- Pfizer (New York, NY)
- **R** **ole Summary** As a Contract Manager you will be accountable for having a general working knowledge of the pharmaceutical and managed care industries. You ... ability to learn or have a general working knowledge of Managed Care (Commercial, Part D, Medicare, Medicaid, Healthcare Insurance Exchanges), general concepts of… more
- Arnot Health (Elmira, NY)
- …to the management of patient care . The Case Manager will review all patients for utilization management and appropriate discharge planning. The Case ... of self and other case managers. f. The Case Manager tracks and trends LOS, resource utilization ,...a resource to the team regarding insurance benefits, managed care processes, and utilization issues. ** 18.… more
- Elevance Health (Latham, NY)
- …and ensures essential face-to-face onboarding and skill development. The **Behavioral Health Care Manager II** is responsible for managing psychiatric and ... outpatient professional treatment health benefits through telephonic or written review . **How you will make an impact:** + Uses...+ Will serve as a resource to other BH Care Managers. + Assists with more complex cases and… more
- CenterWell (Hauppauge, NY)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... at our Hauppauge, NY branch location.** The **RN Clinical Manager ** coordinates and oversees all direct care ...requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking… more
- Healthfirst (NY)
- The Case Manager , Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review , discharge ... planning, and case management as assigned. The Case Manager , Utilization Management is also responsible for...care options, and discharge planning + Certified Case Manager + Interqual and/or Milliman knowledge + Knowledge of… more
- Nuvance Health (Poughkeepsie, NY)
- …or BSN preferred. Must have current RN license. Preferred experience in Utilization Review /Management.Company: Vassar Brothers Medical Center Org Unit: 1190 ... the assigned caseload. Partners with Social Workers and collaborates with other health care team members to identify appropriate utilization of resources and to… more
- Crouse Hospital (Syracuse, NY)
- …requirements related to acute care discharge planning + Preferred - Acute care utilization review experience Benefits Overview: + Medical, Dental, ... well as community health education and outreach programs. Crouse's Care Coordination team is hiring a Manager ...for providing day to day management of the RN Care Managers in the department, including Utilization … more
- Guthrie (Corning, NY)
- …Summary: In collaboration with the interdisciplinary healthcare team, the Case Manager will coordinate the flow of services throughout the patient's hospitalization ... to the case management process. Certified to complete Patient Review Instruments (PRIs). Has a working knowledge of the...Essential Functions: 1. Assists to ensure that the right care is provided to patients in the right setting,… more
- Stony Brook University (Stony Brook, NY)
- …use of resources. + Oversee staff performance including new staff orientation + Knowledge of Utilization Review and LOS + Review of high-risk complex cases. ... of excellence. **Duties of a TH Staff Associate/Supervising Case Manager in the Care Management Department may...or for a maximum of 90 days. An initial review of all applicants will occur two weeks from… more
- Ryder System (Rock Tavern, NY)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **MOVE YOUR CAREER ... Fleet Maintenance and Supply Chain Services in the World! **Summary** The Operations Manager II (SM II) manages the operations and personnel for locations with up… more