- 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
- Catholic Health Services (Melville, NY)
- …Utilization and Appeals Coordinator will perform activities to help facilitate utilization management and appeals functions to include coordination of ... payment related activities. Position Responsibilities: + Prepares necessary documentation for utilization management and appeals processes, performs data … 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
- Mount Sinai Health System (New York, NY)
- …on Excel and Word + Strong Communication skills Non-Bargaining Unit, BEZ - Utilization Management - WST, Mount Sinai West **Responsibilities** **A. Clinical ... **Job Description** **Insurance Specialist Mount Sinai West Utilization Mgmt FT Days EOW** To maintain front...EOW** To maintain front end operations of the Case Management Department by monitoring all incoming correspondence and ensuring… more
- Catholic Health (Buffalo, NY)
- …hours based on role of management and oversight of team Summary: The Clinical Denials and Appeals, Clinical Supervisor is responsible for the people, ... payers) and internal stakeholders including, but not limited to, Utilization Review, Case Management , Clinical ...but not limited to, Utilization Review, Case Management , Clinical Documentation Integrity, Health Information … more
- Trinity Health (Schenectady, NY)
- …there with up-to-the-minute treatment modalities and cutting-edge technology. ** Clinical Nursing Supervisor - Sunnyview Rehab Hospital-Schenectady-Weekend Track ... the medical staff. + Areas of responsibility include orientation, personnel management ; rehabilitation nursing techniques, staffing, clinical nursing skills,… 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
- Ellis Medicine (Schenectady, NY)
- …of CMSWS assist with providing the link between compliance, clinical management , patient progression, gathering and reporting of utilization data, community ... + The Supervisor of Case Management and Social...Managers Absence. This person in this position will ensure clinical documentation adequately reflects resource management and… more
- Trinity Health (Syracuse, NY)
- … position is dedicated to providing quality care and excellent outcomes. **RN Supervisor - Capacity Management Hub Night Shift** **Position Purpose:** This ... care coverage to promote safe quality care coverage 24/7. + Coordinate bed management for all admissions and transfers throughout the hospital to achieve most… more
- Trinity Health (Syracuse, NY)
- …program and opportunities for continued education and growth. The Registered Nurse Supervisor is a dynamic leadership role that contributes to the operational ... management of the unit to promote and support an...by various licensing, regulatory, and accreditation bodies. An RN Supervisor maintains a working knowledge of policies and procedures… more
Recent Jobs
-
Overnight Safety and Security Officer
- Monster (Hilton Head Island, SC)
-
HVAC Automation & Controls Technician
- Legend Biotech USA, Inc. (Raritan, NJ)
-
Accounts Payable Specialist
- vaco (Costa Mesa, CA)
-
Field Service Engineer - New College Graduate Rotational Program, College Grad - Bachelor's Degree (US-Based)
- Applied Materials (Pflugerville, TX)