- 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
- Humana (Trenton, NJ)
- …a part of our caring community and help us put health first** The Manager , Utilization Management Nursing utilizes clinical nursing skills to support the ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works within specific guidelines… more
- Humana (Trenton, NJ)
- …part of our caring community and help us put health first** The Manager , Utilization Management Behavioral Health utilizes behavioral health knowledge and skills ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Behavioral Health works within specific… 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
- 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
- Molina Healthcare (New York, NY)
- …Clinical Social Worker/Counseling (or related field) License Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified Professional ... for the development, implementation, and delivery of training curriculum for Utilization Management, Case Management, and LTSS staff. Leads and manages classes,… more
- RWJBarnabas Health (Rahway, NJ)
- …length of stay and continued stay denials, improves efficiency, quality, and resource utilization . The Case Manager RN will work with Medical/Surgical patients. ... Per Diem Case Manager Registered Nurse (RN), Case ManagementReq #:0000183145 Category:Nursing...setting + Minimum of one year experience in Case Management/ Utilization Management or Home Care + Successful completion of… more
- Organon & Co. (New York, NY)
- …Business Manager and be responsible for driving product awareness and utilization . The Territory Business Manager will work towards achieving and exceeding ... overall sales initiatives by developing effective relationships and partnering with physicians, working with staff, internal colleagues, and other pertinent parties within a defined territory. **Responsibilities** + Employ business planning and local market… more
- Hackensack Meridian Health (Neptune, 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
- Amazon (New York, NY)
- …a unique opportunity for you to be an owner, problem solver, and risk manager , operating with a high degree of autonomy and ambiguity. Successful candidates will ... have a strong technical background, be detail-oriented, have excellent communication skills, and exhibit a deep understanding of system or service architecture and implementation details. You will have a consistent record of ownership of complex projects and… 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 (Edison, 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 The unit manager will be responsible for overseeing the care management of a population of patients within an assigned area, unit or clinical… more
- AristaCare (Manchester, NJ)
- …of the State's Nurse Practice Act of Registered Nurse licensure. The Unit Manager - RN coordinates resource utilization , timely and appropriate care ... Unit Nurse Manager (RN) Weekends - 7am - 3pm AristaCare is seeking a Unit Manager - RN to oversee the care management of a population of patients within an… more
- AristaCare (Manchester, NJ)
- …of the State's Nurse Practice Act of Registered Nurse licensure. The Unit Manager - RN coordinates resource utilization , timely and appropriate care ... Unit Nurse Manager (RN) AristaCare is seeking a Sub-Acute Unit Manager - RN to oversee the care management of a population of patients within an assigned area,… 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 (Edison, NJ)
- …+ Continuously reviews and adjusts OR schedule on a daily basis to ensure maximum utilization . + Performs the Fax Manager functions according to the procedure. + ... Assigned to the OR Charge Desk as scheduled or required with specific tasks to include:a. Performs administrative tasks to support the daily operations of the Operating Room as directed by Charge Nurse. + b. Manage the Epic snapboard schedule in tandem with… more
- CVS Health (Monroe Township, NJ)
- …Health service strategies, policies, and programs are comprised of utilization management, quality management, network management, clinical coverage and policies. ... appropriate physical, behavioral health, psychosocial wrap around services. The care manager will be responsible for; care planning, direct provider collaboration,… more
- CVS Health (Plainfield, NJ)
- …Health service strategies, policies, and programs are comprised of utilization management, quality management, network management, clinical coverage and policies. ... appropriate physical, behavioral health, psychosocial wrap around services. The care manager will be responsible for; care planning, direct provider collaboration,… more