation, collaboration and delivering high-quality care. Come join the team that makes this happen.

Applicants MUST apply for position(s) by submitting a separate application for each individual job posting number they are interested in being considered for.

FTE

1

Scheduled Bi-Weekly Hours

80

Work Shift

Day: 8 hours

Job Description

The Manager of Utilization Management (UM) is responsible for the operational oversight and leadership of the Utilization Management team, including RN Utilization Review Nurses and support staff. This position ensures that UM functions are carried out in accordance with federal and state regulations, CMS Conditions of Participation, payer guidelines, and organizational policies. The Manager leads efforts to optimize appropriate hospital resource utilization, promote timely progression of care, and maintain regulatory compliance while supporting high-quality patient outcomes.

Key Responsibilities

Operational Oversight:
Oversee the day-to-day operations of the Utilization Management team. Monitor productivity, quality of reviews, and ensure timely and accurate clinical documentation, concurrent reviews, and authorization processes.
Leadership & Staff Development:
Recruit, train, supervise, and evaluate staff performance. Provide ongoing coaching and professional development to maintain clinical excellence and compliance.
Regulatory Compliance & Audit Readiness:
Ensure adherence to CMS, Joint Commission, state, and payer-specific utilization review requirements. Prepare and support internal and external audits, reviews, and performance improvement activities.
Collaboration & Communication:
Serve as a key liaison between Care Coordination, physicians, nursing, finance, revenue cycle, and payers. Facilitate communication to resolve barriers to patient progression and discharge planning.
Data Analysis & Reporting:
Track and analyze utilization trends, denials, and avoidable days. Prepare and present dashboards and reports to leadership to inform performance and improvement initiatives.
Policy & Process Improvement:
Develop and update UM policies and workflows. Lead initiatives to enhance efficiency, reduce unnecessary delays in care, and improve overall utilization performance.

Qualifications

Required:

Bachelors degree in Nursing
Minimum 5 years of experience in case management, utilization review, or related field in an acute care setting
Minimum 2 years of leadership or supervisory experience
Strong knowledge of InterQual guidelines, CMS regulations, payer authorization processes, and denial management
Strong leadership and team management skills
Excellent communication, negotiation, and conflict resolution abilities
Analytical thinker with ability to interpret data and drive performance
Highly organized, detail-oriented, and capable of managing multiple priorities
Collaborative and systems-minded approach to care delivery and utilization management

Preferred:

Masters degree in Nursing, Business, or Healthcare Administration
Certification in Case Management (ACM, CCM, or equivalent)
Experience with Epic or other EMR platforms

License/Certification/Registration Requirements

Registered Nurse (RN) license in the state of CA

Salary Range:

$87.01 - $130.52 USD Hourly

The Physical Requirements and Working Conditions of this job are available. El Camino Health will provide reasonable accommodations to qualified individuals with a disability if that will allow them to perform the essential functions of a job unless doing so creates an undue hardship for the hospital, or causes a direct threat to these individuals or others in the workplace which cannot be eliminated by reasonable accommodation.

Sedentary Work - Duties performed mostly while sitting; walking and standing at times. Occasionally lift or carry up to 10 lbs. Uses hands and fingers. - (Physical Requirements-United States of America)

An Equal Opportunity Employer:
El Camino Health seeks and values a diverse workforce. The organization is an equal opportunity employer and makes employment decisions on the basis of qualifications and competencies. El Camino Health prohibits discrimination in employment based on race, ancestry, national origin, color, sex, sexual orientation, gender identity, religion, disability, marital status, age, medical condition or any other status protected by law. In addition to state and federal law, El Camino Health also follows all applicable fair and equitable employment policies from the County of Santa Clara.

El Camino Health is committed to hiring, retaining and growing the best and brightest professionals who will carry our mission and vision forward. We are proud of our reputation in the community: One built on compassion, innovation, collaboration and delivering high-quality care. Come join the team that makes this happen.

Applicants MUST apply for position(s) by submitting a separate application for each individual job posting number they are interested in being considered for.

FTE

Scheduled Bi-Weekly Hours

Work Shift

Job Description

The Manager of Utilization Management (UM) is responsible for the operational oversight and leadership of the Utilization Management team, including RN Utilization Review Nurses and support staff. This position ensures that UM functions are carried out in accordance with federal and state regulations, CMS Conditions of Participation, payer guidelines, and organizational policies. The Manager leads efforts to optimize appropriate hospital resource utilization, promote timely progression of care, and maintain regulatory compliance while supporting high-quality patient outcomes.

