- A-Line Staffing Solutions (New York, NY)
- …Case Manager , Case Management, InterQual, Medicare, Medicaid, CMS Guidelines, Utilization Review, Utilization Management, Registered Nurse, MCO, RN, Nurse, ... Case Manager , Case Management, InterQual, Medicare, Medicaid, CMS Guidelines, Utilization Review, Utilization Management, Registered Nurse, MCO, RN, Nurse,… more
- VNS Health (Manhattan, NY)
- …manner.Engages in and contributes to the interdisciplinary team's utilization management activities and recommended interventions for members/participants. Establish ... and implementation of the behavioral health sections of the Quality Management (QM)/ Utilization Management (UM) Plan. Oversees the administration of all BH QM/UM and… more
- ProKatchers (Bowling Green, NY)
- Specific Skills : Care Coordination Utilization review Discharge planning Education : Bachelor's Degree required Job Category : Nonclinical Industry : Healthcare
- VNS Health (Brooklyn, NY)
- …the Program Managers absence.Organizes various program components for the appropriate utilization and management of staff including triage and case management ... training and education.Assists and collaborates with the Program Coordinator/ Program Manager in the overall functioning of the team.Assumes Program Coordinator's/… more
- 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
- 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
- The Mount Sinai Health System (New York, NY)
- …to insure patient admission is approved Identifies and refers to the UM Manager &/or Administrator and/or Physician problematic utilization and quality issues ... and coordinates the designation of alternative level of care with the UM Manager and/or Program Manager and Physician. Notifies and coordinates inpatient… 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
- 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
- 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
- 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
- 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
- Pfizer (New York, NY)
- **ROLE SUMMARY** The Sterile Injectables (SI) Area Business Manager will lead a team of sales professionals to achieve sales and financial goals for Pfizer ... strategic sales plans. Responsible for attaining results through the optimum utilization of market resources, ensuring compliance with all policies and procedures,… more
- HSS (New York, NY)
- …our Mission, you too can be part of our transformation across the enterprise Manager , IT Instructional Design and Training Full-Time (Hybrid) In office 3 days per ... week required -NYC based Job Summary The Manager , IT Instructional Design and Training role manages the...The objectives of training activities are to maximize the utilization , adoption and satisfaction of the EMR and associated… 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
