- Inside Higher Ed (Albany, NY)
- …National HEED Diversity Awards from Insight into Diversity magazine, and Princeton Review 's 2025 Mental Health Honor Roll.The CollegeThe mission of CEHC and its ... are committed to seeing the College become a global leader in education and research in its fields and...be a tenured Associate or Full Professor who will lead , develop, and administer the program in collaboration with… more
- NYC KIDS RISE (Long Island City, NY)
- …Officer NYC Kids RISE seeks a creative, entrepreneurial, visionary, and experienced leader and manager to serve as the organization's first Chief Technology Officer, ... and programmatic functions within NYC Kids RISE. Cybersecurity Leadership Lead cybersecurity infrastructure, technology, training and key initiatives for the… more
- Micro Center (Hilliard, OH)
- …Marketing Analyst for our Customer Strategy and Analytics Team who can lead digital reporting, dashboarding, and analysis to personalize our customer journeys. The ... BI tools including Google Analytics, Bloomreach Customer Data Platform and Microsoft Excel Lead the overall strategy and execution of web tagging and tag management… more
- Cloudbound (New York, NY)
- …we are seeking a forward-thinking Project Manager for Construction of new locations. You'll lead the construction of new parks from the ground up, ensuring each one ... at HQ. Develop and manage budgets, timelines, and scopes across multiple concurrent projects. Identify cost variances between actual, budgeted or estimated work.… more
- The New York Community Trust (New York, NY)
- …individuals, families, foundations, and corporations. The Trust is a regional philanthropic leader . It established the first donor-advised fund in 1931 and works at ... years; percentage to decrease after year four) The Project Director will lead The Trust's three- to five-year digital transformation initiative, transitioning from a… more
- Advice Pay (Bozeman, MT)
- …and admin teams for all questions related to AdvisorBOB; prepare agendas and lead regular check-ins, and respond to incoming questions via Zoom and email. Build ... customer-specific issues. Coordinate with leadership on renewal plans, business review preparation, and expansion opportunities. Translate customer needs and… more
- Hyatt Corporate Office (Chicago, IL)
- …evolving portfolio . *Renovation Project Oversight o Supervise multiple, concurrent renovation projects across Hyatt's full-service portfolio, managing all aspects ... and ownership groups to ensure timely execution and design integrity. o Review and present project-specific renovation design solutions to department leaders to… more
- MVP Health Care (Schenectady, NY)
- …requires innovative thinking and continuous improvement. To achieve this, we're looking for a ** Leader , Concurrent Review ** to join #TeamMVP. If you have a ... review . + 2+ years of supervisory experience + Strong understanding of concurrent review , sub-acute care, rehabilitation, and skilled nursing services. +… more
- Datavant (Augusta, ME)
- …(prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time ( concurrent review ). You will manage a cross-functional team of product ... the product vision, strategy, and roadmap for the Prospective Suspecting and Concurrent Review solutions within Datavant's Clinical Insights Platform suite. +… more
- Trinity Health (Maywood, IL)
- …of procedural cases and submitting/monitoring post acute authorization status. Admission and Concurrent Case Review : + Uses approved criteria for admission and ... **Employment Type:** Full time **Shift:** Day Shift **Description:** Utilization Review - RN Reviewer- Regional Coverage for Loyola, Gottlieb and MacNeal Hospitals.… more
- Nuvance Health (Danbury, CT)
- …integration of denials prevention operations such as prior authorization, initial and concurrent review , and denials management into other internal and external ... departments to ensure compliance with regulatory requirements and optimize the utilization review process. *Responsibilities:* * Lead and manage daily operations… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …reduction - focusing on 30 days, all causes * Assist with the segmentation of concurrent review offerings into Medicare / Medicaid / Commercial Payors, as needed ... be a key member of the medical staff and take on the role as leader of the Hospital's utilization review /management committee, which is charged with adhering to… more
- Mohawk Valley Health System (Utica, NY)
- …the application of the 2nd Midnight across payor types (CMS regulation). + Perform concurrent review and escalation of cases not meeting criteria. + Provide ... (RAC's). + Assist with mitigating barriers to discharge and care progression. + Perform concurrent review of cases greater than 4 days or the assigned/estimated… more
- Nuvance Health (Danbury, CT)
- …level of care. Develop clinical criteria and guidelines for efficient UR processes. * * Concurrent Review :* Oversee the concurrent review process, ... *Description* *Summary:*The *System Care Coordination Leader * will serve as a pivotal force in...and contribute to the UR committee meetings. * *Utilization Review (UR):* * *Proactive UR:* Lead a… more
- CareFirst (Baltimore, MD)
- …Navigator RNs. Utilizes MCG to act as a resource for the nurses to conduct concurrent review for medical necessity and appropriate level of care for Commercial ... Management. + Oversees associates conducting care coordination activities including concurrent review utilizing MCG. Collaborates with CareFirst medical… more
- CVS Health (CT)
- …ensuring timely and consistent responses to members and providers related to precertification, concurrent review , and appeal request. The medical director is a ... * Utilization management - The medical director will perform concurrent and prior authorization reviews with peer to peer...medical director will participate in and be able to lead daily rounds. **Required Qualifications:** Minimum 3-5 years of… more
- Cedars-Sinai (Beverly Hills, CA)
- …assessing their needs, coordinating care, communicating with health plans (including concurrent review , which assists the hospitalist/specialist and case manager ... Little More About What You Will be Doing** The Lead Case Manager will assist in the daily operations...and case manager assigned to the SNF's for continued review and follow up. + Authorize all appropriate services… more
- Carle Health (Champaign, IL)
- …Field, Work Experience: Clinical bedside; CDI Responsibilities Conducts the initial concurrent review process for all selected admissions. Clarifies ... Overview Performs inpatient chart review to determine appropriate DRG assignment and assures...in EPIC and CDI software and notifies one up leader of any issues. May serve as an "expert"… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …Medical Management Coordinator RNs, Medical Management Coordinators. + Manages the daily concurrent review process through department staff, including review ... staff, based upon established goals and objectives. Key Responsibilities: + Lead and manage the day-to-day operations of the Medical Management department,… more
- AdventHealth (Tampa, FL)
- …documentation to defend code assignment. May serve as the coding expert on the concurrent review process ensuring all coded data is accurately reflected and ... home to the renowned AdventHealth Pepin Heart Institute, a recognized leader in cardiovascular disease prevention, diagnosis, treatment and leading-edge research… more
