Get new jobs by email
- ...Manager of Clinical Services - Utilization Management Amida Care, the largest Medicaid HIV Special Needs Plan in NY, delivers a uniquely effective... ...regularly with delegated UM vendors. This position will also review medical utilization management denials and appeals...Suggested
Amida Care
New York, NY4 days ago - Utilization Review Coordinator Per Diem Coastal Harbor Health is currently seeking a Utilization Review Coordinator Per Diem to coordinate... ...related experience and/or training preferred. Must have some management experience with a demonstrated leadership ability and skills...SuggestedDaily paidTemporary workReliefLocal area
$269.5k - $425.5k
...of a team of medical directors, for the overall quality, effectiveness and coordination of the medical review services. Additionally, performs Utilization Management reviews and directs/coordinates aspects of the utilization review staff activities, and participates in...SuggestedMinimum wageFull timeWork experience placementLocal areaRemote workWeekend work- What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions... ...and UR logs. Collaborate with clinicians, therapists, case managers, and medical staff to gather accurate and up-to-date clinical...SuggestedWork at officeLocal area
$110k - $150k
...qualified Federal Contracts Operations Program Manager to work closely with our Remote Health... ...Level of Effort (LoE) forecasting. - Review deliverables prepared by team before... ...- Track and maintain lessons learned and utilize lessons learned on subsequent projects....SuggestedMinimum wagePermanent employmentContract workTemporary workWork experience placementImmediate startRemote work$34.61 - $38.46 per hour
...Overview Utilization Manager Healthcare staff can work anywhere....The BEST work with US! $34.61-38.46 per hour A nationally recognized... ...assuring compliance with external and internal utilization review/quality and appropriateness requirements....SuggestedHourly payWork at officeSamaritan Daytop Village, Inc.
Richmond Hill, NY5 days ago$160k
...Utilization Sales Manager - NE NJ/NY Salary:$160,000.00 Base Annually Location: Remote / Field - Ideally candidates will live in a major metro area within the central region. Compensation Range: $160,000 base pay, plus variable compensation - $300,000 at plan...SuggestedFull timeTemporary workLive inRemote workNight shiftCour Consultants
Newark, NJ4 days ago- ...patients and their families ease the burden of managing a life-limiting illness or end of life... ..., revises and communicates policy reviews and updates for management and staff. Educates... .../family care. Assures that the teams utilize appropriate resource services (ambulance...SuggestedLocal areaRelocation package
MJHS
New York, NY12 days ago $103 per hour
PHYSICIAN UTILIZATION REVIEW SPECIALIST PER DIEM - JFK Johnson Rehabilitation Institute Requisition #: 2024-143324. Shift Day. Status: Per Diem... ...Review Specialist collaborates with the healthcare team to manage and resolve activities ensuring the integrity of clinical...SuggestedHourly payDaily paidShift workNight shiftWeekend workAfternoon shift$103 per hour
Overview The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical records for the patient population and Hackensack UMC. These include but are not limited to utilization...SuggestedHourly payDaily paidFull timeContract workPart timeFor contractorsApprenticeshipWork experience placementShift workNight shiftWeekend workAfternoon shift- Overview Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical records for the patient population and Hackensack UMC. Responsibilities include utilization review, hospital...SuggestedHourly payDaily paidFull timeContract workPart timeFor contractorsWeekend work
- Position Summary The Supervisor, Utility Services plays a pivotal operational and leadership... ...ongoing communication with Project Managers, clients, and field teams to ensure alignment... ...meetings, site visits, and progress reviews to ensure expectations are met; support...SuggestedFull timeFor contractorsWork experience placementWork visaFlexible hours
$185k - $235k
Senior Project Manager - Commercial Utilities Dewberry has a full‑time opening for a Senior Project Manager within our Commercial Utilities - Energy... ...and performing engineering/design quality control reviews for work prepared by multi‑discipline professionals and subconsultants...SuggestedFull timeLocal area$120k - $140k
Core Responsibilities Anticipate and manage cost exposures Manage general conditions Work... ...knowledge of methods for site work, utilities and concrete work Knowledge of unit costs... ...employment laws. For further information, please review the Know Your Rights notice from the...SuggestedContract workFor subcontractorLocal area$97.77k - $122.21k
...construction (EPC) and solar services provider for utility solar, high voltage substation and energy... ...Summary The Assistant Project Manager is responsible for the administration of... ...evaluate bids Write project procedures Review plans for completeness and accuracy Prepare...Suggested$135k - $165k
Position Description The Project Quality Manager is responsible for aspects of quality on... ...between $135k - $165k. Core Responsibilities Reviews and validates construction documents... ...standards, and regulations related to civil and utility construction quality assurance....Work experience placementFor subcontractorWork at office- Utility Project Manager - Mid-Atlantic Region (Otego, NY) Job Description: Utility Project Manager Position Title: Utility Project Manager (T&... ...position reports to the Program Manager. Key Responsibilities Review contracts, proposal specifications, drawings, and attend...Work at office
- ...working with the Deputy Director on the management, supervision and innovative development... ...workers and case managers in identifying and utilizing community resources for mental health,... ...skills. Conduct quality assurance reviews of patient care to ensure clinically appropriate...
