- 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
- 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 Job Details Job Location Park...your area of expertise. We are looking for a Manager of Sales Finance interested in starting a SWEET… 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
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** **The Utilization Review Physician collaborates with the healthcare team in the** **management and resolution of activities that assure the integrity of ... and Hackensack UMC. These include but are not limited to utilization review,** **hospital reimbursement, clinical compliance, case management, and transitions of… 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 ... Hackensack UMC. These include but are not limited to utilization review, hospital reimbursement, clinical compliance, case management, and...documentation iv. Target DRGs Reviews v. Use of case manager as a resource 4. Uses guidelines to evaluate… more
- Hackensack Meridian Health (Perth Amboy, NJ)
- …mission to transform healthcare and serve as a leader of positive change. The ** Utilization Management Care Coordinator** is a member of the healthcare team and is ... patient's treatment. Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to manage length of stay,… more
- Hackensack Meridian Health (Holmdel, NJ)
- …healthcare and serve as a leader of positive change. The **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
- 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
- AristaCare (Plainfield, 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) *2 full time positions available RN is responsible for overseeing the care management of a population of patients within an assigned area, unit or… more
- Hackensack Meridian Health (Hackensack, NJ)
- …staff and follows up to resolve problems with payers as needed. + Monitors utilization of resources and reports to Manager . Captures and documents Avoidable Days ... serve as a leader of positive change. **Responsibilities** The **RN Case Manager ** bears overall responsibility for coordinating patient care activities to ensure… 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