Utilization Manager Jobs in Jersey City
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Search Results - Utilization Manager Jobs in Jersey City
Capital Health (US)-Jersey City
for the Performance Improvement, Utilization Manager productivity, and Quality Improvement activities in the department. Ensures responsibility for all regulatory readiness and preparation activity in the department.
Minimum Requirements
Education: Graduation from...
Doctor's Choice Placement Services, Inc-Jersey City
or older (adult), excluding obstetrical.
• Providing medical coordination and inpatient utilization management for surgical patients.
• Closed Medicine ICU and CCU, Open Surgery ICU - Nocturnists admit patients to Surgery ICU but not required to do...
appcast.io -
Horizon Blue Cross Blue Shield of New Jersey-Jersey City
principles.
• Working knowledge of principles of utilization management.
• Prefers basic knowledge of health care contracts and benefit eligibility requirements.
• Prefers knowledge of hospital structures and payment systems.
Skills and Abilities...
Jersey City
including crisis intervention strategies, when indicated. Participates in interdisciplinary treatment team Meetings, record keeping, and consultation and education. Develops interventions based on youth needs and practices utilization management.
LOCATION...
icims.com -
HumanEdge-New York, 2 mi from Jersey City
Job Title: Utilization Manager
Location: NY, NY,
Job Type: Full-Time. Onsite.
Salary: Up to $90,000k yearly dependent on experience
About our client:
Our client, a nonprofit, provides a spectrum of treatments for opioids and other substance...
mindmatch.ai -
Jersey City
including crisis intervention strategies, when indicated. Participates in interdisciplinary treatment team meetings, record keeping, and consultation and education. Develops interventions based on youth needs and practices utilization management.
Location...
icims.com -
NewYork-Presbyterian Hospital-New York, 2 mi from Jersey City
years.
The Case Manager is responsible for all aspects of discharge planning and utilization management/review for an assigned group of patients to determine the appropriateness of the admission and continued stay, assist in the development of the plan...
Mitchell Martin-New York, 2 mi from Jersey City
subject matter input that assures system changes result in accurate impacted claims, benefits, utilization and care management requirements, and member handbook and provider guidance.
The SWAT team ensures the requirements are understood across impacted...
resume-library.com -
Compass Healthcare Consulting and Placement-New York, 2 mi from Jersey City
and healthcare leaders to achieve optimal patient outcomes. Registered Nurse, RN with Director level Hospice/Hospital Case Management, experience required. Qualified candidates will be an experienced Clinician, RN with a Case Management and Utilization Management...
VNS Health-New York, 2 mi from Jersey City
and advancement opportunities
What You Will Do
• Supervises the day-to-day operations of VNS Health Plans Medical Management clinical and non clinical staff. Makes recommendations to the development, utilization, and evaluation of internal processes to ensure...
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