- Elevance Health (Latham, NY)
- ** Utilization Management Representative II** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... unless an accommodation is granted as required by law._ The ** Utilization Management Representative II** is responsible for managing incoming calls, including… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical information ... internal and external to the institution. Position responsibilities will include utilization management support functions for patient admissions and continuing stay.… more
- Healthfirst (NY)
- …to maintain and improve department performance + Collect, analyze, and report on utilization trends, patterns, and impacts to identify areas for improvement + Lead ... Clinical Eligibility, Behavioral Health, and Appeals and Grievances teams to align utilization decisions + Partner with technology and data teams to refine data… more
- The Arc Erie County NY (Buffalo, NY)
- …serve. + Monitors implementation of service plans through regular records and utilization of review , case conferences, consultations, and supervision. + Facility ... + Maintains quality programing in accordance with the standards of the Office of Mental Health, ACCES-VR, OPWDD, Commission for the Blind, Department of Labor, and all other funders. + Prepares program reports for internal use and compliance with regulatory… more
- City of New York (New York, NY)
- …of DCP Standard Operating Procedures, and contribute to their improvement and consistent utilization by staff; - Review , analyze, and make recommendations and ... and processing land use applications pursuant to the Uniform Land Use Review Procedure (ULURP), and providing technical and policy guidance and direction on… more
- LinkedIn (New York, NY)
- …review with all your key clients to understand their key company initiatives, review product utilization , provide key updates on LinkedIn and our expanding ... 15) to understand key decision makers, org charts, current investment, product utilization and new revenue opportunity + Understand where the opportunity exists in… more
- OLV Human Services (Lackawanna, NY)
- …navigating electronic health record (EHR) for documentation of services rendered. + Review utilization and service provision with supervisor + Coordinate and ... collaborate with Care Managers to identify service needs and develop service plans + Ensure appropriate chain of command is utilized. + Complies with all federal and state regulations and agency policies pertaining to HIPAA, false claims, whistleblower… more
- CUNY (Brooklyn, NY)
- …and discretionary employee training and development activities; assist in the analysis, review , and utilization of confidential records, including those from New ... time charges are accurate and documented. - Prepares performance evaluations for review and approval by the Director, initiates disciplinary action when necessary,… more
- Elevance Health (New York, NY)
- …policies, and CMS Coverage Determinations, as applicable. + Perform physician-level case review of utilization requests for procedures and interventions listed ... decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review ...case review decisions that require Medical Director review or policy interpretation. + Determine medical necessity of… more
- HTC Global Services Inc (Brooklyn, NY)
- …initiatives for telecom services. 4. Capacity Planning & Optimization Leadership + Review enterprise-level utilization trends for SIP channels, PRI circuits, WAN ... 7. Documentation, Asset & Lifecycle Management + Oversee creation and periodic review of telecom topology diagrams, circuit inventory, routing designs, and SOPs. +… more