Utilization Manager Jobs in New York State
1 - 15 of 25
Search Results - Utilization Manager Jobs in New York State
Integrated Resources, Inc-Manhattan (NY)
established MetroPlusHealth Utilization Management policies, procedures, and protocols. Oversee the coordination and delivery of comprehensive, quality healthcare and services for all members requiring care management in a cost-effective manner.
Interacts...
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SILVERSPACE TECHNOLOGIES PRIVATE LIMITED-Watertown (NY)
expertise in ventilating patients and managing acute pain
• Implement utilization management techniques to ensure efficient use of healthcare resources
• Conduct venipuncture procedures with precision and care
• Apply your knowledge of anatomy to deliver...
Amida Care-New York
Director (MD) in the clinical leadership and oversight of the Medical Management unit and the Utilization Management program. The position is responsible for ensuring implementation of Amida Care's medical management program in compliance with New York...
Centers Care Solutions-Staten Island
Manager works within a multidisciplinary team to help identify and manage members who are in need of additional care or support in their home to improve their quality of life. Through interventions such as complex case management and utilization management...
2 similar jobs: Margate, Farmingdale
Phaxis LLC-Manhattan (NY)
including Word, Excel or Access Required
Utilization Management experience Preferred
Health care background Preferred...
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Elderwood-Hamburg (NY)
completion and submission of Minimum Data Set (MDS).
Compliance with Federal and State requirements, and facility policies.
Actively participate in utilization management processes, including PDPM and state case mix process.
Conducts resident interviews...
Monte Nido & Affiliates, LLC-White Plains (NY)
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
• Participating...
Innova Solutions-New York
Operations, Utilization Management, and Network Management to setup systems to ensure accuracy of payments processing.
Job Description
• Oversee development and implementation of short/long term business objectives
• Direct and support initiatives to focus...
mindmatch.ai -
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...
Amedisys-Carle Place
and long-term patient goals, setting priorities and developing Plan of Care (POC). Responsible to oversee the management and delivery of patient care, including utilization management, episode management and patient outcomes.
Oversees the assignment...
Monte Nido & Affiliates, LLC-Irvington (NY)
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 care for each...
1 similar job: New City
Aon Corporation-New York
organization and ability to work with others.
• Experience in resource deployment and utilization management.
• Strong interpersonal skills, with the ability to interact effectively at various levels.
• Successfully operates in a fast-paced driven environment...
surfingwave.app -
Monte Nido & Affiliates, LLC-New York
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 a healthy...
PwC-New York
areas:
Possessing some working experience in Payer or Provider operations (domain areas such as Medical Management, Population Health Management, Utilization Management, Provider Network Management, Value-Based Contracting, Provider Relations, Quality...
jobvertise.com -
VNS Health-New York
and procedures in collaboration with other Health Plans departments and updates provider materials accordingly.
• Works with Quality, Care Management and Utilization Management Department to ensure quality assurance monitoring of network providers...
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