• Appeals Manager , Department

    BronxCare Health System (Bronx, NY)
    …Management Position Type Regular Full-Time Division Bronxcare- Yonkers Max USD $97,125.00/Yr. Shift Day Shift Department : Name Appeals Department (BHCS) ... more
    BronxCare Health System (12/18/24)
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  • CHS Utilization and Appeals

    Catholic Health Services (Melville, NY)
    …Health was named Long Island's Top Workplace! Job Details Position Summary: The Utilization and Appeals Manager (UAM) proactively conducts clinical reviews ... more
    Catholic Health Services (02/14/25)
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  • CHS Utilization and Appeals

    Catholic Health Services (Melville, NY)
    …for services and coordinates utilization / appeals management review. | Assist Utilization and Appeals Manager in setting up communications with payors ... more
    Catholic Health Services (02/14/25)
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  • Manager , Grievance and Appeals , RN

    VNS Health (Manhattan, NY)
    …navigating the complexities of healthcare? VNS Health Plans is seeking a dedicated Manager , Grievance and Appeals (RN)to lead the daily operations of our ... more
    VNS Health (12/04/24)
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  • Clinical Appeals Nurse (RN): Texas and New…

    Molina Healthcare (New York, NY)
    Utilization Management, Chief Medical Officer, Physicians, and Member/Provider Inquiries/ Appeals . + Provides training, leadership and mentoring for less ... more
    Molina Healthcare (02/09/25)
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  • Utilization Review Manager -Selikoff…

    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 ... more
    Mount Sinai Health System (01/30/25)
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  • Care Coordinator, Utilization Management

    Hackensack Meridian Health (North Bergen, NJ)
    …information to insurance company, billing certifications, concurrent managed care denial appeals and retrospective medical record utilization reviews. + Obtains ... more
    Hackensack Meridian Health (02/06/25)
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  • Case Manager Emergency Department

    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 ... more
    Mount Sinai Health System (11/26/24)
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  • RN/Case Manager -MSH-Case…

    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 ... more
    Mount Sinai Health System (01/01/25)
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  • Staff Nurse- Case Manager - Mount Sinai…

    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 ... more
    Mount Sinai Health System (01/15/25)
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  • VAS - Funds Manager

    CBRE (New York, NY)
    VAS - Funds Manager Job ID 197535 Posted 04-Feb-2025 Service line Advisory Segment Role type Full-time Areas of Interest Valuations/Appraisal Location(s) Atlanta - ... more
    CBRE (12/28/24)
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  • Director, Behavioral Health, Health Plans

    VNS Health (Manhattan, NY)
    …+ Engages in and contributes to the interdisciplinary team's utilization management activities and recommended interventions for members/participants. Establish ... more
    VNS Health (12/04/24)
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