- Capital One (New York, NY)
- …onboard their products/services and support them in ramping up to full utilization . Treasury Management Associates regularly identify opportunities to improve ... Senior Associate, Treasury Management Associate Aligned to one or more Commercial...one or more Commercial Banking business segments, the Treasury Management Associate (TMA) provides primary sales support to aid… more
- Trinity Health (Troy, NY)
- …of experience in acute settingPreferred requirements:1+ year of experience in case management or utilization managementCase Management certification (CCM) or ... looking for a position in RN (Registered Nurse) Case Management in a dynamic hospital, this could be your...guidelinesResponsibilities:Engage the patient and care team in the joint management of key patient outcomes such as management… more
- Guthrie (Binghamton, NY)
- …five (5) years of experience in an acute care setting with strong care management , utilization review, and payer knowledge. A Case Management certification ... and other members of the healthcare team to provide appropriate medical management and resource utilization utilizing established/approved criteria. b) Educates… more
- Humana (Albany, NY)
- …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Catholic Health Services (West Islip, NY)
- …a hospital care management leadership role is required. Experience in utilization management , working with managed care organizations, and discharge planning ... : Works collaboratively with, but not limited to, Medical Staff, Quality/Risk Management , CH Utilization and Central Appeals, Managed Care and Revenue… more
- Humana (Albany, NY)
- …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Rochester Regional Health (Rochester, NY)
- …case coordination/patient navigation for patients, including triage management , algorithm management , utilization management and resource management . ... assist with continually improving the quality and effectiveness of case management /patient navigation. RESPONSIBILITIES + Reviews the medical record with referring… more
- Evolent (Albany, NY)
- …insights to internal and external stakeholders. + Experience with value-based care, utilization management , or regulatory reporting (eg, HEDIS, NCQA, Milliman). ... : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, and population health opportunities using SAS, SQL, Excel, and Power… more
- Humana (Albany, NY)
- …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Molina Healthcare (Yonkers, NY)
- …and/or Tableau and data management + Knowledge of healthcare operations ( utilization management , disease management , HEDIS quality measures, claims ... and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports… more