- Excellus BlueCross BlueShield (Rochester, NY)
- …depending on customer and departmental needs. + Plans, implements, and documents utilization management activities which incorporate a thorough understanding of ... productivity and gain efficiencies for performance improvement opportunities in the Utilization Management Department. + Assists in updating departmental… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …encourage you to apply! Job Description: Summary: This position supports the Utilization Management (UM) workflows by providing administrative support and ... attendance is expected and required. + Performs other functions as assigned by management . Level II (in addition to Level I Accountabilities) + Assists and performs… more
- Molina Healthcare (Syracuse, NY)
- …Nurse who be licensed in the state they reside. We are looking for a RN Supervisor to manage a utilization management team supporting 14 Marketplace plans. ... Monitoring team responsible for prior authorizations, inpatient/outpatient medical necessity/ utilization review, and/or other utilization management … more
- Mohawk Valley Health System (Utica, NY)
- RN Supervisor Case Management - Full Time - Days Department: CARE MANAGEMENT SERVICES Job Summary The Supervisor Case Management - SNH is responsible ... for the oversight of the case management staff's authorization/coordination/ utilization and provision of member services. Duties include the supervision and… more
- Ellis Medicine (Schenectady, NY)
- + The Supervisor of Case Management and Social Work (CMSW) assists with the daily operations of the Department. This person can assist with the hiring and ... of stay (LOS) and cost per case through resource management . + The Supervisor of CMSWS is...CMSWS assist with providing the link between compliance, clinical management , patient progression, gathering and reporting of utilization… more
- Ellis Medicine (Schenectady, NY)
- …+ Candidates must have a minimum of 2-3 years leadership experience in Case Management , Utilization Management and/or Quality Assessment, or a minimum of ... oversees appropriate response + Responsible for coordination of processes including Utilization Management (UM), meetings, Committee reports, functions and… more
- Molina Healthcare (Albany, NY)
- …and comply with CMS guidelines. These staff may also be involved in providing utilization management / prior authorization services as needed. * Supervises the ... those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy… more
- New York State Civil Service (Scotia, NY)
- …Road City Scotia State NY Zip Code 12302 Duties Description The Maintenance Supervisor 4 is responsible for the management , supervision, coordination, technical ... No Agency Military and Naval Affairs, Division of Title Maintenance Supervisor 4 Occupational Category Skilled Craft, Apprenticeship, Maintenance Salary Grade 21… more
- Anoplate Corporation (Syracuse, NY)
- Production Supervisor 2nd shift Syracuse, NY (http://maps.google.com/maps?q=459+Pulaski+St+Syracuse+NY+USA+13204) Job Type Full-time Description 2nd shift:2:15pm - ... and development of all production personnel within their area of responsibility. The supervisor ensures that the equipment and labor resources are being utilized as… more
- Ellis Medicine (Schenectady, NY)
- …reimbursement. Join our team and GROW with Ellis! The Administrative Clinical Supervisor functions as the administrative manager during the off-shift hours of ... and maintaining control of all resources required to assure effective and efficient management of patient care and safety according to departmental standards of care… more
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