Utilization Manager Jobs in New York State
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Search Results - Utilization Manager Jobs in New York State
Trinity Health-Voorheesville
way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Registered Nurse Professional Utilization Management Nurse - St. Peter's Hospital--Full-TIme
If you are looking for an RN position in Case...
lwqct.com -
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 -
St. Joseph's Health-Syracuse
Employment Type
Full time
Shift
Day Shift
Description
The RN Utilization Management Nurse Coordinator is responsible for both concurrent and retrospective inpatient and outpatient services, in accordance with the utilization requirements and 3rd...
lwqct.com -
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...
appcast.io -
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...
lwqct.com -
Monte Nido & Affiliates, LLC-Irvington (NY)
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 client and their unique circumstance based...
appcast.io -
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...
lwqct.com -
Clementine-West Nyack
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 client and their unique circumstance based...
appcast.io -
Amedisys-Medford (NY)
Oversees and assists clinicians in establishing immediate 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...
Bond Health Staffing-Brooklyn (NY)
of quality improvement initiatives
• Participate in quality assurance activities such as chart reviews and utilization management
• Provide individual and group supervision to program staff
• Integrate recovery, rehabilitation, treatment and vocational...
resume-library.com -
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...
lwqct.com -
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 -
Acara Solutions-Williamsville (NY)
Schedule: Monday-Friday, 8AM to 430PM or 9PM to 530PM
• Prov
ide High Quality, Professional Utilization Management Services: (Medical necessity review for prior authorization, pre-certification, concurrent, as well as pre-claim or retrospective payment...
superiorjobs.com -
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 -
Bronx
of HEDIS measures, care management, risk stratification, and utilization management to enhance care quality, promote cost savings, and improve patient outcomes.
Responsibilities:
1. Population Health Strategy & Program Development
Develop and implement...
icims.com -
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