- Healthfirst (NY)
- … management including preauthorization of outpatient or inpatient services + Knowledge of utilization management /quality management case philosophies ... **Duties/Responsibilities:** + Oversees utilization management functions which include timely...settings for high risk, complex populations + Certified Case Manager + Interqual, Milliman, and/or TruCare knowledge … more
- Helio Health Inc. (Syracuse, NY)
- …to track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting our ... Educate program staff on current principles and standards of practice surrounding utilization and denials management . + Use effective relationship management… more
- Arnot Health (Elmira, NY)
- … of patient care. The Case Manager will review all patients for utilization management and appropriate discharge planning. The Case Manager 's average ... BSN prepared will be a leader in the Case Management practice. The Case Manager will work...nursing in acute care hospital setting or two years utilization management in an acute care hospital… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **RN/Case Manager MSH Case Management PT Days** The Case Manager (CM) will be responsible for all aspects of case management for an ... utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager or a minimum...a. Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management … more
- Guthrie (Binghamton, NY)
- …experience: five (5) years of experience in an acute care setting with strong care management , utilization review, and payer knowledge . A Case Management ... and other members of the healthcare team to provide appropriate medical management and resource utilization utilizing established/approved criteria. b) Educates… more
- Crouse Hospital (Syracuse, NY)
- …day management of the RN Care Managers in the department, including Utilization Management , Discharge Planning and Denials and Appeals functions. + Assessing ... outreach programs. Crouse's Care Coordination team is hiring a Manager who is responsible for providing day to day... who is responsible for providing day to day management of the RN Care Managers in the department.… more
- Guthrie (Corning, NY)
- …and other members of the healthcare team to provide appropriate medical management and resource utilization utilizing established/approved criteria. b) Educates ... Summary: In collaboration with the interdisciplinary healthcare team, the Case Manager will coordinate the flow of services throughout the patient's hospitalization… more
- Veterans Affairs, Veterans Health Administration (Montrose, NY)
- …achieve goals for eligibility, referral and authorization, care coordination, and utilization management to ensure improved Veteran experience. Makes ... improving the Veteran's experience and outcomes. Defines mental health policies, utilization management process and procedures, financial and utilization… more
- Publicis Groupe (New York, NY)
- …in more than sixty countries with over 23,000 employees worldwide. **Overview** The ** Manager of Resource Management ** plays a central role in aligning business ... thrive in a fast-paced, matrixed environment. **Preferred** + Experience with project management or resourcing tools + Knowledge of digital marketing, creative… more
- Mount Sinai Health System (New York, NY)
- …ongoing improvement, and roadmap for the Oracle Cloud applications. The Product Manager will oversee project management and end-user training activities to ... **Job Description** **Oracle Cloud Product Manager II - Digital and Technology Partners -...Managers work with cross-functional teams to: + Provide project management and training leadership to define the strategic direction… more
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