- Molina Healthcare (Rochester, NY)
- …of payment decisions. + Serves as a clinical resource for Utilization Management , Chief Medical Officers, Physicians, and Member/Provider Inquiries/Appeals. ... Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management , Certified Professional… more
- Equitable (New York, NY)
- …Officer-a single, integrated leadership role encompassing strategic investment management , asset-liability oversight, and manager accountability. Reporting ... and deliver rigorous attribution analysis with >90% explained variance. Ensure affiliated manager delivers benchmark targets with prudent risk management . +… more
- CenterWell (Albany, NY)
- …caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge , communication skills, and independent critical ... acute care, skilled or rehabilitation clinical setting + Comprehensive knowledge of Microsoft Word, Outlook and Excel + Ability...volume and fast paced environment + Previous experience in utilization management + Education: BSN or Bachelor's… more
- Anywhere Real Estate (Rochester, NY)
- …manage vendors as dictated by client policy + Counsel employees to the best utilization of program benefits + Demonstrate sound knowledge of products and ... / Qualifications:** International Assignment Consultant **Reports To:** Client Services Manager **Primary Function:** International Relocation Service provider for Global… more
- The Estee Lauder Companies (New York, NY)
- …and field learnings to communicate to relevant stakeholders. + Exceptional Operational knowledge and savvy to ensure effective management of store counters ... ie top market/top doors + Support development of Retail Sales plans with Account management teams for B&M and provide updates and feedback on performance. + Maximize… more
- New York State Civil Service (Sherrill, NY)
- …and/or developmental disabilities. Incumbents participate in incident investigations, incident management and reporting, and interaction with the Justice Center and ... and treatment goals for the Treatment Team.* Meets and confers with facility management to determine policies and set goals for the treatment team and to… more
- Cornell Cooperative Extension (Philadelphia, NY)
- …and engagement. This position works closely with the 4-H Afterschool Program Manager , Site Supervisors, Educators and school district staff to identify and meet ... include evenings and/or weekends, as appropriate. Preferred Qualifications: + Demonstrated knowledge of subject matter appropriate to area of programming. +… more
- SHI (Albany, NY)
- …The SRA organizes findings, draws conclusions, and discusses them with their manager before escalating to business management . Strong business acumen, critical ... analytical skills are essential. Reporting to the Senior Risk Manager , the SRA plays a key role in implementing...to achieve common goals. **Skill Level Requirements** + In-depth knowledge and experience with risk management principles,… more
- BJs Wholesale Club (Deer Park, NY)
- …Know their business/business acumen. Exhibit strategic thinking and sound decision-making thorough knowledge and utilization of business data. + Lead through ... location Job Summary Working closely with the Assistant Club Manager , the Omni Supervisor is responsible for providing leadership...safety standards. Know Your Business: + Acquire a deep knowledge of key metrics and reporting for total club… more
- St. James Hospital (Hornell, NY)
- …of case management . Performs complex and varied tasks requiring independent knowledge , its application to a variety of situations, as well as the exercise ... lets appropriate staff know. + Assists ED and Med/Surg manager with staff scheduling + Assists case management...of UR reviews + Monitor documentation for adherence to Utilization rules and regulations + Report to the administrator-on-call… more
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