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  • Manager of Clinical Services - Utilization Management

     ...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, NY
    3 days ago

  • Utilization Manager

    $32.96 per hour

     ...Overview Utilization Manager Healthcare staff can work anywhere....The BEST work with US! Monday, Tuesday, Thursday and Friday (9am...  ...assuring compliance with external and internal utilization review/quality and appropriateness requirements. Responsibilities... 
    Suggested
    Work at office
    Monday to Friday

    Samaritan Daytop Village, Inc.

    New York, NY
    4 days ago

  • Assistant Director of Clinical Services

     ...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... 
    Suggested
    Local area
    Relocation package

    MJHS

    New York, NY
    11 days ago

  • Underground Construction Field Supervisor

     ...complete turn-key engineering and project management services for any network communications...  ...directional drilling and underground utility installation projects . The Field Inspector...  ...standards and quality expectations. Review and confirm underground utility locates,... 
    Suggested
    For contractors
    Work at office
    Local area
    Night shift

    Centerline Drivers

    Rahway, NJ
    18 hours ago

  • Social Work Supervisor, Correctional Health Services

     ...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... 
    Suggested

    NYC Health + Hospitals/Correctional Health Services

    New York, NY
    20 days ago

  • Senior Service Supervisor MSW

     ...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... 
    Suggested
    Temporary work

    MJHS

    New York, NY
    11 days ago

  • Manufacturing Manager

     ...merit. We are seeking a highly skilled Senior Operations Manager with expertise in food manufacturing to lead production and operational...  ...KPIs related to safety, quality, efficiency, and labor utilization. Drive waste reduction, line efficiency improvements, and... 
    Suggested
    Hourly pay
    Minimum wage
    Full time
    Immediate start
    Shift work

    FreshRealm

    Linden, NJ
    10 days ago

  • Project Manager

     ...procurement, construction coordination, site logistics, project change management, and budget forecasts. Position also requires customer...  ...maintain detailed communication records, respond promptly to emails, review supplier purchase orders, and attend weekly project meetings.... 
    Suggested
    Contract work
    For contractors
    For subcontractor

    EDA Contractors, Inc.

    Elizabeth, NJ
    28 days ago

  • Senior Manager, Information Security Office Consultant

    $225.4k - $257.2k

    Senior Manager, Information Security Office Consultant At Capital One, you will...  ...strong technical acumen and be security SME reviewing architecture, providing risk mitigation...  ...+ years of experience building software utilizing public cloud (e.g. AWS, GCP, Azure) ~1+... 
    Suggested
    Full time
    Part time
    H1b
    Work at office
    Local area
    Shift work

    Capital One

    New York, NY
    2 days ago

  • Middle Market Account Manager

     ...Insurance Services RESPONSIBILITIES Manager and retain a book of business by...  ...process, negotiating with underwriters, utilizing internal resources, and by collaborating...  ...billing issues, invoicing, and contract reviews. Address any deficiencies and anticipate... 
    Suggested
    Contract work

    Signers National

    New York, NY
    3 days ago

  • Director of Quality Management (Hospice & Palliative Care)

     ...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 ~... 
    Suggested

    MJHS

    New York, NY
    28 days ago

  • HVAC Project Manager (ID# 4669)

    $80k - $130k

     ...Job Description HVAC Project Manager Location: Staten Island (onsite, with assignments...  ...and quality standards. Prepare, review, and track project documentation including...  ...internal teams to align expectations. Utilize digital tools for project tracking, reporting... 
    Suggested
    For contractors
    For subcontractor
    Work at office

    TGC Search

    New York, NY
    29 days ago

  • Remote Medical Director- New York (Hiring Immediately)

    $231.9k

     ...a clinical professional on our Medical Management/Health Services team. Centene is a diversified...  ...Internal Medicine or Family Medicine Utilization Management experience and knowledge of...  ...activities. Performs medical review activities pertaining to utilization review... 
    Suggested
    Full time
    Part time
    Work at office
    Immediate start
    Remote work
    Flexible hours
    Weekend work

    Centene Corporation

    New York, NY
    12 hours agonew

  • Product Manager, AI Platform Security

    $140k - $165k

     ...building an industry-leading knowledge management and Retrieval-Augmented Generation (RAG...  ...requirements and acceptance criteria for features, utilizing an iterative approach to allow for...  ...including refinement, roadmap reviews, sprint planning, and stand-ups What... 
    Suggested
    Full time
    Temporary work
    Work experience placement
    Remote work

    Pryon

    New York, NY
    18 hours ago

  • Assistant Patient Care Director -Emergency Room (Evening shift)

     ...medicine, health education, and disease management. Leveraging its vast network of physicians...  ..., and evaluation of staff. Reviews patient charts for completeness and accuracy...  ...ambulate 8 hours/day, manual dexterity to utilize equipment, auditory acuity, visual acuity... 
    Suggested
    Afternoon shift

    CarePoint Health

    Bayonne, NJ
    4 days ago

  • Utilization Sales Manager

    $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... 
    Full time
    Temporary work
    Live in
    Remote work
    Night shift

    Cour Consultants

    Newark, NJ
    3 days ago

  • Utilization and Clinical Review - Medical Director - Orthopedic Surgery - Remote

    $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... 
    Minimum wage
    Full time
    Work experience placement
    Local area
    Remote work
    Weekend work

