- Mount Sinai Health System (Long Island City, NY)
- …The Director will direct and manage departmental activities involved in utilization review, appeals management and discharge planning to facilitate the case ... or healthcare -related field **Experience Requirements** 5 years of Case Management and 6 years of clinical nurse experience. Previous supervisory experience in… more
- CUNY (New York, NY)
- Director of Facilities Planning and Operations - Facilities Management **POSITION DETAILS** The CUNY School of Medicine (CUNY SoM) located in the heart of ... culturally competent health professionals and scientists equipped to address the healthcare needs of New York's medically under-served communities. As a major… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …Accountabilities: Level I + Provides medical leadership of all for utilization management , cost containment, and medical quality improvement activities. ... Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate,… more
- Mount Sinai Health System (New York, NY)
- …Daily Management Board process/practice improvement activities to facilitate the utilization of evidence and data related to Nurse Sensitive Indicators and ... **Job Description** The Director of Nursing Professional Practice is a professional...the professional practice standards, NYS regulations in nursing, emergency management , labor contracts, and regulations of the Office of… more
- Humana (Albany, NY)
- …Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a medical ... decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and...size of region or line of business. The Medical Director conducts Utilization Management of… more
- Humana (Albany, NY)
- …Delivery Systems, health insurance, other healthcare providers, clinical group practice management + Utilization management experience in a medical ... behavioral health topics to the clinical operations team and healthcare organization. The Medical Director 's work includes...with prior experience participating in teams focusing on quality management , utilization management , case … more
- WMCHealth (Valhalla, NY)
- Director , Clinical Logistics Company: WMC Advanced Physician Services PC City/State: Valhalla, NY Category: Executive/ Management Department: TeleMedicine Union: ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/30239) Internal Applicant link Job Details: Job Summary: The Director of Clinical Logistics is responsible for overseeing and… more
- Humana (Albany, NY)
- … management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers. + Utilization management experience in a ... size of region or line of business. The Medical Director conducts Utilization Management of...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
- Kyndryl (New York, NY)
- …development; Secure client references Operational Excellence: *Achieve individual and team utilization targets *Lead the design of complex engagements and take ... oversight of delivery, ensuring high performance and customer satisfaction Leadership, Management , People *Lead by example; Fostering a culture of continuous… more
- Kyndryl (New York, NY)
- …development; Secure client references Operational Excellence: *Achieve individual and team utilization targets *Lead the design of complex engagements and take ... oversight of delivery, ensuring high performance and customer satisfaction Leadership, Management , People *Lead by example; Fostering a culture of continuous… more