- Zurich NA (Albany, NY)
- …rehab field + Experience in development and implementation of cost containment programs + Case management , utilization review , catastrophic or disability ... AVP, Utilization Review & Pharmacy 123092 Zurich...recruiting and retaining team members. + Drive the performance management process by communicating job expectations, monitoring and evaluating… more
- Ellis Medicine (Schenectady, NY)
- …services provided by the Case Manager include, but are not limited to, utilization review , case management , care transition, collaboration with ... years of inpatient experience in a hospital environment preferred. + Previous case management , utilization review , and discharge planning experience… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- About The Role Brighton Health Plan Solutions (BHPS) provides Utilization Review /Medical and Case Management services for Group Health and Workers' ... coordinate medical and disability services for timely return to work. + Provides case management , utilization review , continued stay reviews, and based… more
- Guthrie (Binghamton, NY)
- Provides health care services regarding admissions, case management , discharge planning and utilization review . Responsibilites: Reviews admissions and ... retrospective medical necessity and/or compliance with reimburesement policy criteria. Provides case management and/or consultation for complex cases. Assists… more
- Trinity Health (Troy, NY)
- …completed a college level course in medical terminology. + One year of case management or utilization review /billing or coding experience. + One year of ... records/billing or healthcare related field + One year of case management or utilization review , billing, or coding experience Please be aware for the… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and makes recommendations and/or decisions on Utilization or Case Management activities. Utilization review activities include: reviews of requests ... I Qualifications) + Minimum 2-3 years of experience in medical management , utilization review and case management . + Knowledge of managed care… more
- Mohawk Valley Health System (Utica, NY)
- …and regulatory compliance. Education/Experience Requirements Required: + Minimum of two (2) years utilization review / case management experience or social ... RN Case Manager - Case Management - per diem Department: CASE MANAGEMENT Job Summary Reports to and is under direct supervision of Case … more
- Sedgwick (Albany, NY)
- …to ensure efficient, cost effective, and high quality delivery of case management and utilization review services to clients for multiple business ... lines; and to provide expertise in client specific case management and utilization review requirements and ensure customer satisfaction through the… more
- Albany Medical Center (Albany, NY)
- …* Experience in the field of Clinical Social Work or Nursing with experience in Case Management , Utilization Review and Discharge Planning. * BLS ... Demonstrate principles of conflict resolution and promote consensus building.* Represents Case Management /Social Work at organizational committee meetings as… more
- Lincoln Financial (Albany, NY)
- …Orthopedics, Coronary Care, , Trauma , Disability, Workman's comp or case management or Utilization review **Application Deadline** **What's it like to ... will provide coaching and guidance to claims regarding medical management **What you'll be doing** * Evaluate medical information...in a career at Lincoln, we encourage you to review our current openings and apply on our website.… more