• 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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  • 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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  • 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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  • Physician Utilization Review Specialist Per…

    Hackensack Meridian Health (Hackensack, NJ)
    …determinations - OBS vs. Inpatient c. Liaison to the Medical Staff supporting Utilization Management Committee processes d. Hospital Based Appeals Management e. ... more
    Hackensack Meridian Health (11/18/24)
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  • Sr Utilization Review Spec FT Humc

    Hackensack Meridian Health (Hackensack, NJ)
    …determinations - OBS vs. Inpatient c. Liaison to the Medical Staff supporting Utilization Management Committee processes d. Hospital Based Appeals Management e. ... more
    Hackensack Meridian Health (11/02/24)
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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 27-Dec-2024 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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  • Manager , Contract Support - Mount Sinai…

    Mount Sinai Health System (New York, NY)
    …matters. 7. Function as managed care SME. Schedules and leads regular department /stakeholder meeting to clarify and address professional managed care contracts with ... more
    Mount Sinai Health System (01/04/25)
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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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  • Supervisor, Care Management

    Hackensack Meridian Health (North Bergen, NJ)
    …change. The **Supervisor, Care Management** integrates and coordinates utilization management, care coordination, discharge planning functions and performance ... more
    Hackensack Meridian Health (11/21/24)
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  • Integrated Case Management Specialist - Full Time

    Hackensack Meridian Health (Hackensack, NJ)
    …ortho calls, payer communications and support of the Care Coordinators. Prepares required Appeals and Denial information for processing and follows up on receipt of ... more
    Hackensack Meridian Health (01/01/25)
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