NYC Health + Hospitals/Correctional Health Services
New York, NY21 days ago $110k - $135k
...Motors, Volvo, and Hertz, our technology is utilized in manufacturing plants, dealerships,... ...excellence. We are seeking an Accounting Manager to join our growing Finance team in our... ...with company policy and GAAP/IFRS. Review and reconcile inventory balances between...Contract workWork at officeUVeye
Teaneck, NJ16 days ago- ...community resources in the provision of case management services. Assists Senior Service... ...performance through observation, record review and home visits. Instructs and assists in... ...additional client services. Promotes utilization of community resources and acts as a liaison...Temporary work
MJHS
New York, NY12 days ago $90k - $120k
...Description Gedeon GRC Consulting is looking for a Field Operations Manager to join our firm. The Field Operations Manager oversees the... ..., ROVs, payloads, and support equipment. ❖ Maintain and review, and reduce mission documentation, flight logs, and incident reports...Work at officeRemote workGedeon GRC Consulting
Newark, NJ16 days ago- ...standards for SMEs and the subsequent qualification processes. Manage mid-management (supervisors, managers etc) direction to ensure... ...departmental efficiency and proficiency to enable a lean operation. Review and approve department related protocols, procedures, test...Night shift
Evergreen Theragnostics
Springfield, NJ28 days ago $120k - $130k
...bring strong event experience, project management, data management, analytical, communication... ...and client solutions Adopt and utilize Salesforce/Exact Target marketing automation... ...., email and onsite channel performance reviews) to update stakeholders Share channel performance...Full timePart timeLive inFlexible hours- ...facilities. Administers and directs programs to manage building maintenance, grounds, and equipment, and to procure or generate utilities and their distribution within University... ...operations and building maintenance. Reviews and evaluates existing programs, services,...Temporary workFor contractorsWork experience placementFlexible hours
$131.03k - $175k
Build your career while building NYC schools! The Construction Management Department administers all Capital projects performed in existing... ...include: In conjunction with project officer conducts review of contract documents to ensure accurate and well-coordinated set...Full timeContract workFor contractorsWork experience placement- .... Role: Delmock Technologies, Inc. is seeking a Senior Project Manager to provide leadership and execution support for a high-impact consulting... ...Professional (PgMP) certification. Experience working on Water Utility and Government contracts. Knowledge of ESG, Climate Resilience,...Contract workFor contractorsLocal area
$151.56k - $272.76k
As a Consult Partner, you will play a vital role with utility industry clients and account teams, building senior-level business and technology relationships and driving value-based outcomes. You will have opportunities to lead small teams of practitioners on multiple projects...Minimum wageFull timeContract workPart timeLocal area- ...facility-based to help patients and their families ease the burden of managing a life-limiting illness or end of life care. The Director of... ...departments to ensure implementation of interventions Utilizes PDSA methodology and analytical tools to evaluate results ~...
MJHS
New York, NY29 days ago $65k
Overview Utilization Manager Healthcare staff can work anywhere….The BEST work with US! Monday-Friday 9am-5pm Salary $65,000 A nationally recognized... ...to ensure compliance with external and internal utilization review, quality, and appropriateness standards. Responsibilities...Work at officeMonday to FridayIndividual & Family Plans (IFP) Quality Review & Audit Senior Supervisor - Remote - Cigna Healthcare
$68.5k - $114.1k
The Quality Review and Audit Senior Supervisor is responsible for day-to-day oversight of a team of Coding Analysts specializing in HHS... ...members work output. Supervises team prioritization and time management, adjusting assignments, as needed, to meet objectives....Remote jobLocal areaWork from home
