- 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
- Penn Medicine (Princeton, NJ)
- …Inpatient Admissions Department to include but not limited to Registration and Utilization Management. Supervises the Utilization Management team and provides ... for the In-Patient population. **Responsibilities:** 1. Supervises the Inpatient Utilization Management Reviewers to ensure the accuracy of authorizations 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
- 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 e. Target DRGs Reviews f. Use of case manager as a resource + Uses guidelines to evaluate… 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)
- …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
- Hackensack Meridian Health (Belle Mead, NJ)
- …healthcare and serve as a leader of positive change. The Utilization Management Coordinator utilizes clinical knowledge and understanding of behavioral health ... patient caseload. Collaborates with the attending LIP, Clinical Case Manager , nurse, and other members of the treatment team,...ACCESS center staff and PFS department to ensure appropriate utilization of resources and benefits on a case by… 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
- 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 (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
- 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
- Mount Sinai Health System (New York, NY)
- …region. MSHS, World Trade Center Health Program (WTCHP) seeks a Clinical Pharmacy Manager that reports to Senior Manager , Pharmacy Benefits and works jointly ... under the direction of the WTCH medical leadership. The Clinical Pharmacy Manager will have direct patient care responsibilities aligned with care delivery goals as… 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
- BD (Becton, Dickinson and Company) (Franklin Lakes, NJ)
- …As the communications leader within the US Region Sales Enablement team, the Manager , Change Management and Communications will align with the US Region Sales ... This is a critical role that is responsible for increasing adoption and utilization of tools/processes such as CRM (Salesforce.com) utilization and sales process… more
- Mount Sinai Health System (New York, NY)
- …focused on pharmacy service excellence - our goal is to improve clinical utilization of pharmaceuticals and management of those related conditions. The Department of ... of the team will be responsible for medication management quality, cost, utilization and clinical stewardship activities for populations managed and at a program… more