- Centene Corporation (New York, NY)
- …Review Clinical Review team to ensure appropriate care to members. Manages utilization management issues related to member care, provider interactions, and ... facilitates operations within utilization management . + Manages prior authorization, concurrent review, and retrospective clinical review team and ensures… more
- Evolent (Trenton, NJ)
- …contractual agreements. **Collaboration Opportunities** : The Coordinator, Intake Utilization Management reports directly to the Manager , Utilization ... Stay for the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management ** at Evolent will serve as a point of contact for processing… more
- Hackensack Meridian Health (Brick, NJ)
- …transform healthcare and serve as a leader of positive change. The **Care Coordinator, Utilization Management ** is a member of the healthcare team and is ... patient's treatment. Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to manage length of… more
- AmeriHealth Caritas (Robbinsville, NJ)
- …functions of the clinical department including triage of calls, care coordination, and utilization management . The Care Manager facilitates access to ... it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **RN/Case Manager MSH Case Management FT Days** The Case Manager (CM) will be responsible for all aspects of case management for an ... utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager or a minimum...a. Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management … more
- Mount Sinai Health System (New York, NY)
- …Description** The Case Manager is responsible for all aspects of case management / utilization review for an assigned group of inpatients, ED patients and ... management and the transition of care. The Case Manager actively participates in specific clinical initiatives focused on...Sinai St. Luke's and Mount Sinai West, BEZ - Utilization Management - WST, Mount Sinai West… more
- C&W Services (Trenton, NJ)
- **Job Title** Sr. Manager , Change Management **Job Description Summary** We are seeking a highly skilled and dynamic Sr. Manager , Change Management to ... sustain continuous change. **Job Description** **Key Responsibilities:** + **Change Management Strategy** : Crafts and executes comprehensive change management… more
- MTA (New York, NY)
- Manager , IT Telecommunication Services & Expense Management Job ID: 11155 Business Unit: MTA Headquarters Location: New York, NY, United States ... Services Date Posted: Apr 9, 2025 Description JOB TITLE: Manager , IT Telecommunication Services & Expense Management ...and promotes agency accountability for IT costs and resource utilization . + Forecasts and plans for one-time and recurring… more
- Mount Sinai Health System (New York, NY)
- …NYSNA-SLW NYSNA at Mount Sinai St. Luke's and Mount Sinai West, BEZ - Utilization Management - WST, Mount Sinai West **Responsibilities** **Principle Duties and ... utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager or a minimum...+ Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management … more
- Grant Thornton (New York, NY)
- As a Healthcare Transaction Management Manager , you'll focus on buy-side and sell-side due diligence and transaction management engagements with large health ... teams + Provide expertise in the following: + Deal Management Office support + Standalone, one-time, and stranded cost...professional development + Meeting or exceeding targeted billing hours ( utilization ) + Other duties as assigned You have the… more
- Envista Holdings Corporation (Manhattan, NY)
- …+ Ability to effectively manage assigned accounts in terms of driving utilization , customer relationship management , problem resolution, and business and ... + Ability to effectively manage assigned accounts in terms of driving utilization , customer relationship management , problem resolution, and business and… more
- JPMorgan Chase (New York, NY)
- …technology, and operations teams of seamless event delivery. + Optimize meeting space management for maximum utilization and efficiency. + Assign events to team ... team of client center planners, fostering collaboration, and resolving challenges. As an Event Manager within our Amenity services team , you will lead a team of… more
- TD Bank (Mount Laurel, NJ)
- …for this role. **Line of Business:** Audit **Job Description:** The Audit Manager is accountable for overseeing the planning and execution for audits covering ... utilizing their subject matter expertise. + Acts as primary contact with management regarding audit scope, findings and status **Education & Experience:** +… more
- Cherry Bekaert (Trenton, NJ)
- **Description** We have a new opportunity to join our Advisory Resource Management team as we continue to add integral capabilities and tools to support Cherry ... Bekaert's (https://www.cbh.com/) growth. As a Resource Manager you are collaborating with executive and staff-level professionals in this highly visible role. As a… more
- Integra LifeSciences (Princeton, NJ)
- …as well as the LRP Process. While also obtaining buy in from Senior Management . The Senior Strategic Planning Manager will also participate and support strategic ... set new standards of care. **SUMMARY DESCRIPTION** The scope of the Senior Manager , Global Supply Chain Planning is to manage processes, systems, and planning… more
- CVS Health (Plainfield, NJ)
- …to our members. Health service strategies, policies, and programs are comprised of utilization management , quality management , network management , ... or $7,500 for all other eligible external candidates._** **This is a remote Case Manager opportunity with** **50 to 75% field travel in Union County and surrounding… more
- Magellan Health Services (Newtown, PA)
- …Strong organization, time management and communication skills. Knowledge of utilization management procedures, mental health and substance abuse community ... other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided...an active work load in accordance with National Care Manager performance standards. + Works with community agencies as… more
- RWJBarnabas Health (Somerset, NJ)
- Manager of Clinically Integrated Network Growth - Somerset, NJReq #:0000182791 Category:Professional / Management Status:Full-Time Shift:Day Facility:RWJBarnabas ... NJ 07052 Job Overview: We are looking for a Manager of Clinically Integrated Network Growth to expand the...+ Develop a pipeline of opportunities through market research, utilization data, and partnering with Planning & Strategy team.… more
- CVS Health (Manalapan, NJ)
- …to our members. Health service strategies, policies, and programs are comprised of utilization management , quality management , network management , ... appropriate physical, behavioral health, psychosocial wrap around services. The care manager will be responsible for, care planning, direct provider collaboration,… more
- CVS Health (Somerset, NJ)
- …to our members. Health service strategies, policies, and programs are comprised of utilization management , quality management , network management , ... it all with heart, each and every day. **Position Summary** This Case Manager Registered Nurse position is with Aetna's Long-Term Services and Supports (LTSS) team… more