    UnitedHealth Group

    New York, NY
    a month ago

  • Project Manager (Utilities Construction)

    $120k - $150k

     ...architecture, engineering, project controls, procurement, construction management, and CQV of technically complex facilities, primarily in the...  ..., and participation in the stakeholder approval process. Review Contractor submittals, including monthly reports, schedules,... 
    For contractors
    Work from home
    Home office

    IPS-Integrated Project Services

    Somerset, NJ
    4 days ago

  • Travel Registered Nurse - Case Manager - $2,314 per week

    $2,314 per week

     ...TravelNurseSource is working with Prime Staffing to find a qualified Case Manager RN in Newton, New Jersey, 07860! Pay Information $2,314...  ...Must-Have: Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates... 
    Permanent employment
    Temporary work

    Travel Nurse Source

    Paterson, NJ
    1 day ago

  • Senior Manager, Coverage Review Pharmacist

    $135k - $165k

     ...control of their health. To learn more about Prescryptive Health, visit Prescryptive.com. About this role The Sr. Manager, Customer Review Pharmacist leads Prescryptive's Prior Authorization and Coverage Review team, ensuring every coverage determination is... 
    Flexible hours

    Prescryptive Health, Inc.

    New York, NY
    4 days ago

  • Retail General Manager

     ...s most vibrant neighborhoods. As General Manager, you will be the face and driving force of...  ...service and consistent outreach. Utilize CRM tools to cultivate and expand a comprehensive...  ...policies. Conduct regular performance reviews and create individualized development... 
    Seasonal work
    Weekend work
    Afternoon shift

    Rebecca Taylor

    New York, NY
    13 days ago

  • Pharmacy Manager, Correctional Health Services

     ...aspects of inventory control and stock management. Office area located in a jail setting...  ...Med station to ensure the appropriate utilization of automation and information...  ...supervises, coordinates, controls, and reviews work of subordinate and administrative... 
    Full time
    Work at office
    Long distance
    Monday to Friday
    Shift work

    NYC Health + Hospitals

    New York, NY
    20 days ago

  • People Operations Manager

     ...Job Description ABOUT US Total Management Group is widely recognised as a world-leading...  ...with the coordination of performance reviews, goal setting, engagement surveys and...  ...building management, cleaning services, utilities, security. Coordinate all visitor scheduling... 
    Temporary work
    Work at office
    Local area
    Work from home
    Shift work

    Total Management Group

    New York, NY
    14 days ago

  • Client Manager II - Latin America

    $120k - $150k

     ...the Private Banking team, which entails managing up to RMs and overseeing RAs, and being...  ...materials and independently present portfolio reviews at client meetings; may prepare but not...  ...professionally and personally by utilizing the internal resources at BBH. # Represent... 
    Work at office
    Local area

    Brown Brothers Harriman

    New York, NY
    18 hours ago

  • Assistant Patient Care Director, Telemetry (Full-Time, Day Shift)

     ...You'll Be Doing Main Functions: Assists Manager in planning and implementing Performance...  ..., and evaluation of staff. Reviews patient charts for completeness and accuracy...  ...ambulate 8 hours/day, manual dexterity to utilize equipment, auditory acuity, visual acuity... 
    Full time
    Local area
    Monday to Friday
    Shift work
    Day shift

    CarePoint Health

    Bayonne, NJ
    1 day ago

  • Mental Health Treatment Aide Supervisor, Correctional Health Services

     ...Plan, coordinate, supervise, and review work of Mental Health Treatment Aides (MHTA...  ...needed as a basis for administrative and management decisions Participate in quality assurance...  ...with the mental health team Utilize crisis and/or de-escalation intervention... 
    Full time
    Shift work
    Afternoon shift

    NYC Health Hospitals

    New York, NY
    18 hours ago

  • Commercial Lines Account Manager

     ...Description The Commercial Lines Account Manager performs the essential functions of the...  ...insurance, schedules, and proposals. Reviews audits of policies, verifies accuracy...  ...improve knowledge and performance. Utilizes good communications skills, cooperating... 
    Work at office

    ALKEME Insurance

    Livingston, NJ
    14 days ago

  • Relationship Manager - Middle Market

    $150k - $200k

     ...timely and accurate completion of annual reviews and facility renewals. • Remain well...  ...true brand ambassador for the bank. • Utilize all systems as provided and deemed necessary...  ...• 6 - 10 minimum years of experience in managing commercial lending relationships... 
    Local area

    IDB

    New York, NY
    3 days ago

  • Import-Export Operations Coordinator

     ...Operations Coordinator will strategically identify & book the best routes for each project, prepare and review necessary documentation for the shipments, manage key deadlines to keep projects on track, and cultivate lasting client and vendor relationships. In this role... 
    Full time
    Temporary work
    Work at office
    Local area

    Rock-It Cargo

    Linden, NJ
    3 days ago

  • Lead Product Manager, AI-Driven Customer Support

    $239k - $262k

     ...entering a new stage of growth and looking for a Lead Product Manager to lead AI-driven customer support products. In this role, you'...  ...cross-functional meetings like sprint planning and stakeholder reviews Stay current with new technologies and best practices, especially... 
    Full time
    Relocation package
    Flexible hours
    3 days per week

    Flex

    New York, NY
    18 hours ago