Utilization Manager Jobs in New York State
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Search Results - Utilization Manager Jobs in New York State
Trinity 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...
B.E. Smith-Watertown (NY)
organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.
Care Coordination, Case Management, Case Manager, Care Manger, Utilization Manager, Utilization Management, Nursing Resource...
Compass Healthcare Consulting and Placement-New York
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...
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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MedixTM-Westbury (NY)
Job Title: Utilization Management / Appeals RN
Must have BSN***
Location: Onsite required; offices in Lake Success/New Hyde Park, NY
Hours: M-F 8-5 *flexible
Start date: ASAP
Pay: $48-54/hr *DOE
Experience: UM, Appeals, or strong clinical...
Centers Care Solutions-Farmingdale (NY)
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...
Mitchell Martin-New York
for core applications.
• This role involves collaborating with various teams, such as Provider Contracting, Credentialing, Claims Operations, Utilization Management, and Network Management, to ensure accurate payment processing systems.
• The position...
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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...
Phaxis LLC-Manhattan (NY)
including Word, Excel or Access Required
Utilization Management experience Preferred
Health care background Preferred...
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CareCentrix-Buffalo
Are you an experienced Registered Nurse with a passion for shaping the future of healthcare?
As a Nurse Liaison you will be an expert in resource management, a master of utilization review and a compassionate partner for patients and their support...
1 similar job: Utica
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...
CareCentrix-Utica (NY)
Are you an experienced Registered Nurse with a passion for shaping the future of healthcare?
As a Nurse Liaison you will be an expert in resource management, a master of utilization review and a compassionate partner for patients and their support...
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...
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MVP Health Care-Schenectady
Curiosity to foster innovation and pave the way for growth
• Humility to play as a team
• Commitment to being the difference for our customers in every interaction
Your key responsibilities:
• Utilize the essentials of an integrated utilization management...
2 similar jobs: Tarrytown, Rochester
Cognizant-Rochester
cause analysis, benefits cost shares, Utilization Management, Coordination of Benefits, and provider and member matching issues.
Soft Skills:
Liaison: Ability to liaise effectively with both business and technical groups.
Knowledge Transfer: Transfer...
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