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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, NY2 days ago - ...Travel Registered Nurse – Case Manager / Utilization Review / CDI Location: Syracuse, NY 13210 Assignment Length: 13 Weeks Shift: Days – 5x8 (7:00 AM – 3:00 PM) Block Scheduling: Not Available Position Overview We are seeking an experienced...SuggestedMonday to FridayShift workWeekend work
$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, NY3 days ago- ...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,...SuggestedFor contractorsWork at officeLocal areaNight shift
Centerline Drivers
Rahway, NJ4 days ago - ...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, NY19 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...SuggestedTemporary work
MJHS
New York, NY10 days ago - ...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...SuggestedHourly payMinimum wageFull timeImmediate startShift work
FreshRealm
Linden, NJ9 days ago - ...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...SuggestedContract work
Signers National
New York, NY2 days ago - ...Job Title Architectural Project Manager – Luxury Multifamily Developments (NNJ)... ...Oversee project workflows using BIM/CAD tools, review design deliverables (schematic, design development... ...while maintaining design integrity. Utilize the construction-management platform...SuggestedFor contractorsWork at officeLocal areaWorldwideRelocation
Energy Jobline ZR
Carlstadt, NJ4 days ago $64.35k - $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...SuggestedPart timeWork experience placementWork at officeMolina Healthcare
Staten Island, NY1 day ago$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...SuggestedFull timeTemporary workWork experience placementRemote workPryon
New York, NY13 hours ago- ...Position Summary: The Sr. Manager, Customer Journey & Experience Strategy, sits at the intersection... .... Data-Driven Insights & Reporting Utilize analytics and journey-mapping tools (e.g.... ...surveys, feedback loops, and customer reviews to gain insights and improve the journey....SuggestedTemporary workSeasonal workImmediate start
The Children's Place
Secaucus, NJ1 day ago $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...SuggestedFor contractorsFor subcontractorWork at officeTGC Search
New York, NY28 days ago$16 - $16.5 per hour
...Job Details Level Management Job Location NJ - Elizabeth - BK 11686 - 07203 - Elizabeth, NJ Secondary Job Location(... ...Maintaining company standards in product and facility specifications Reviewing food handling procedures Assessing operational processes...SuggestedHourly payFull timeRemote workShift workBurger King
Elizabeth, NJ2 days ago- ...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...SuggestedAfternoon shift
CarePoint Health
Bayonne, NJ3 days ago $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 wageFull timeWork experience placementLocal areaRemote workWeekend work$140k - $165k
...expertise is the design, installation, management, service, and maintenance of HVAC, mechanical... ...unique to Limbach. Highly skilled at utilizing in-house engineering, energy analysis,... .... For further information, please review the Know Your Rights notice from the Department...Contract workWork at officeLocal areaLimbach
East Brunswick, NJ13 hours 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...Full timeTemporary workLive inRemote workNight shiftCour Consultants
Newark, NJ2 days ago$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 employmentTemporary workTravel Nurse Source
Paterson, NJ13 hours ago- ...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
Amplity Health
New York, NY2 days ago $85k - $125k
..., developers, contractors, and property managers mitigate risk and optimize their built facilities... ...Actively contribute to CRM utilization and sales process optimization... ...laws. For further information, please review the Know Your Rights notice from the Department...Full timeFor contractorsWork experience placementImmediate startEBI Consulting
New York, NY1 day ago- ...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....Contract workFor contractorsFor subcontractor
EDA Contractors, Inc.
Elizabeth, NJ1 day ago $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 hoursPrescryptive Health, Inc.
New York, NY3 days ago$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 contractorsWork from homeHome officeIPS-Integrated Project Services
Somerset, NJ3 days ago$21 per hour
...receptionists, including hiring, firing, and evaluating performance, reviewing time reporting, enforcing company policies and communicating... ...concerns regarding reception, escalating issues to Hospital Manager, as needed Maintains specialist (non-emergency doctors) scheduling...PetVet Care Centers
Westfield, NJ3 days ago- ...this role, your responsibilities will include staffing, financial management, supervising resident care, marketing, and community outreach.... ...services and medical care in the facility. Coordinating the review, prior to granting or renewing professional privileges or...Full timeLocal area
Essen Health Care
New York, NY26 days ago - ...Experience preferred). 4. Experience with production workflow management. JOB RESPONSIBILITIES: 1. Devotes time to evaluate... ...procedures to accurately reflect the current practices. 16. Reviews employee timecards for attendance and overtime. 17. Motivates...Shift workNight shift
Accu Reference Medical Lab
Linden, NJ16 days ago $150k - $225k
...development initiatives, account based management, and sales process for the region. Working... ...building across the BOND Civil & Utility Construction zipper plan Zipper Plan... ...laws. For further information, please review the Know Your Rights notice from the Department...Contract workShift workBond Building Construction Inc.
New York, NY3 days ago$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 areaIDB
New York, NY2 days ago- ...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 timeWork at officeLong distanceMonday to FridayShift work
NYC Health + Hospitals
New York, NY19 days ago
