- 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
- 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
- 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
- Hackensack Meridian Health (Holmdel, NJ)
- …and serve as a leader of positive change. The **Care 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)
- …insure patient admission is approved i$~ Identifies and refers to the UM Manager &/or Administrator and/or Physician problematic utilization and quality issues ... designation of alternative level of care with the UM Manager and/or Program Manager and Physician. i$~...providers as well as regulatory agencies, as needed for Utilization Management activities i$~ Demonstrates the knowledge and skills… 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
- Elevance Health (New York, NY)
- **Clinical Operations Associate Medical Director** **Carelon Health** **Genetics Testing Utilization Review** **Location** : The ideal candidate will live within 50 ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… 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
- 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
- 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
- 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
- Molina Healthcare (Brooklyn, NY)
- …of illness and the site of service. **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
- 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