Director of Case Management & Utilization Review
Clinical Management Consultants
Clinical Management Consultants partners with a respected Hudson Valley hospital network to recruit a Director Case Management. This senior role leads case management and utilization review, shaping patient flow, outcomes, and value-based care strategies across a 240+ bed not-for-profit system. You will mentor nurse case managers, social workers, and UR staff, oversee budgeting, policy development, and cross-disciplinary collaboration with physicians, payers, and post-acute partners to ensure #J-18808-Ljbffr Clinical Management Consultants
- University of Miami Health System seeks a full-time Utilization Review Case Manager to work remotely. The role reviews patient charts for prior authorization, concurrent and retrospective utilization, coordinating with the care team for timely and appropriate care. You...SuggestedRemote jobFull time
- A healthcare organization is seeking an experienced Registered Nurse (RN) - Case Management for their New York location. The RN will be responsible for coordinating patient care, managing resources, and ensuring high-quality patient outcomes. Key responsibilities include...Suggested
- SUNY Downstate Health Sciences University is seeking a full-time TH Utilization Review Quality Assurance Senior Coordinator / RN Case Manager in New York. The role focuses on hospital case management, utilization review, and discharge planning to ensure smooth transitions...SuggestedFull time
- ...Director Case Management – Step into a high-impact leadership role where innovation meets compassion and elevate your career as a transformational... ...growth, and measurable community impact, the Director Utilization Review will play a pivotal role in advancing value-based care...SuggestedLocal area
- ...and provide, ongoing coordination and management of service delivery through an integrated case management approach Performs medical necessity review that includes concurrent,... ...timelines and quality standards related to Utilization Management Maintain and submit reports...SuggestedWork at office
$112.35k
...Care Manager - Utilization Management (Must Have UAS Experience) Job Ref: TE0147 Category: Utilization Review and Case Management Department: UTILIZATION MANAGEMENT Location:... ...MetroPlusHealth Physician Advisor/Medical Director. Informs member and provider of...Full timeRemote work$75k - $80k
...variety of onsite services, including case management, vocational training, housing advocacy... ...Conduct probationary period and annual review evaluations with assigned supervisees... ...assurance audits with program management and utilize the findings to drive the development...Full timeWork at officeLocal areaImmediate startAfternoon shift$65k - $70k
...self-sufficiency, and personal growth. Utilize trauma-informed and evidence-based approaches... ..., and professional development to Case Managers and MSW interns. Conduct individual and... ...and multidisciplinary team meetings to review participant progress and address complex...InternshipLocal areaWork visa- Manager, ED & Observation Case Management Houston, United States | Posted on 06/25/2026 A leading healthcare... ...related to care facilitation, utilization management, case management, and discharge... ...of payer requirements, utilization review, care coordination, and performance...Work experience placementRelocation package
$100k - $135k
...Job Summary: The Nurse Care Manager is responsible for providing... ...members requiring Care Management Review (CMR), evaluates documentation... ...the most appropriate levels, utilizing network providers and ensuring... ...company policies regarding case management practices Adhere...Hourly payFull timeWork at officeLocal areaHome officeFlexible hoursWeekend workAfternoon shift$75.73k - $128.96k
.... Presbyterian Hospital is hiring a RN Case Manager that will provide clinically-based case... ...efficient patient care. The role integrates utilization management, care coordination, and... ...clinical practice area with utilization review or case management experience desirable...Daily paidReliefShift workNight shiftWeekend work$53k - $55k
...services delivered by skilled case managers, licensed mental health... ...Bronx) Reports To : Program Director Status : Non-Exempt Compensation... ...and Harm Reduction. Utilize electronic health record.... ...Individual Service Plan and review the plan periodically to document...Permanent employmentLocal areaShift workWeekend workWeekday work- ...counseling, exit summaries and follow-up. Manage a case load and monitor and document client... ...legal services, mental/ medical care Utilize motivational interviewing in order to... ...completed within 30 days and service plans reviews are completed every 6 month Maintain...Contract workWork at officeLocal area
$70k - $72k
...in Brooklyn. Position: Case Work Supervisor Reports To: Director of Social Services Location... ...all necessary case management documentation including... ...document via progress notes. Review all documentation... ...electronically). Ensure staff utilization of electronic database and...Permanent employmentFull timePart timeLive inLocal area$47.28k
