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- ...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, NY23 hours 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- Under the supervision of the Manager for Utilization Management, this position is responsible for providing daily oversight of Utilization Management Reviewers, Utilization Management Review Technicians and staff members within Utilization Management. Responsibilities...SuggestedWork at officeRemote workMonday to FridayFlexible hoursWeekend 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
- ...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, NY13 days ago $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...SuggestedWork at officeMonday to FridaySamaritan Daytop Village, Inc.
New York, NY1 day ago$90.61k
Industrial Project Manager - Electric Utilities CDM Smith Industrial Division is seeking to fill an exciting Project Manager position in our established... ...of multi‑discipline engineers. Performing guidance and review at the project level while assuring discipline and quality...SuggestedFull timeH1b$50 - $70 per hour
...wireless and wireline telecom, commercial and utility‑scale solar and wind projects, EV... ...storage assets. Your Impact The Project Manager, Solar O&M is responsible for the continuous... ...with electrical contractors to receive, review, and approve bids. Identifies and onboard...SuggestedDaily paidFull timeContract workFor contractorsWork experience placementFor subcontractorWork at officeFlexible hoursWeekend work- ...individual that will assist our General Manager to lead the team as an Assistant Manager.... ...their duties Strive for high customer review ratings! ENJOY your team! GROW your team... ...potential Financial and Administrative: Utilizes training opportunities for the team such...SuggestedFull timePart timeImmediate start
$77.97k - $106.21k
...DESCRIPTION Job SummaryLeads and supervises a team supporting non-clinical healthcare services activities for care management, care review, utilization management, transitions of care, behavioral health, long-term services and supports (LTSS), and/or other program specific...SuggestedWork experience placementWork at office- ...Vice President, Compliance Marketing Review About the Company Top-tier investment management firm Industry Financial Services Type Privately Held, Private Equity-backed About the Role The Company is in search of a Vice President for Compliance Marketing...Suggested
$60k - $70k
...Home Plus Client Care Coordinators who provide intensive case management to high-need individuals with serious mental illness and/or complex... ...HH+ CCCs). Conduct weekly one-on-one supervisions, ensuring review of key performance metrics, caseload balance, and case...SuggestedFull timeWork at officeMonday to FridayFlexible hoursCHOICE of NY
New Rochelle, NY8 days ago- ...connected career** Our Assistant Project Manager shall be responsible for oversight of one... ...construction; familiarity with aerial lift devices, utility lines/poles, and various other... ...assigned area, department, or project + Review tasks and reports to ensure accuracy, completeness...SuggestedFor contractorsWork experience placement
- 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...SuggestedWork 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, NY22 days ago - ...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, NYa month ago - ...Associate Director, Quality Management will collaborate with clinical and administrative staff in the development, implementation, and... ...evolving responsibilities/needs of the Quality department. Reviews Patient Files for any quality-of-care concerns or documentation...Part timeWork at office
Jacobi Medical Center
Bronx, NY4 days ago $115k - $120k
...Description Position Summary The General Manager is responsible for overall management and... ...including cleanliness and safety; review inventory and equipment usage including relevant... ...into all systems/ software that is utilized. Minimum Qualifications • Minimum...Contract workFlexible hoursNight shiftCity Winery
New York, NY9 days ago- ...minded individual to lead our team as General Manager. This is a role for someone with a... ...their duties. Strive for high customer review ratings! ENJOY your team! GROW your team... ...safety, schedules, and client records Utilizes training opportunities for the team such...Full timeImmediate start
$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$170k - $180k
...and data analysis for organizational, federal and state quality metrics. • Coordinate mortality, patient complaint, and outcome reviews. • Serve as a regulatory resource regarding state and federal regulations and standards, including but not limited to CMS, TJC, and...Work at officeSaint Joseph's Medical Center/St. Vincent's Hospital Westche...
Yonkers, NY19 days ago$75k - $85k
...the approval to the sales rep and their manager as well as communicating the logistics to... ...Onboarding and Offboarding Periodically review and revise the process for sales, PD, and... ...sales, PD, and Customer Success as requested Utilize and interpret sales analytics, complex...$115k - $142k
...integrated accounting, consulting and business management services from tax planning and audits to... .... Oversee the preparation and review of tax provision calculations and related... ...industry and advise clients on their utilization. Stay updated on tax legislation and...Work at officeLocal area- ...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...Contract work
Signers National
New York, NY23 hours ago - ...guidance of your physician, you will develop plans of care and utilize nursing theories, skills, and techniques to provide quality care... ...based on needs and findings of the nursing assessment. Reviews reports from all involved disciplined, re-evaluating needs and...Full timeHome officeShift work
AccentCare
Yonkers, NY23 hours ago $65k
Join to apply for the Utilization Manager role at Acacia Network This range is provided by Acacia Network. Your actual pay will be based on... ...pre-admission through discharge, ongoing medical necessity reviews and interdisciplinary team support with respect to MCO requisites...$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 Friday- ...solutions aimed at providing a better use and management in terms of diagnostic efficacy,... ...participating in all sales training and utilizing sales tools provided by the... ...planning, account analysis, forecasting and reviewing sales (e.g. Salesforce.com, BARS, Field...Contract work
$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...Full timePart timeWork at officeImmediate startRemote workFlexible hoursWeekend workCentene Corporation
New York, NY8 hours agonew
