- Helio Health Inc. (Syracuse, NY)
- …degree preferred. + Licensed/credentialed applicants preferred. + Two years of experience in utilization review in a hospital, health care, or managed care ... of federal and state regulations applicable to treatment and reimbursement. + Utilization review procedures and techniques. Our Comprehensive Employee Benefits… more
- Acacia Network (Bronx, NY)
- …special projects as directed. REQUIREMENTS + Minimum of 2 years of case management and/or utilization review experience + Associate degree required; ... services are fully integrated, bilingual and culturally competent. POSITION OVERVIEW The Utilization Manager is responsible for the day-to-day functions of… more
- Healthfirst (NY)
- …to maintain and improve department performance + Collect, analyze, and report on utilization trends, patterns, and impacts to identify areas for improvement + Lead ... closely with other Operations leaders including but not limited to Care Management , Clinical Eligibility, Behavioral Health, and Appeals and Grievances teams to… more
- CenterWell (Albany, NY)
- …+ Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Orthopedic procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous Medicare… more
- Mount Sinai Health System (New York, NY)
- …Requirements Previous experience as in homecare, long term care or utilization review preferred. Discharge Planner or Case Manager preferred. Manager or ... **Job Description** **RN/Case Manager MSH Case Management FT Days**...new admissions to identify patients where utilization review , discharge planning, and/or case management will… more
- Guthrie (Binghamton, NY)
- …approaches and make recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the continuum of ... Bonus For Qualified RNs! Position Summary: The Acute Case Manager utilizes industry accepted processes for achieving optimal patient,...experience in an acute care setting with strong care management , utilization review , and payer… more
- Northwell Health (Staten Island, NY)
- …care according to regulatory standards. + * Performs concurrent utilization management using Interqual criteria. + Conducts chart review for appropriateness ... management and clinical pathways, variance analysis and trending, quality management / utilization review and home care/discharge planning, preferred. +… more
- SUNY Geneseo (Geneseo, NY)
- …Attend design meetings, paying attention to issues of College standards, site management and constructability. - Review consultant prepared drawings and ... Project Manager Bookmark this Posting Print Preview | Apply...from the construction team and end users. Duties include management of consultant and contractor compliance reporting of MWBE… more
- Albany Medical Center (Albany, NY)
- … works proactively with the Quality Improvement Teams, patient care standards, and utilization management to coordinate the appropriate use of resources to ... assigned service - required + Recent experience in case management , utilization management and/or discharge...Basic knowledge of computer systems with skills applicable to utilization review process. + RN - Registered… more
- Mount Sinai Health System (New York, NY)
- …preferred. + Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ... **Job Description** **RN/Case Manager (Inpatient) Mount Sinai Morningside FT Days EOW**...new admissions to identify patients where utilization review , discharge planning, and/or case management will… more