Clinical Utilization Management Lead
$116.8k - $168.81kHealthfirst
Healthfirst, Inc. is seeking a Manager of Utilization Management responsible for overseeing Case Management teams to ensure high-quality patient care and efficient use of resources. You will manage authorizations, develop staff, and collaborate with medical professionals. Ideal candidates have relevant licenses and experience in managed care and case management, with a strong emphasis on communication and leadership skills. Competitive salary ranges from $116,800 to $168,810 for candidates in the NYC area, with comprehensive benefits including medical, dental, and 401k contributions. #J-18808-Ljbffr
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Clinical Utilization Management Lead in New York, NY vacancy
- Healthfirst is seeking a Senior Manager, Clinical Utilization Management (UM) Operations to lead all UM activities ensuring effective service delivery. You will oversee a team of managers and ensure compliance with state and federal regulations while driving operational...Suggested
$97k - $115k
...About the Role We are seeking a Lead Talent Acquisition to join our... ...be comfortable using data to manage a team of recruiters, carrying... ...'s primary focus is on clinical recruiting. To deliver the best... ...English proficiency Ability to utilize different types of social media...SuggestedFull timeLocal areaRemote workCharlie Health
New York, NY27 days ago- ...Lead Clinical Terminologist – Remote Job Summary The Lead Clinical Terminologist provides senior‑level expertise in... ...infrastructure (metadata, ontologies, terminology standards) Utilizing advanced terminology tools and managing clinical terminology repositories Provides...SuggestedContract workRemote work
Synensis LLC
New York, NY3 days ago - ...Vetcove is seeking a Growth Lead, PIMS to redefine how veterinary clinics utilize our customer relationship management tools to enhance revenue. This role combines product and marketing strategy to develop automated customer journeys that drive growth without added operational...SuggestedRemote work
Vetcove
New York, NY1 day ago - ...is seeking a qualified individual in New York to manage daily operations and supervise staff in a clinical environment. Candidates must hold a Bachelor’s Degree... ...license. The role requires at least six years in Utilization/Case Management, including three years in...Suggested
1199seiubenefits
New York, NY1 day ago $116.92k - $150.65k
...permitted by law. Responsibilities System Management : Oversees the implementation,... ...Collaboration : Works closely with IT, clinical staff, and other healthcare professionals... ...and establish day-to-day priorities while utilizing critical thinking skills in all aspects...Full timeWork at officeLocal areaFlexible hoursShift work- ...A healthcare organization seeks a qualified candidate to conduct clinical assessments and supervise case management staff in New York. The role includes developing service plans and facilitating family team conferences. A PhD is required along with 1-3 years of assessment...
ViziRecruiter
New York, NY4 days ago - ...Acentra Health, LLC is seeking a Clinical Supervisor – RN – Full-time to oversee Utilization Management activities. This remote position requires strong clinical and leadership skills to manage UM processes, improve care management, and ensure compliance with standards...Full timeRemote work
Acentra Health, LLC
New York, NY3 days ago - Overview The Clinical Documentation Specialist will work with Senior Director in physician... ...reports through several sourcees and utilizing information to: Analyze data and key metrics... ...reviews. Identify DRG mismatches and manage and collaborate with Coding team on reconciling...
$110.35k - $143.1k
...NYU Langone Hospitals is seeking a Care Manager RN for a full-time position in New York.... ...implement patient care strategies, perform utilization management activities, and ensure... ...candidate will have a minimum of 5 years of clinical experience, a New York State Registered...Full timeNYU Langone Hospitals
New York, NY4 days ago$92.88k - $178.2k
...As part of the Comprehensive Medication Management Program, conduct interviews, develop,... ...and optimizing patient outcomes, drug utilization and patient compliance, detecting and/or... ..., optimize medication therapy, improve clinical outcomes and serve as a drug information...Work experience placement3 days per weekEmblemHealth
New York, NY1 day ago$130k - $176k
...settings, from the hospital to the clinic to the home, the Tablo®... ...Position Overview The Regional Lead, Clinical Excellence will lead the clinical excellence managers in their region through account... ...clinical strategies to expand the utilization of the company's medical...Local areaImmediate startRemote workOutset Medical
New York, NY4 days ago- ...HemOnc Nurse Practitioner to join their team in New York. This full-time role requires overseeing a hematology clinic, managing cancer survivors, and leading an outpatient infusion center. Schedule includes weekdays from 8:30 am to 5:00 pm. Candidates should have previous...Full timeWeekday work
6AM City
New York, NY5 days ago - Village Center for Care, Inc. is seeking a Supervisor of Utilization Management in New York. The role involves overseeing concurrent reviews and discharge planning for members in inpatient and skilled nursing facilities. Candidates must hold a valid New York State RN license...
