Geriatric Utilization Management Specialist
Integrated Resources Inc
A healthcare staffing agency in New York is seeking a Clinical Utilization Specialist to oversee the authorization of services for geriatric populations. The ideal candidate will possess an Associate's Degree and LPN or RN certification, along with at least 2 years of experience in geriatrics and clinical utilization. Responsibilities include reviewing health services for medical necessity and collaborating with care teams to ensure quality care transitions. Strong communication and organizational skills are essential in this fast-paced environment. #J-18808-Ljbffr
- ...Job Description Utilization Management Specialist MSH Case Management FT Days This position is responsible for coordinating requests for clinical... ...comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence...SuggestedHourly payTraineeshipWork at officeLocal area
$50k
...Employer Industry: Behavioral Healthcare Management Why consider this job opportunity Starting pay up to $50,000 per year, based on... ...Complete pre-authorizations, concurrent reviews, and internal utilization review assessments Consult with the multidisciplinary treatment...SuggestedRemote work- Infinite Computer Solutions is seeking a candidate for a role focused on utilization management based in Georgia, USA. This position involves performing data analysis to identify cost-containment opportunities, optimizing management processes, and ensuring compliance with...Suggested
$70 - $74 per hour
...Functional Lead in Folsom, NJ. You will lead integration workstreams utilizing Oracle Integration Cloud for transformation projects in Oracle... ...of 4 years in a leadership role. Responsibilities include managing tasks, coordinating teams, and ensuring integration data...SuggestedContract work- ...Hospital, Inc. in Georgia is seeking a Registered Nurse UR Specialist. Key responsibilities include managing insurance notifications, obtaining necessary... ...minimum of 4-5 years in acute care and 1-2 years in utilization review. This position requires a Georgia RN license...Suggested
$25 - $39 per hour
...Cond & Ref Inc.- Dubai is seeking an Operation & Maintenance Specialist to support our manufacturing operations in Glendale, Kentucky.... ...candidate will have strong mechanical aptitude and experience in utility system monitoring. This hybrid role involves preventive...Hourly pay$23.01 - $34.24 per hour
A prominent healthcare institution in New York is seeking a candidate to coordinate clinical information requests and manage payer authorizations. Responsibilities include communication with third-party payers, data entry, and reporting, as well as supporting case managers...Hourly pay$56.3k - $84.5k
...Utility Program Outreach Specialist We are seeking a Utility Program Outreach Specialist who will be responsible for engaging industrial customers... ...through program and incentive processes and manage enrollment from initial engagement through completion....Full timeTemporary workWork at officeRemote workFlexible hours- ...Director of Utilization Review Under the direction of the Director of Utilization Review, the Specialist will coordinate Medicaid Managed Care authorizations and re-authorizations for clients receiving behavioral healthcare services from Odyssey House's Part 820 residential...Temporary workFlexible hours
- ...Capital Health is seeking a Clinical Denials Utilization Review RN in New Jersey to manage utilization reviews related to inpatient care. The role involves overseeing denial and appeal processes, ensuring compliance with CMS guidelines, and requires a minimum of five years...
$18.92 - $23.46 per hour
...Care, we are committed to creating an inclusive, growth-focused environment where every voice matters. Proven knowledge and skill in utilizing MS Office suite of software and pharmacy applications. Vital Care is the premier pharmacy franchise business with franchises...Full timeContract workTemporary workLocal areaRemote workFlexible hours$77k - $85k
...Practice Management Specialist This is an exciting opportunity to work for one of the top law firms in the U.S.! Davis Wright Tremaine LLP... ...effectively and efficiently to drive revenue growth, better utilize time spent on non-billable activities, facilitate the integration...Hourly payFull timeTemporary workInternshipRemote workFlexible hours- As a ConnectWealth Platform Specialist , you will serve as the subject matter expert to deliver... ...of our new strategic Unified Managed Account platform for the Global Private... ...and enhancing platform/program adoption/utilization through the facilitation of platform sales...Flexible hours
$65k - $81.5k
...Advisory Specialist, Entity Management New York, New York, United States; Washington, District of Columbia, United States Position Overview... ...timelines and risks across teams and are measured on utilization, SLA/turnaround, CSAT/quality, and on-time administrative...Work at officeLocal areaFlexible hours- ...auspice of Constructive Partnership Unlimited - Metro Services in managing and maintaining documentation required to be in compliance... ...Notable and Reportable Incidents to OPWDD and the Justice Center, utilizing IRMA and the JC’s Web Submissions of Investigation Reports (...Work at office
- ...Associate Vice President, Space Planning & Utilization About the Company Acclaimed clinical research & medical care center Industry... ...to senior leadership, collaborating with key partners, and managing the specific space needs of the institution's various schools...
