Utilization Manager Jobs in New York State
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Search Results - Utilization Manager Jobs in New York State
Medix™-New York
Work with provider reimbursement tools, collaborate with Claims Operations, Utilization Management, and Network Management to setup pricing methodologies
• Facilitate improvement of the payment transaction process by interacting with providers...
mindmatch.ai -
Phaxis LLC-New York
including Word, Excel or Access Required
Utilization Management experience Preferred
Health care background Preferred...
resume-library.com -
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...
Aditi Consulting-Buffalo
are performed utilizing pharmacy management drug policies and procedures. This position accurately prepares and interprets cases for UM (utilization management) reviews and determination. In addition, the Technician is the content expert for the applications...
resume-library.com -
Monte Nido & Affiliates, LLC-New City
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...
1 similar job: St Louis
Innova Solutions-New York
Operations, Utilization Management, and Network Management to setup systems to ensure accuracy of payments processing.
• For this role, the person needs to have extensive knowledge of provider contracts (not from legal or contracts) on the IT side/contract...
mindmatch.ai -
Monte Nido & Affiliates, LLC-Irvington (NY)
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...
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 -
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...
Integrated Resources, Inc-New York
with Utilization Management (UM) department on concurrent and retrospective review.
Follow up with assigned nurses for clinical updates to care plan.
Document within two business day s coordination notes and routine contacts with the members according...
resume-library.com -
Albany Medical Center-Spencertown
for assigned service line across the continuum of care. The Case Manager works proactively with the Quality Improvement Teams, patient care standards, and utilization management to coordinate the appropriate use of resources to achieve maximum clinical...
39 similar jobs: Feura Bush, Berne, Greenville, Catskill, Averill Park...
Acacia Network-Bronx
with Social Services and Medical Department to obtain clinical notes & social work documentation to compile concurrent review package.· Submitting concurrent review package and follow up with Utilization Management team at the Managed Care Plan for status.· Attend...
smartsearchonline.com -
New York
client facing skills including effective presentations & communications.
• Proven organization and ability to work with others.
• Experience in resource deployment and utilization management.
• Successfully operates in a fast-paced driven environment...
icims.com -
The Jewish Board of Children and Family Services-Bronx
for ensuring quality clinical services are provided as follows:
• Implementation of quality improvement initiatives
• Participate in quality assurance activities such as chart reviews and utilization management
• Provide individual and group supervision...
shirecareers.jobs -
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 -
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