- Evolent (Albany, NY)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. . ... Oncology, you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- Stony Brook University (Stony Brook, NY)
- Administrative Director of Patient Throughput **Position Summary** At Stony Brook Medicine, the Administrative Director of Patient Throughput will oversee daily ... operations of the Centralized Throughput Office, a 24/7 centralized bed management and flow hub. This includes, but is not limited to, bed coordination assignment,… more
- Sedgwick (Albany, NY)
- …PURPOSE** :: To ensure efficient, cost effective, and high quality delivery of case management and utilization review services to clients for multiple ... and on site at client locations; to provide expertise in client specific case management and utilization review requirements; and to ensure customer… more
- Kaleida Health (Buffalo, NY)
- …and tactics to successfully execute, support, implement, and monitor the DRG and Utilization Management Clinical Denial teams Work Plan and, assists in the ... / managed care practices including but not limited to: utilization review , RAC, MAC, Q10, clinical and...Director Clinical and DRG Denials **Location** US:NY:Buffalo | Management | Full-Time **Req ID** null Equal Opportunity Employer… more
- GMHC (New York, NY)
- Managing Director , Housing WFH Flexible * New York, NY (http://maps.google.com/maps?q=New+York+NY+USA+10018) Description TheManaging Director , Housingis a senior ... by HIV/AIDS. Reporting to theVice President, Housing & Operations, the Managing Director supervises a team of senior housing leaders and provides strategic oversight… more
- Catholic Health Services (West Islip, NY)
- …Staff. Ensures compliance with Hospital Conditions of Participation. Implements care management programs, including utilization review , intake and ... Overview The Director of Care Management is responsible... management leadership role is required. Experience in utilization management , working with managed care organizations,… more
- RiseBoro Homecare Inc. (Brooklyn, NY)
- …and influence therapeutic processes. The Functional Family Therapy- Adult (FFT-A) Director will be accountable for providing day-to-day support, leadership, and ... general supervision to Therapists and Case Managers. The FFT Director is responsible for maintaining adherence to the Functional...Assign cases to Therapists and Case Managers + Monitor, review , and approve all written work produced by FFT-A… more
- Centene Corporation (New York, NY)
- …VPMA responsibility in absence of VPMA. + Provide medical leadership for all utilization management , pharmacy, case management , disease management , ... cost containment, and medical quality improvement activities. + Perform medical review activities pertaining to utilization review , quality assurance, and… more
- MTA (New York, NY)
- …the Investigative team. RESPONSIBILITIES : Fundamental duties and tasks of the Senior Director Investigations: + Direct management and supervision of DDCR's pool ... Senior Director Equal Opportunity (EO) Investigations Job ID: 11878...other agencies. + Supervise the development and ensure full utilization of DDCR's investigative Case Management and… more
- Sunrise Senior Living (Mount Vernon, NY)
- …NAME** Sunrise at Fleetwood **Job ID** 2025-229230 **JOB OVERVIEW** The Executive Director is responsible for overall leadership, management , and success of ... and services to seniors better than anyone. The Executive Director creates, in alignment with our mission and values,...leadership and promotion of the Sunrise Safety and Risk Management policies. + Review all incident reports… more