- New York State Civil Service (New York, NY)
- …require an accommodation.BASIC FUNCTION:Under the direct supervision of the Director of Contract Participation, the Project Manager , Utilization , will lead ... NY HELP No Agency Empire State Development, NYS Title Project Manager , Utilization - MWBE Occupational Category Other Professional Careers Salary Grade NS… more
- Beth Israel Lahey Health (Plymouth, MA)
- …a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who We ... and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager , you...of clinical denials. + Maintains current knowledge of payer contract changes as they pertain to level of care… more
- Ochsner Health (Jefferson, LA)
- …your future today!** This job manages expense management, vendor relationships, contract management, standardization and consolidation processes and utilization ... cost reduction initiatives throughout the organization by serving as a project manager and consultant to the clinical and non-clinical areas; tracks the system… more
- Catholic Health Services (Melville, NY)
- …why Catholic Health was named Long Island's Top Workplace! Job Details 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
- Excellus BlueCross BlueShield (Rochester, NY)
- …This position is responsible for coordinating, integrating, and monitoring the utilization of physical health (PH) medical and healthcare services for members, ... on customer and departmental needs. + Plans, implements, and documents utilization management activities which incorporate a thorough understanding of clinical… more
- Guthrie (Troy, PA)
- …approaches and make recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the continuum of care in ... Acute Case Manager Position Summary: The Acute Case Manager...in an acute care setting with strong care management, utilization review, and payer knowledge. A Case Management certification… more
- University of Washington (Seattle, WA)
- …for unit improvement. Reviews Avatar results and weekly Avatar comments with the Unit Manager . Supports the utilization of bedside shift report and care hand ... **Job Description** The Assistant Nurse Manager (ANM) supports and collaborates with the Unit...completion and edits are done according to bargaining unit contracts . Assists with or completes timecard approval/sign off for… more
- AdventHealth (Mansfield, TX)
- …of selected patient populations across the continuum of illness. The Nurse Manager promotes effective utilization of health care resources, monitors these ... ages, and a growing business community. **The role you'll contribute:** The Nurse Manager is a specialized health care professional who adheres to the goals,… more
- City of New York (New York, NY)
- …contracting and fiscal functions within the Office of Community Outreach. The Contract Manager is responsible for the utilization of fiscal and contract ... monitoring and oversight, and program-side responsibilities related to contract administration for NYC Benefits contracts . DSS...(1) Administrative Staff Analyst NM to function as a Contract Manager . Under the direction of the… more
- ERP International (Nellis AFB, NV)
- …additional education or clinical management of selected diseases. * Collaborates with case manager , utilization manager , and Managed Care Support Contractor ... International is seeking a full-time **Registered Nurse (RN) Disease Manager ** in support of theMike O'Callaghan Military Medical Center… more