- Excellus BlueCross BlueShield (Utica, 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 ... and required. + Performs other functions as assigned by management . Level II (in addition to Level...Assist with all Blue Card Claims escalations. + Assist management with the review and creation of… more
- MTA (Brooklyn, NY)
- Assistant Transit Management Analyst I- II / Associate Transit Management Analyst (Elevators and Escalators) Job ID: 10130 Business Unit: New York City Transit ... Date Posted: Feb 26, 2025 Description Job Information : Title: Assistant Transit Management Analyst I- II / Associate Transit Management Analyst (Elevators and… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …and maintains a variety of; prepares financial reports, statements and analysis for management review . + Performs assigned analysis and/or assists in complex ... to reimbursement concerns. + Applies principles of total quality management , team leadership, facilitates peer review activities...Ability to work with the various levels of internal management and external audiences. Level II -… more
- BAE Systems (Greenlawn, NY)
- …BAE Systems facility 100% of the time. The role of the Ops Specialist II is to help oversee and manage the programs/projects within Operations responsibility. He/she ... to transition to production and production. The Ops Specialist II aids in preparing project execution plans, identifies the...it in a clear and concise manner to Operations Management , Program Management and / or Engineering… more
- Ellis Medicine (Schenectady, NY)
- …plan, implement and evaluate individual healthcare needs. Integrate Discharge Planning, Utilization Review and Performance Improvement activities at the patient, ... levels. Efficiently and effectively anticipates, identifies and resolves issues through utilization review and discharge planning processes. Collaborates with… more
- Bassett Healthcare (Cooperstown, NY)
- …the best quality of life possible. What you'll do The Registered Professional Nurse II , Acute Care is accountable for the delivery of safe patient care utilizing the ... no more than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback. Analyzes assessment data to… more
- Elevance Health (Latham, NY)
- …services only, and there is licensed staff supervision. + Previous experience in case management / utilization management with a broad range of experience with ... required. **Preferred Skills, Capabilities and Experiences** : + Experience in Utilization Management preferred. + Board Certified Behavioral Analyst (BCBA)… more
- TD Bank (New York, NY)
- …to business line. + Performs testing of critical areas of audit. Performs review of audit documentation. Oversees findings follow up and issue validation. + Ensures ... utilizing their subject matter expertise. + Acts as primary contact with management regarding audit scope, findings and status **Education & Experience:** +… more
- Spectrum Health and Human Services (Buffalo, NY)
- …The Care Coordinator will apply the essential activities of case management which include assessment, planning, coordination, monitoring and evaluation with the ... core components (Comprehensive Case Management , Care Coordination & Health Promotion, Comprehensive Transitional Care, Patient and Family Support and Referral to… more
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