Utilization Manager Jobs in New York
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Search Results - Utilization Manager Jobs in New York
NewYork-Presbyterian Hospital-New York
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...
Storm3-New York
with cross-functional teams, and optimize resources. Develop population health, case management, and utilization management programs.
• Quality & Compliance: Lead HEDIS program development and quality assurance efforts. Ensure compliance with federal, state...
mindmatch.ai -
MJHS-New York
and coordinates interventions determined appropriate by the team
• Ensures proper utilization management of skilled services and level of care changes
• Develops and updates holistic care plans that addresses members’ needs in collaboration with the inter...
Monte Nido & Affiliates, LLC-New York
Interact with insurance companies for pre-certification and utilization management
• Participating in discharge and aftercare planning
• Therapeutic meal support, while modeling a healthy relationship with food
• Provides safe, empathetic, and affirming...
VNS Health-New York
Identifies needs and solutions in concert with the facility staff, member and caregiver to develop a high-quality safe discharge plan. Works with the authorization and utilization management teams to generate timely requests for medical services and renders...
Essen Health Care-New York
of high-quality healthcare services
2. Develop and implement medical policies, procedures, and protocols
3. Collaborate with other healthcare professionals to develop and implement patient care plans
4. Oversee utilization management activities to ensure...
appcast.io -
MJHS-New York
preferably managed care setting. Working knowledge of utilization management, case management, Medicare/Medicaid regulations. Specialized Knowledge and Skills, License/Certification
• NYS RN license and registration.
• Excellent knowledge of computer software...
Monte Nido & Affiliates, LLC-New York
therapy
• Serving as liaison with families and outpatient providers
• Interact with insurance companies for pre-certification and utilization management
• Participating in discharge and aftercare planning
• Therapeutic meal support, while modeling...
EmblemHealth-New York
with interdepartmental leaders to resolve issues and improve processes and workflows.
• Organizes after-hour and weekend coverage, as required.
• Coach and mentor to staff.
• Ensures compliance with State, Federal and NCQA requirements related to utilization management...
Northeast Healthcare Recruitment, Inc. (NEHCR)-New York
and patient care.
• Quality Assurance: Monitor and evaluate clinical practices to ensure the highest standards of care.
• Manage Care: Understand and implement utilization management tactics.
Requirements:
• MD or DO degree from an accredited medical school...
appcast.io -
Greenlife Healthcare Staffing-New York
experience.
Must have working knowledge of Utilization management to support the patient, ensuring clients receive the best care and support over continuous time to achieve positive clinical outcomes.
Must be a Qualified Health Professional with CASAC...
resume-library.com -
University of Massachusetts Medical School-New York
Health teams.
• Medical Management team.
• Prior Authorization and Utilization Management.
• Medicaid’s dental programs.
• Development of clinical components for plan and provider contracts.
• Collaborate with internal teams and external vendors...
appcast.io -
Lifelancer-New York
utilization and revenue for multiple Molina Healthcare products. Understands and assess critical UM and CM data and designs / develops reports to monitor UM and CM process and outcomes, as well as those program impacts on medical cost trends.
With those root...
resume-library.com -
New York
or veteran status.
Responsibilities Include::
• Providing individual, group, and family therapy
• Serving as liaison with families and outpatient providers
• Interact with insurance companies for pre-certification and utilization management...
montenidoaffiliates.com -
Greenlife Healthcare Staffing-New York
years of related workplace experience.
• Must have working knowledge of Utilization management to support the patient, ensuring clients receive the best care and support over continuous time to achieve positive clinical outcomes.
• Must be a Qualified...
workable.com -
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