- ...Description Job Description Project Risk Specialist ITnova is seeking a qualified... ...) to provide comprehensive risk management support services for the Port Authority... ...preparation of formal risk assessment reports utilizing industry-standard tools, methodologies,...
$18.92 - $23.46 per hour
...ability to track and maintain clear, complete records of activities, cases, and related documentation. Proven knowledge and skill in utilizing the MS Office suite of software and pharmacy applications. Education and Experience Two years’ experience in intake/...Full timeContract workTemporary workLocal areaRemote workFlexible hours$91k
...service, innovation, and professional growth. Job Title Specialist, Practice Management Location New York Regular/Temporary Regular Job Description... .../ operations of the assigned Practice Groups, including utilization tracking, maintaining a consistent framework for...Temporary workWork at officeLocal areaFlexible hours$20 per hour
...responded to in ways that fully develop and utilize each person's talent and strengths. Position Per Diem Peer Specialist - NYC (Full‑Time/Part‑Time Per Diem) Location... ...Specialist to work with our Crisis Incident Stress Management (CISM) team to provide support to tenants...Daily paidFull timePart timeInternshipLive inLocal areaFlexible hoursDay shiftAfternoon shift- ...plans, and document therapy progress. The ideal candidate will have a New York State OT License and experience in skilled nursing or geriatric care. The position offers highly competitive compensation, a comprehensive benefits package, and professional development support,...Full timeFlexible hours
- ...to reduce its GHG emission through better management of its forest and land use, business operation, and livelihoods. We utilize new technology, multi-stakeholder approach,... ...management in Indonesia. The role of the Livelihood Specialist is to provide technical and operational...Full timeContract workTemporary workFixed term contractWork experience placementLocal areaRemote workWorldwideFlexible hours
- ...Utilization Review Specialist Mindful Health is a healthcare provider in Texas that offers a high‑end client experience through both in‑person... ...organizational skills and keen attention to detail Proven time‑management skills with the ability to meet deadlines consistently...Temporary workWork at officeLocal areaMonday to Friday
- ...Senior Practice Management Specialist This is an exciting opportunity to work for one of the top law firms in the U.S.! Davis Wright Tremaine... ...effectively and efficiently to drive revenue growth, better utilize time spent on non-billable activities, facilitate the...InternshipRemote work
- ...Overview Osmose Utilities is seeking to fill Safety Specialist II role based in the Northeast US (PA/NY/MA area) . Travel 100% will use personal vehicle... ...improve safety performance and support the Osmose Safety Management Program. On a daily basis, the Safety Specialist will...Work experience placementFor subcontractorNight shift
$28.28 - $37.5 per hour
...JPMorganChase, where your role will be pivotal in managing complex cash movements and funding for... ...and innovation. As a Trade Lifecycle Specialist IV within JPMorganChase, you will play a... ...across all asset classes. Utilize various systems and tools to reconcile ledgers...Work at office- ...Transmission and Transmission), O&M, and capital material and services. Manage the administrative areas of the vegetation management program... ...Company of New York, Inc. (Con Edison), Orange & Rockland Utilities (O&R), and Consolidated Edison Transmission (CET) employees are...Contract workPart timeFor contractorsWork experience placementWork at officeLocal areaFlexible hoursNight shift
- ...serve, and care for our people. The HRIS Specialist – Dayforce plays a critical role in... ...Dayforce platform. Reporting to the Senior Manager, People Operations, this role serves as... ...demographics, engagement, time‑off utilization, and budgeting. Support organizational...Full timeContract workFor contractorsFor subcontractorWork at officeImmediate start
$20.45 - $24.7 per hour
...Medical Coding Specialist Ensemble is a leading provider of technology‑enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician... ...other requirements for observation cases, utilizing third‑party software such as LYNX. Perform...Hourly payTemporary workWork at officeLocal areaRemote work$34 - $39 per hour
...Professional Credit | Ensource specializes in accounts receivable management services offering two dedicated service lines: Professional... ...apart from others in the industry with our unique focus on utilizing cutting-edge technology and science to support the needs of clients...Hourly payFull timePart timeRemote workFlexible hours
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