- ...into a dynamic environment where your clinical expertise and passion for functional recovery... ...assistants and rehab techs, and case management responsibilities. Maintain professional... ..., and policies. Participate in utilization review, care conferences, case management...Work at officeLocal area
ClearView Healthcare Management
Brooklyn, NY4 days ago - ...A leading company in the pharmaceutical and biotech sector is seeking a Senior Manager, Clinical Data Management. This role requires exceptional leadership in managing clinical data for complex projects, with strong emphasis on data quality and collaboration. Candidates...
Clark Davis Associates
Jersey City, NJ5 days ago - ...treatment plans based on at-home sleep study results while ensuring clinical quality and performance across a network of specialists. The... ...will conduct telemedicine visits, interpret sleep studies, and lead quality initiatives. Candidates must have strong clinical judgment...
OpenLoop Health
New York, NY5 days ago - ...Cognitive Research Corporation is looking for a Clinical Research Associate II to oversee the execution of clinical trials at Investigative... ...clinical project issues. Responsibilities include site management, conducting monitoring visits, and ensuring compliance with FDA...
Cognitive Research Corporation
New York, NY3 days ago - ...ACRT Pacific, LLC seeks a Program Manager 1 to oversee operations related to tree management along utility lines. The role involves inspecting and evaluating trees, coordinating clearance crews, and ensuring compliance with regulatory requirements. You will prepare documentation...Work at office
ACRT Pacific
New York, NY2 days ago $95k
...Saybrook University is seeking an Academic Department Chair for its Clinical Psychology program. This leader must guide the program through... ...Department Chair will oversee curriculum, supervise faculty, manage administrative tasks, and teach courses. Strong interpersonal...Saybrook University
New York, NY3 days ago- ...A staffing agency seeks an accomplished Senior Project Manager for T&D construction projects in New Jersey. The role requires managing... ...with stakeholders. Ideal candidates have 10+ years in electrical utility construction, project management skills, and knowledge of...
find-talent
New York, NY4 days ago - ...A leading veterinary software company based in the United States is seeking a Clinic Growth Manager to design and oversee programs that engage and grow veterinary clinics. The ideal candidate will have a Bachelor's degree and 3-5 years of experience in community engagement...Remote work
Vetcove
New York, NY3 days ago - ...A healthcare organization is seeking FM/OB Faculty to support residency clinics while managing a patient panel. This role provides guaranteed salary with annual increases, comprehensive benefits, including relocation expenses and paid time off. Located in Pennsylvania...H1bRelocation
Direct Jobs
New York, NY5 days ago $79.8k - $139.6k
...Patient Engagement Lead – Global Clinical Trial Recruitment and Retention Location: Remote, U.S. Salary Range: $79,800 – $139,600 Overview The... ...Execution & Delivery Own the development and lifecycle management of the Participant Engagement Plan (PEP) Oversee execution...Contract workImmediate startRemote workSyneos Health Inc
New York, NY1 day ago- ...implement cardiac strategies. Qualified candidates should possess an MD degree, ABIM Board Certification, and extensive experience in clinical cardiology. This position is essential for driving innovation and ensuring quality in cardiac safety and efficacy. #J-18808-Ljbffr...
E Research Technology Inc
New York, NY5 days ago - ...A leading cancer research institution is seeking a Senior Trial Master File Manager to oversee management and maintenance of TMF. This role ensures quality and compliance... ...s degree and over 10 years of experience in clinical operations, particularly with TMF management...Contract workRemote work
The University of Texas MD Anderson Cancer Center
New York, NY3 days ago - ...BeiGene, Ltd. is searching for a GCO Program Lead to oversee the strategic operational planning and performance of clinical programs. This role involves mentoring and leading a global team, managing project budgets, and ensuring excellence in execution. The ideal candidate...
BeiGene
New York, NY2 days ago - ...Backpack Healthcare is seeking a Residency Program Coordinator to lead the Clinical Residency Program. This role involves overseeing orientation, scheduling, and documentation while maintaining a small clinical caseload. The ideal candidate will have a Master’s degree...Remote work
Backpack Healthcare
New York, NY3 days ago - ...MaziCTools is seeking a Remote Telepharmacist (Third Shift) to serve multiple hospitals across the United States, enhancing clinical pharmacist contributions to patient care. The role requires a degree in Pharmacy, valid state licenses, and at least 2 years of hospital...Remote workShift workNight shift
MaziCTools
New York, NY3 days ago $75.3k - $135.4k
...everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a... ...day‑to‑day activities of utilization management team. Monitors and tracks... ...management team members. Leads and champions change within scope...Full timePart timeWork at officeRemote workMonday to FridayFlexible hoursCentene Management Company LLC
New York, NY4 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Clinical Utilization Management Lead. Be the first to apply!
Related searches
- clinical operations lead New York, NY
- clinical trial lead New York, NY
- clinical research lead New York, NY
- clinical lead New York, NY
- clinical team lead New York, NY
- lead nurse practitioner New York, NY
- emergency management coordinator New York, NY
- talent management specialist New York, NY
- data management associate New York, NY
- health information management work from home New York, NY