- Healthfirst (NY)
- **Duties/Responsibilities:** + Oversees utilization management functions which include timely authorizations related to pre-certification, concurrent review, ... and reviews medical charts to obtain additional information required for appropriate utilization management and to solve complex clinical problems + Allocate,… more
- Helio Health Inc. (Syracuse, NY)
- …to track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting our ... Educate program staff on current principles and standards of practice surrounding utilization and denials management . + Use effective relationship management… more
- Elevance Health (Buffalo, NY)
- RN Utilization Management - Case Management (Medicaid Long Term Care) JR155671 **Location** : New York or New Jersey. **Virtual:** This role enables ... residence required. **Preferred Skills, Capabilities and Experiences:** + A combination of utilization review/ utilization management and Case Management … more
- Arnot Health (Elmira, NY)
- … of patient care. The Case Manager will review all patients for utilization management and appropriate discharge planning. The Case Manager 's average ... BSN prepared will be a leader in the Case Management practice. The Case Manager will work...nursing in acute care hospital setting or two years utilization management in an acute care hospital… more
- Northwell Health (Staten Island, NY)
- …another level of care according to regulatory standards. + * Performs concurrent utilization management using Interqual criteria. + Conducts chart review for ... management and clinical pathways, variance analysis and trending, quality management / utilization review and home care/discharge planning, preferred. + Keeps… 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
- Guthrie (Binghamton, NY)
- …five (5) years of experience in an acute care setting with strong care management , utilization review, and payer knowledge. A Case Management certification ... Position Summary: The Acute Case Manager utilizes industry accepted processes for achieving optimal...members of the healthcare team to provide appropriate medical management and resource utilization utilizing established/approved criteria.… more
- Crouse Hospital (Syracuse, NY)
- …day management of the RN Care Managers in the department, including Utilization Management , Discharge Planning and Denials and Appeals functions. + Assessing ... outreach programs. Crouse's Care Coordination team is hiring a Manager who is responsible for providing day to day... who is responsible for providing day to day management of the RN Care Managers in the department.… more
- Publicis Groupe (New York, NY)
- …project management and interpersonal skills. You will ensure target utilization is met, anticipate client resource needs, provide reporting to project teams, ... just an all-around nice person, let's chat. **Overview** Resource Management sits at the heart of Saatchi & Saatchi...data, relationships, and talent performance. As a Creative Resource Manager , your key responsibility is to partner with the… more
- Guthrie (Corning, NY)
- …and other members of the healthcare team to provide appropriate medical management and resource utilization utilizing established/approved criteria. b) Educates ... Summary: In collaboration with the interdisciplinary healthcare team, the Case Manager will coordinate the flow of services throughout the patient's hospitalization… more
- Capital One (New York, NY)
- Manager , Product Management - AI/ML Platform Foundations Product Management at Capital One is a booming, vibrant craft that requires reimagining the status ... upon number of hours to be regularly worked. Cambridge, MA: $158,400 - $180,800 for Manager , Product Management Chicago, IL: $144,000 - $164,400 for Manager ,… more
- Veterans Affairs, Veterans Health Administration (Montrose, NY)
- …achieve goals for eligibility, referral and authorization, care coordination, and utilization management to ensure improved Veteran experience. Makes ... improving the Veteran's experience and outcomes. Defines mental health policies, utilization management process and procedures, financial and utilization… more
- Albany Medical Center (Albany, NY)
- …proactively with the Quality Improvement Teams, patient care standards, Social Work, and utilization management to coordinate the appropriate use of resources to ... assigned service. Acute care nursing experience preferred.4. Recent experience in case management , utilization management and/or discharge planning/home care… more
- Publicis Groupe (New York, NY)
- …in more than sixty countries with over 23,000 employees worldwide. **Overview** The ** Manager of Resource Management ** plays a central role in aligning business ... with talent across the agency. Reporting to the Vice President of Resource Management , this individual serves as a strategic and operational partner to department… 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
- IBM (New York, NY)
- …5 years of hands-on experience in a technical position with the implementation and utilization of fully integrated enterprise asset management system . Must be ... **Introduction** As an Asset Management Consultant within IBM Expert Labs, you will...where you will serve as both the Technical Account Manager (TAM) and Project Manager (PM). In… more
- TD Bank (New York, NY)
- …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 (Albany, NY)
- **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
- Ellis Medicine (Schenectady, NY)
- …provided by the Case Manager include, but are not limited to, utilization review, case management , care transition, collaboration with physicians and social ... SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for case management ...discharge planning guidelines and departmental/organizational policies and processes + Utilization Management : + Ensures order in chart/EMR… more