...is seeking a dedicated and compassionate Case Manager to support families residing in our... ...legal assistance, and community resources Utilize Evidence-Based Practices, Motivational Interviewing... ...laws. For further information, please review the Know Your Rights notice from the...Permanent employment$55k - $60k
...services delivered by skilled case managers, licensed mental health... ...imminent risk of homelessness. Utilizing evidence-based practices such... ...To : Assistant Program Director Status : Non-Exempt Compensation... ...network of resources. Review case notes, housing...Permanent employmentFull timeTemporary workWork at officeLocal areaImmediate startWeekend workWeekday work- SUMMARY The Intensive Case Manager (ICM) is a compassionate, organized, and self‑directed individual... ...and on behalf of clients Receive and review new client intake information from the... ...Charities in required timeframes utilizing the forms provided by DFD and using professional...Temporary workWork at office
$69.8k - $71k
...to permanent housing. Position: Case Manager Supervisor Reports To Director of Social Services Location Brooklyn... ...and document via progress notes. Review all documentation related to... ...and electronically). Ensure staff utilization of electronic database and conduct...Permanent employmentFull timeContract work$26.52 per hour
...Under the supervision of the Program Director/designee, the Case Manager functions as part of a team... ...documentation (including quarterly reviews) Maintain accurate, up-to-date case... ...counseling (individual and group) and utilize evidence-based approaches such as cognitive...Hourly payImmediate startFlexible hours- ...Perform concurrent and post-treatment reviews, updating estimates based on... ...and therapies. Apply historical utilization data and patient-specific risk factors... ...preferred. Experience in managed care, utilization review, or case management preferred. Knowledge of...
- ...Rehabilitation Medicine at SUNY Downstate Health Sciences University is seeking a full-time TH Utilization Review & Quality Assurance Senior Coordinator / Rehabilitation Case Manager. The successful candidate will: Report to the Rehabilitation Medicine Division...Full timeRelief
$64.47k - $82.84k
...eligibility determination meetings, and annual reviews) for parents who are limited English... .... Ensuring that IEP teams are utilizing qualitative and quantitative data when... ...and meetings targeted at supporting the case manager/local school district representative....Temporary workWork at officeLocal areaFlexible hours- ...PRIMARY FUNCTION/PURPOSE Provide direct case management services including assessment,... ...ESSENTIAL DUTIES AND RESPONSIBILITIES Utilizing the Department of Homeless Services (DHS... ...Re-housing Enterprise System (CARES), Review accessible information from Human Resource...Permanent employmentWork at officeRelocationTrial period
$123.59k - $137.32k
About This Role The MetroPlus Case Manager II coordinates and monitors patient-centered quality care, ensuring optimal resource utilization and compliance with regulations. This role is... ...Time, 9:00 A.M - 5:00 P.M What You'll Do Review each patient's chart to ensure...Full time$27.27 - $30.34 per hour
...Administration. Position Description The Case Manager is a member of the Veterans Services... ...assessing the needs of referred households and utilizing VA and community resources to meet... ...hire. Note to Internal Candidates: HR reviews internal compensation and determines...Permanent employmentFull timeFlexible hours$67.17k
...Reporting to the Supervising Clinical Case Manager and under the direction of the Clinical Director, the Case Manager works on a... ...and significant others. Review release conditions, program agreement... ...arrests and prepare court reports. Utilize cognitive behavioral therapy,...TraineeshipWork at officeRemote workWeekend workAfternoon shift- ...Under the direction of the Director of Care Management (PIC), the PIC Clinical Care... ...New York City to provide case management services. Duties... ...‑up, and ancillary service review to ensure optimal health outcomes... ...member Plan of Care utilizing various resources, including...Work at office
- ...PRIMARY FUNCTION/PURPOSE: Provide direct case management services including assessment,... ...ESSENTIAL DUTIES AND RESPONSIBILITIES: Utilizing the Department of Homeless Services (DHS... ...Re-housing Enterprise System (CARES), review accessible information from the Human Resource...Permanent employmentRelocationTrial period
- ...Job Details POSITION SUMMARY Case Manager - Typically placed on Med-Surg or Tele Floors following Internal Med and Family... ...able to critically think, and good time management skills. Utilization Review (UR) is a separate dept- UR will do insurance approvals and...Temporary workShift work
- ...Days Shift – 35 hours/week Job Description : Coordinate and manage patient care across the continuum. Develop, implement, and monitor... ...physicians, nurses, and multidisciplinary teams. Perform utilization review and discharge planning. Identify patient risks and coordinate...Shift workDay shift
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