- Samaritan Daytop Village (Rhinebeck, NY)
- …and goal of sustaining high quality care/service delivery to persons served, the Utilization Manager works to assist CASAC Counselors and supervisory staff as ... needed with assuring compliance with external and internal utilization review/quality and appropriateness requirements. What qualifications do you need: + Bachelor… more
- Helio Health Inc. (Syracuse, NY)
- …to track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting our ... appropriate. + Assist in developing and administering policies and procedures for utilization . + Negotiating access to care for individuals seeking services at Helio… more
- Catholic Health Services (Melville, NY)
- …Health was named Long Island's Top Workplace! Job Details Position Summary: The Utilization and Appeals Manager (UAM) proactively conducts clinical reviews and ... from payors for additional clinical documentation. Acts as liaison between the Utilization and Appeals Management Department and the physician of record, as… more
- CVS Health (Albany, NY)
- …we do it all with heart, each and every day. **Position Summary** This ** Utilization Manager ** position is with Aetna's Long-Term Services and Supports (LTSS) ... with active and unrestricted New York state licensure + 1+ year of Utilization review experience + 1+ year of clinical experience **Preferred Qualifications** +… more
- Centene Corporation (New York, NY)
- …Clinical Review team to ensure appropriate care to members. Manages utilization management issues related to member care, provider interactions, and facilitates ... operations within utilization management. + Manages prior authorization, concurrent review, and...applicable guidelines, policies, and procedures + Reviews and analyzes utilization management activities, operations, costs, and forecasted data to… more
- Evolent (Albany, NY)
- …and client contractual agreements. **Collaboration Opportunities** : The Coordinator, Intake Utilization Management reports directly to the Manager , ... mission. Stay for the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management** at Evolent will serve as a point of contact for… more
- Arnot Health (Bath, NY)
- …suitable for nursing research. + Promotes research-based practice. Standard VIII. Resource Utilization The Nurse Manager evaluates and administers the resources ... Performance Standard I. Quality of Care and Administrative Practice The Nurse Manager systematically evaluates the quality and effectiveness of nursing practice and… more
- Google (New York, NY)
- …platforms. + Design and execute marketing campaigns to drive deeper integration and utilization of Google Ad Manager 's features among media agencies and ... them navigate the changing advertising ecosystem. As a Google Ad Manager Product Marketing Manager , you'll advocate the future of the publisher ecosystem by… more
- Organon & Co. (New York, NY)
- …Business Manager and be responsible for driving product awareness and utilization . The Territory Business Manager will work towards achieving and exceeding ... overall sales initiatives by developing effective relationships and partnering with physicians, working with staff, internal colleagues, and other pertinent parties within a defined territory. **Responsibilities** + Employ business planning and local market… more
- Northwell Health (Bay Shore, NY)
- …up and action. + * Acts as a liaison with patients insurance carrier (case manager , utilization reviewer) to coordinate post hospital services and referrals. + * ... retrospective reviews as required. + * Participates in the maintenance of Utilization Management, Discharge Planning and Case Management statistics as required. + *… more
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