Utilization Manager Jobs in Albany
Search jobs in
1 - 8 of 8
Search Results - Utilization Manager Jobs in Albany
Humana Inc-Albany-appcast.io-
and recognized clinical standards.
• Analyze complex hospital-based cases and deliver clear, well-reasoned utilization management determinations.
• Communicate with external providers via phone to obtain clinical information and discuss review outcomes...
Read more
Albany-enlyte.com-
Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC...
Read more
Humana Inc-Albany-appcast.io-
tools, and utilization management practices.
Required Qualifications
• MD or DO with 5+ years of post‑residency clinical experience , preferably with inpatient exposure (hospitalist‑level acuity, ED, ICU, or hospital‑based FP/IM).
• Active...
Read more
Latham (NY), 8 mi from Albany-icims.com-
documentation of Utilization Review activities in the case management and pharmacy benefit management systems.
• Responsible for completing timely reviews according to state’s requirements and communicating the UR determination to all parties.
• Uses clinical...
Read more
Salem Health Hospitals & Clinics-Albany-appcast.io-
of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process with both network and non...
Read more
Albany Medical Center-Albany-
and resolution of the barriers to discharge in collaboration with social work, utilization management, home health care, care team and family to facilitate timely discharge.
• Responsible for follow up post discharge telephone calls to patients/families and post...
Read more
Humana Inc-Albany-appcast.io-
Knowledge of the managed care industry including Medicare, Medicaid and Commercial products
• Have interpretation skills with prior experience leading teams focusing on quality management, utilization management, discharge planning and home health or rehab...
Read more
Albany Medical Center-Rensselaer (NY), 1 mi from Albany-
and resolution of the barriers to discharge in collaboration with social work, utilization management, home health care, care team and family to facilitate timely discharge.
• Responsible for follow up post discharge telephone calls to patients/families and post...
Read more
Companies now hiring in Albany:
Utilization Manager jobs in Albany – Similar offers:
Utilization Manager jobs – More cities:
Broaden your job search:
Don’t miss out on new job openings!
Create a job alert for: Utilization Manager, Albany
It's free, and you can cancel email updates at any time