Key Responsibilities

• Operational Oversight:
  Oversee the day-to-day operations of the Utilization Management team. Monitor productivity, quality of reviews, and ensure timely and accurate clinical documentation, concurrent reviews, and authorization processes.
• Leadership & Staff Development:
  Recruit, train, supervise, and evaluate staff performance. Provide ongoing coaching and professional development to maintain clinical excellence and compliance.
• Regulatory Compliance & Audit Readiness:
  Ensure adherence to CMS, Joint Commission, state, and payer-specific utilization review requirements. Prepare and support internal and external audits, reviews, and performance improvement activities.
• Collaboration & Communication:
  Serve as a key liaison between Care Coordination, physicians, nursing, finance, revenue cycle, and payers. Facilitate communication to resolve barriers to patient progression and discharge planning.
• Data Analysis & Reporting:
  Track and analyze utilization trends, denials, and avoidable days. Prepare and present dashboards and reports to leadership to inform performance and improvement initiatives.
• Policy & Process Improvement:
  Develop and update UM policies and workflows. Lead initiatives to enhance efficiency, reduce unnecessary delays in care, and improve overall utilization performance.

Qualifications

Required:

• Bachelor's degree in Nursing
• Minimum 5 years of experience in case management, utilization review, or related field in an acute care setting
• Minimum 2 years of leadership or supervisory experience
• Strong knowledge of InterQual guidelines, CMS regulations, payer authorization processes, and denial management
• Strong leadership and team management skills
• Excellent communication, negotiation, and conflict resolution abilities
• Analytical thinker with ability to interpret data and drive performance
• Highly organized, detail-oriented, and capable of managing multiple priorities
• Collaborative and systems-minded approach to care delivery and utilization management

Preferred:

• Master's degree in Nursing, Business, or Healthcare Administration
• Certification in Case Management (ACM, CCM, or equivalent)
• Experience with Epic or other EMR platforms

License/Certification/Registration Requirements

• Registered Nurse (RN) license in the state of CA

Salary Range:

The Physical Requirements and Working Conditions of this job are available. El Camino Health will provide reasonable accommodations to qualified individuals with a disability if that will allow them to perform the essential functions of a job unless doing so creates an undue hardship for the hospital, or causes a direct threat to these individuals or others in the workplace which cannot be eliminated by reasonable accommodation.

An Equal Opportunity Employer:
El Camino Health seeks and values a diverse workforce. The organization is an equal opportunity employer and makes employment decisions on the basis of qualifications and competencies. El Camino Health prohibits discrimination in employment based on race, ancestry, national origin, color, sex, sexual orientation, gender identity, religion, disability, marital status, age, medical condition or any other status protected by law. In addition to state and federal law, El Camino Health also follows all applicable fair and equitable employment policies from the County of Santa Clara.

El Camino Health is committed to hiring, retaining and growing the best and brightest professionals who will carry our mission and vision forward. We are proud of our reputation in the community: One built on compassion, innovation, collaboration and delivering high-quality care. Come join the team that makes this happen.

Applicants MUST apply for position(s) by submitting a separate application for each individual job posting number they are interested in being considered for.

FTE: 1

Scheduled Bi-Weekly Hours: 80

Work Shift: Day: 8 hours

Job Description

The Manager of Utilization Management (UM) is responsible for the operational oversight and leadership of the Utilization Management team, including RN Utilization Review Nurses and support staff. This position ensures that UM functions are carried out in accordance with federal and state regulations, CMS Conditions of Participation, payer guidelines, and organizational policies. The Manager leads efforts to optimize appropriate hospital resource utilization, promote timely progression of care, and maintain regulatory compliance while supporting high-quality patient outcomes.

Key Responsibilities

• Operational Oversight: Oversee the day-to-day operations of the Utilization Management team. Monitor productivity, quality of reviews, and ensure timely and accurate clinical documentation, concurrent reviews, and authorization processes.
• Leadership & Staff Development: Recruit, train, supervise, and evaluate staff performance. Provide ongoing coaching and professional development to maintain clinical excellence and compliance.
• Regulatory Compliance & Audit Readiness: Ensure adherence to CMS, Joint Commission, state, and payer-specific utilization review requirements. Prepare and support internal and external audits, reviews, and performance improvement activities.
• Collaboration & Communication: Serve as a key liaison between Care Coordination, physicians, nursing, finance, revenue cycle, and payers. Facilitate communication to resolve barriers to patient progression and discharge planning.
• Data Analysis & Reporting: Track and analyze utilization trends, denials, and avoidable days. Prepare and present dashboards and reports to leadership to inform performance and improvement initiatives.
• Policy & Process Improvement: Develop and update UM policies and workflows. Lead initiatives to enhance efficiency, reduce unnecessary delays in care, and improve overall utilization performance.

Qualifications

Required:

• Bachelor's degree in Nursing
• Minimum 5 years of experience in case management, utilization review, or related field in an acute care setting
• Minimum 2 years of leadership or supervisory experience
• Strong knowledge of InterQual guidelines, CMS regulations, payer authorization processes, and denial management
• Strong leadership and team management skills
• Excellent communication, negotiation, and conflict resolution abilities
• Analytical thinker with ability to interpret data and drive performance
• Highly organized, detail-oriented, and capable of managing multiple priorities
• Collaborative and systems-minded approach to care delivery and utilization management

Preferred:

• Master's degree in Nursing, Business, or Healthcare Administration
• Certification in Case Management (ACM, CCM, or equivalent)
• Experience with Epic or other EMR platforms

License/Certification/Registration Requirements

• Registered Nurse (RN) license in the state of CA

Salary Range: $87.01 - $130.52 USD Hourly

The Physical Requirements and Working Conditions of this job are available. El Camino Health will provide reasonable accommodations to qualified individuals with a disability if that will allow them to perform the essential functions of a job unless doing so creates an undue hardship for the hospital, or causes a direct threat to these individuals or others in the workplace which cannot be eliminated by reasonable accommodation.

