- A-Line Staffing Solutions (New York, NY)
- …Case Manager , Case Management, InterQual, Medicare, Medicaid, CMS Guidelines, Utilization Review, Utilization Management, Registered Nurse, MCO, RN, Nurse, ... Case Manager , Case Management, InterQual, Medicare, Medicaid, CMS Guidelines, Utilization Review, Utilization Management, Registered Nurse, MCO, RN, Nurse,… more
- ProKatchers (Bowling Green, NY)
- Specific Skills : Care Coordination Utilization review Discharge planning Education : Bachelor's Degree required Job Category : Nonclinical Industry : Healthcare
- Russell Tobin & Associates (New York, NY)
- …team equipment purchases, placing order with IT or facilities, first obtaining manager approval, if required. Order office supplies as needed through SAP. Extensive ... polices related to Travel & Expense, Time and Attendance and Labor Utilization record keeping. Track approved time-off requests on central calendar and ensure… more
- Acacia Network (Bronx, NY)
- Acacia Network Inc. Utilization Manager Bronx, : 5/30/2024 Job Description Job ID#: 3904 Job Category: Acacia Network Inc. Position Type: Full Time Details: ... residential services requiring MCO approval. The salary for the Utilization Manageris $65,000/annually based on relevant experience. KEY ESSENTIAL FUNCTIONS:… more
- The Mount Sinai Health System (New York, NY)
- **JOB DESCRIPTION** The Utilization Review Manager for the Selikoff Centers for Occupational Health is responsible for the management of program operations ... records, and internal and external regulatory and survey requirements. + The Utilization Review Manager collaborates with multiple professionals to support and… more
- Promotion In Motion (Park Ridge, NJ)
- …trade spend ROI, recommendations for P&L enhancement, and efficient/optimized resource utilization . This Manager will partner cross-functionally while assisting ... Manager , Sales Finance (Bilingual in Spanish) Job Details...leaders and broker partners to achieve profitable growth. The Manager , Sales Finance will collaborate with the Sales departments… more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity ... population and HackensackUMC. These include but are not limited to utilization review, hospital reimbursement, clinical compliance, case management, and transitions… more
- Hackensack Meridian Health (Hackensack, NJ)
- …and serve as a leader of positive change. The Case Management Care Coordinator, Utilization Management is a member of the healthcare team and is responsible for ... patient's treatment. Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to manage length of stay,… more
- The Mount Sinai Health System (New York, NY)
- …to insure patient admission is approved Identifies and refers to the UM Manager &/or Administrator and/or Physician problematic utilization and quality issues ... and coordinates the designation of alternative level of care with the UM Manager and/or Program Manager and Physician. Notifies and coordinates inpatient… more
- The Mount Sinai Health System (New York, NY)
- **JOB DESCRIPTION** ** Utilization Review Admission Specialist (OR Scheduler), Operating Room Surgical Scheduling, Mount Sinai West - Full Time, Days** The ... Utilization Review Specialist coordinates scheduling of all surgical/endoscopic hospital...operating room procedures. Seeks the assistance of the Nurse Manager in identifying cases, which require pre admission screening… more
- The Mount Sinai Health System (New York, NY)
- …homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager or a minimum of 3-5 years experience as a ... **JOB DESCRIPTION** **RN/Case Manager MSH Case Management FT Days** The Case...length of stay (LOS), improved efficiency, quality and resource utilization . Assignment will be by units/clinical areas of practice… more
- The Mount Sinai Health System (New York, NY)
- …homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager or a minimum of 3-5 years experience as a ... **JOB DESCRIPTION** The Case Manager (CM) will be responsible for all aspects...length of stay (LOS), improved efficiency, quality and resource utilization . Assignment will be by units/clinical areas of practice… more
- Aston Carter (Parsippany, NJ)
- …or relevant field + Experience with Model N/Flex/Revitas + Validata and Revenue Manager modules + Validating utilization data from PBMs, Managed Care Contract ... and internal processing procedures. This position is responsible for analyzing utilization data, applying rules to determine included and excluded claims, assigning… more
- AristaCare (Linden, NJ)
- …of the State's Nurse Practice Act of Registered Nurse licensure. The Unit Manager - RN coordinates resource utilization , timely and appropriate care ... Unit Manager - RN is reasonable to oversee the care management of a population of patients within an assigned area, unit, or clinical function. The position conducts… more
- Northwell Health (Staten Island, NY)
- …delays and resolves issues with appropriate departments. + Identifies appropriate utilization of Social Work Services and makes referrals when appropriate. + ... a resource to the health care team regarding quality, utilization of clinical resources, payer, and reimbursement issues. +...regarding patient's status with regard to length of stay, utilization of resources and discharge status. + * Provides… more
- The Mount Sinai Health System (New York, NY)
- **JOB DESCRIPTION** The Case Manager is responsible for all aspects of case management/ utilization review for an assigned group of inpatients, ED patients and ... basis and identify the expected length of stay (ELOS). The case manager works collaboratively with physicians, social workers, clinical nurses, home care services,… more
- Pfizer (New York, NY)
- **ROLE SUMMARY** The Sterile Injectables (SI) Area Business Manager will lead a team of sales professionals to achieve sales and financial goals for Pfizer ... strategic sales plans. Responsible for attaining results through the optimum utilization of market resources, ensuring compliance with all policies and procedures,… more
- The Cigna Group (Morris Plains, NJ)
- …for the oversite of implementation activities related to formulary management and utilization management on the pharmacy and medical benefit to ensure affordability ... strategy intent is met. Affordability solutions encompass activities that include utilization management edits at point of service, preferred drug list strategy,… more
- The Mount Sinai Health System (New York, NY)
- **JOB DESCRIPTION** The **Senior Member Relationship Manager ** is a highly visible member of the CAPC team who is responsible for designing and implementing a ... to brand loyalty, membership retention and renewal revenue. The Senior Member Relations Manager must identify and address the needs of CAPC members to create… more
- HSS (New York, NY)
- …our Mission, you too can be part of our transformation across the enterprise Manager , IT Instructional Design and Training Full-Time (Hybrid) In office 3 days per ... week required -NYC based Job Summary The Manager , IT Instructional Design and Training role manages the...The objectives of training activities are to maximize the utilization , adoption and satisfaction of the EMR and associated… more
