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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- ...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 - ...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 $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
New York, NY1 day 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...SuggestedMinimum wageFull timeWork experience placementLocal areaRemote workWeekend work$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, NY16 hours 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- ...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 $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
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...SuggestedFull timeFor contractorsWork experience placementImmediate startEBI Consulting
New York, NY1 day 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...SuggestedContract work
Amplity Health
New York, NY2 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...SuggestedFull timeLocal area
Essen Health Care
New York, NY26 days ago - ...Job Description Job Description REPORTS: Director of Utilization Review DEPARTMENT: Clinical LOCATION : George Rosenfield Center... ...Utilization Review, the Specialist will coordinate Medicaid Managed Care authorizations and re-authorizations for clients receiving...Temporary workFlexible hours
$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$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- ...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 workWork at officeLocal areaWork from homeShift work
Total Management Group
New York, NY13 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 $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 officeLocal areaBrown Brothers Harriman
New York, NY4 days ago- ...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 timeShift workAfternoon shift
NYC Health Hospitals
New York, NY4 days ago $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 timeRelocation packageFlexible hours3 days per weekFlex
New York, NY9 hours agonew$76.2k - $162.4k
...the office. What can you expect? Utilizes detailed risk expertise to perform critical... ...functions, including: evaluating risks; reviewing loss experience, cash flow and... ...support to help clients coordinate solutions, manage accounts, obtain advice and administer plans...Minimum wageWork at officeLocal areaRemote workFlexible hours3 days per week1 day per weekMarsh LLC
New York, NY3 days ago$120k - $160k
...creating a more intelligent grid and enabling utilities to provide excellent customer... ..., forward-thinking platform for energy management. From optimizing resources to delivering... ...support parts of the hiring process, such as reviewing applications, analyzing resumes, or...Full timePart timeWork at officeLocal areaFlexible hoursShift workKraken
New York, NY9 hours agonew$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... ...with electrical contractors to receive, review, and approve bids. Identifies and onboard...Daily paidFull timeContract workFor contractorsWork experience placementFor subcontractorWork at officeFlexible hoursWeekend work- ...products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in... ...other resources to assist in goal achievement. Conduct Utilization Review for designated Case Management members for some diversionary...Work at officeWork from homeShift work
MetroPlusHealth
New York, NY4 days ago $90k - $120k
...Description Job Title: Assistant Project Manager - Ground-Up Stick-Frame Multifamily... ...staff and subcontractors Support design reviews, drawing coordination, and compliance with... ...Coordinate DOB filings, permitting, utility connections, and sign-offs Monitor project...Contract workFor contractorsFor subcontractorWork at officeLocal areaHenderson Scott US
New York, NY12 days ago- ...US Citizen or Green Card holder. ~ Financial Management: Manage and maintain project financials,... ...to ensure appropriate resource availability and utilization. ~ Quality Assurance: Conduct quality reviews and audits to ensure compliance with project management...
KLM Careers
New York, NY1 day ago
