- 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
- 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
- VNS Health (Manhattan, NY)
- OverviewManages the utilization management team to ensure that standards for service delivery and team/staff performance levels are met or exceeded. This includes ... the VNS Health Plans teams on a day- to-day basis for utilization issues, problem resolution, complaint resolution and other service related issues. Manages… more
- BronxCare Health System (Bronx, NY)
- …Identify and report problematic cases with extended LOS providing updated information to Utilization Case Manager and /or Director for further action. Identify ... Overview The Case Manager will coordinate care using a collaborative approach...individualized case management plan to assure appropriate and timely utilization of hospital, community based and other resources for… more
- BronxCare Health System (Bronx, NY)
- …- Establish and maintain positive relationships with patients, visitors, and other employees. Interacts professionally, courteously, and appropriately with patients, ... visitors and other employees. Behaves in a manner consistent with maintaining and furthering a positive public perception of Bronx-Lebanon Hospital Center and its employees. - Contributes to and participates in the Performance/Quality Improvement activities of… more
- Northwell Health (Bay Shore, NY)
- …up and action. + * Acts as a liaison with patients insurance carrier (case manager , utilization reviewer) to coordinate post hospital services and referrals. + * ... retrospective reviews as required. + * Participates in the maintenance of Utilization Management, Discharge Planning and Case Management statistics as required. + *… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …and concurrent reviews. The Senior UM Coordinator reports to the Manager , Utilization Management and/or Supervisor, UM Coordinators. Primary Responsibilities ... About The Role Brighton Health Plan Solutions provides Utilization Management services to its clients. Senior UM Coordinators facilitate utilization review by… more
- VNS Health (Manhattan, NY)
- …cost-effective health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical determinations in ... subject matter experts, physicians, member representatives, and discharge planners in utilization tracking, care coordination, and monitoring to ensure care is… more
- 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
- 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
- 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
- Black & Veatch (Paramus, NJ)
- **Fleet Equipment Rental Manager - Hybrid** Date: Oct 28, 2024 Location: US Company: Black & Veatch Family of Companies **Together, we own our company, our future, ... as fleet equipment planning, forecasting, vendor performance, and optimal utilization of fleet assets needed for BV. Works as...are met. * Aligns with forecasting teams, Fleet Asset Manager , and procurement staff to review potential incoming work… more
- Molina Healthcare (New York, NY)
- …NY LMSE or NY LCSW licensure required.** **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Healthcare Services provides operational management and oversight of integrated ... performing one or more of the following activities: care review/ utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), case… more
- 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
- Mount Sinai Health System (New York, NY)
- …region. MSHS, World Trade Center Health Program (WTCHP) seeks a Clinical Pharmacy Manager that reports to Senior Manager , Pharmacy Benefits and works jointly ... under the direction of the WTCH medical leadership. The Clinical Pharmacy Manager will have direct patient care responsibilities aligned with care delivery goals as… more
- Abbott (New York, NY)
- …114,000 colleagues serve people in more than 160 countries. **Job Title: Account Manager , Coronary** **Working at Abbott** At Abbott, you can do work that matters, ... and atherectomy devices. We currently have an opportunity available for an **Account Manager , Coronary,** **in NYC.** This role will be responsible for ensuring that… more
- 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
- Envista Holdings Corporation (White Plains, NY)
- **Job Description:** **JOB SUMMARY** : The Territory Sales Manager is responsible for leading the business development/acquisition activities to drive sales within ... sales of core products amongst Ormco products and solutions portfolio. The Territory Sales Manager will be the primary relationship builder and face of Ormco to the… more
- VNS Health (Manhattan, NY)
- …clinical care management services using evidence-based practices to ensure effective utilization of benefits, services, and care is provided to the patients ... and support. + Educates, coordinates, and provides resources to reduce inappropriate utilization of emergency room (ER) and hospital service. + Increases … more
- New York eHealth Collaborative (New York, NY)
- Service Desk Manager Job Details Job Location Albany or NYC Office - Albany or New York, NY Position Type Full Time Description New York eHealth Collaborative: ... Service Desk Manager New York eHealth Collaborative (NYeC) is a not-for-profit...providers statewide, develops policies and standards that support the utilization of health technologies, assists healthcare providers in adopting… more