- 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
- Hackensack Meridian Health (North Bergen, 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
- Select Medical (Rochelle Park, NJ)
- …by doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Critical Illness Recovery Hospital** **Case Manager ** **32hrs A Week** _Requires a current licensure...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… 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
- RWJBarnabas Health (Livingston, NJ)
- …years experience in a hospital setting + Minimum of one year experience in Case Management / Utilization Management or Home Care + Successful completion of all ... Case Manager Registered Nurse (RN), Case Management ...population across the continuum of illness. Assumes responsibility for utilization management and monitoring process. Conducts admission… more
- RWJBarnabas Health (Rahway, NJ)
- …years experience in a hospital setting + Minimum of one year experience in Case Management / Utilization Management or Home Care + Successful completion of all ... length of stay and continued stay denials, improves efficiency, quality, and resource utilization . The Case Manager RN will work with Medical/Surgical patients.… 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
- 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
- RWJBarnabas Health (Belleville, NJ)
- Case Manager (RN) Case Management Full Time DayReq...setting + Minimum of one year experience in Case Management , Utilization Management or Home Care ... Manager Status:Full-Time Shift:Day Facility:Clara Maass Medical Center Department:Case Management Location: Clara Maass Medical Center, 1 CLARA MAASS DRIVE,… 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 (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
- Citigroup (Jersey City, NJ)
- …and drive strategy across our industry. **Team/Position Overview:** The Collateral Management team sits in Margin and Collateral function in Markets Operations. ... regulatory requirements, whilst delivering best-in-class capabilities in margin and collateral management , inventory management , risk management and… more
- ADP (Parsippany, NJ)
- …workforce management optimization and initiation resources to drive optimal utilization , KPI's and timely reporting in alignment with the business objectives. ... **ADP is hiring a Manager , Workforce Planning.** + Do you get a...responsible to build and maintain a Capacity Planning and Management function for Lyric HCM Service and Enablement, in… more
- Atlantic Health System (Morristown, NJ)
- …of both MSW, RN Case Managers and ancillary staff. + Updates senior management and staff on operational and functional improvement opportunities. + Ensures budget ... values strategic goals and business strategies. Responsible for fiscal and material management of the department. Maintains an environment that promotes competency .… more
- Northwell Health (Lake Success, NY)
- …organization. Acts as a liaison with Nursing Institute, Quality and Risk Management and Center for Clinical Excellence. Job Responsibility + Provides leadership to ... Product Services & Management team members and supervisors by communicating and guiding...CIS staff and support teams. + Promotes enterprise standardization, utilization , and leading practices with site clinical leadership and… more
- CVS Health (Linden, 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
- 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