Sedentary Work - Duties performed mostly while sitting; walking and standing at times. Occasionally lift or carry up to 10 lbs. Uses hands and fingers.

An Equal Opportunity Employer: El Camino Health seeks and values a diverse workforce. The organization is an equal opportunity employer and makes employment decisions on the basis of qualifications and competencies. El Camino Health prohibits discrimination in employment based on race, ancestry, national origin, color, sex, sexual orientation, gender identity, religion, disability, marital status, age, medical condition or any other status protected by law. In addition to state and federal law, El Camino Health also follows all applicable fair and equitable employment policies from the County of Santa Clara.

PER DIEM PACU PCT POSITION, BLS REQUIRED

Job Summary:

An unlicensed caregiver who maintains a safe and clean environment for patients and Health Care team members. Transport patients with proper technique. Transport equipment, supplies and specimens. Provide environmental sanitation as required.

Essential Responsibilities:

• Environmental support: Transports specimens to appropriate departments per hospital standards. Cleans all flat surfaces and floors in each operating room between surgical procedures. Cleans all used surgical litters, stretchers, and redresses them for use. Available for spot cleaning or assistance with spills of blood, body fluids, or MSDS listed fluids. Provides environmental sanitation as required by charge nurse. Provides as needed environmental sanitation for common areas (e.g., bathrooms, break room).


• Daily Surgical Service: Prepares the operating rooms prior to the first surgical procedure of the day. Trnasports surgical patients to the operating room. Demonstrates the use of good body mechanics and provides for patient safety when transferring, turning lifting, or assisting in positioning patients. Performs other duties as assigned by operating room staff. Provides surgical skin preparation using proper equipment, techniques, using standardized guidelines, or physicians orders as guidance. Communicates with patients in a courteous and helpful manner. Establishes and maintains communication with the health care team.


• Adheres to all infection control policies taking all appropriate precautions to provide a safe environment for patients and all health care team members. Provides direct assistance with the activities required to begin subsequent surgical procedures. a) Return unneeded surgical equipment to its appropriate storage area. b) Obtain required equipment needed for upcoming surgeries. c) Assist with opening sterile surgical supplies. Understands the basic surgical aseptic technique. Transports patients to the operating suite for surgical procedures and to the unit after recovery.


• Ancillary support: Responsible for daily testing and/or recording of results for a variety of mandated requirements (e.g. cidex sticks, refrigerator charts). Responsible for monthly inventory and control of expired surgical supplies. Restocks all common areas maintaining order, cleanliness, and stock levels. Rotates any expiration-dated supplies restocked. Provides transport of supplies and equipment to and from other departments with the hospital.


• Ongoing development: Demonstrates initiative and responsibility for improving skills and expanding knowledge through continuing education or on the job learning experience.

Basic Qualifications:

Experience

• N/A

Education

• High School Diploma or General Education Development (GED) required.

License, Certification, Registration

• Nursing Assistant Certificate (Washington) required at hire

• Basic Life Support required at hire

Additional Requirements:

• N/A

Preferred Qualifications:

• Able to obtain nursing assistant certification shortly after hire/transfer.


• Two (2) years of hospital experience.

Join our Nursing Services team at Redeemer Health and find your perfect fit in a variety of clinical settings - hospital, home care, or senior care communities. Enjoy competitive benefits and professional growth opportunities through educational assistance and nursing scholarship opportunities. Here, you have the choice to select a role that aligns with your passion. At Redeemer Health, your career is more than just a job - it's an opportunity towards shaping a healthier future for all.

*Drexel Co-Op Program Students Only*

The Nursing Assistant, under the direct supervision of the Registered Nurse, performs the assigned tasks of direct patient care, clerical duties and some housekeeping duties.  Acts as a patient/customer advocate and Redeemer Health representative, meeting patient/family needs throughout the hospital experience.

CONNECTING TO MISSION:

All individuals within the scope of their position are responsible to perform their job in light of the Mission & Values of the Health System. Regardless of the position, every job contributes to the challenge of providing healthcare. There is an ongoing responsibility for ensuring the values of Respect, Compassion, Justice, Hospitality, Holistic Approach, Stewardship, and Collaboration are present in our interactions with one another and in the service we provide.

High School Diploma/Equivalency

Previous clinical health care experience is preferred

Must be available for alternating shifts

Meets performance standards within introductory period

Redeemer Health is an equal opportunity employer.  We prohibit discrimination in employment due to race, color, gender, religion, creed, national origin, age, sex, sexual orientation, gender identity or expression, disability veteran status or any other protected classification required by law.