- Centene Corporation (New York, NY)
- …**Must have an active New York State RN license.** **Inpatient Utilization Management ** **Position Purpose:** Supervises Prior Authorization, Concurrent Review, ... changes everything for our 28 million members as a clinical professional on our Medical Management /Health Services...ensure appropriate care to members. Supervises day-to-day activities of utilization management team. + Monitors and tracks… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …in department) - Provides guidance and leadership to the daily activities of the Utilization Management Department clinical staff. Acts as resource to ... staff, members and providers. + Provides backup for the Supervisor , whenever necessary. Participates in the orientation of new...LCSW; or LMHC. + Minimum of three years of clinical experience required. Utilization Management … more
- Excellus BlueCross BlueShield (Rochester, NY)
- …in department) - Provides guidance and leadership to the daily activities of the Utilization Management Department clinical staff. Acts as resource to ... staff, members and providers. + Provides backup for the Supervisor , whenever necessary. Participates in the orientation of new...Bachelors degree preferred. + Minimum of three years of clinical experience required. Utilization Management … more
- Helio Health Inc. (Syracuse, NY)
- …Educate program staff on current principles and standards of practice surrounding utilization and denials management . + Use effective relationship management ... review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting ourSyracuse… more
- University of Rochester (Rochester, NY)
- …Staff Pharmacist - Clinical Responsibilities_** + In coordination with the clinical pharmacy team, oversees the management of drug shortages in the ... conduct the business of the functional unit under their supervision and management . Their supervisor should be aware of all ongoing interdepartmental… more
- Whitney Young Health Center (Albany, NY)
- Clinical Supervisor - Substance Use Disorder Programs (Req 101020) Albany, NY (http://maps.google.com/maps?q=10+DeWitt+Street+Albany+NY+USA+12207) Apply ... match, tuition reimbursement, term life insurance, and more! GENERAL RESPONSIBILITIES: The Clinical Supervisor -SUD serves as a member of the Integrated… more
- Ellis Medicine (Schenectady, NY)
- …AND tuition reimbursement. Join our team and GROW with Ellis! The Administrative Clinical Supervisor functions as the administrative manager during the off-shift ... according to departmental standards of care and practice. The Administrative Clinical Supervisor represents hospital administration to ensure uninterrupted… more
- Centene Corporation (New York, NY)
- …Nursing preferred. 3+ years of combined nursing and appeal and grievance, or utilization management or case management experience. Previous supervisory ... changes everything for our 28 million members as a clinical professional on our Medical Management /Health Services...as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization… more
- Mohawk Valley Health System (Utica, NY)
- Case Management Supervisor - Full Time - Days Department: CASE MGMT Job Summary The Case Management Supervisor is responsible for the oversight of the ... case management staff's authorization/coordination/ utilization and provision of member...Licensed and currently registered to practice as a Licensed Clinical Social Worker in New York State. + Valid… more
- Albany Medical Center (Albany, NY)
- …and serves as the supervisor in the absence of the Laboratory Supervisor . Other critical aspects include project management , management of supplies ... manner. Serve as a liaison to other disciplines to integrate laboratory and clinical information for better patient management . Design and implement reports that… more
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