Utilization Manager Jobs in New York
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Search Results - Utilization Manager Jobs in New York
Medix™-New York
Medical Director, Utilization Management (MD/DO)
Location: Manhattan, NY (Hybrid)
Schedule: Monday–Friday, 9:00 AM – 5:00 PM
Position Overview
We are seeking an experienced and strategic Medical Director, Utilization Management to provide...
appcast.io -
New York
through on-going training, coaching and educational materials.
• For Utilization Management Only:
• Issues Determinations, Notices of Action, and other forms of communication to members and providers which communicate VNS Health’s determinations. Ensures...
vnshealth.org -
Tandym Health-New York
health care utilization management (UM).
Responsibilities:
• Reviews cases, determines medical necessity, and consults with physicians to review length of stay and reimbursement documentation
• Supports the Utilization Management (UM) department staff...
whatjobs.com -
24-MAG-New York
We are sharing a specialised part-time consulting opportunity for United States-based healthcare professionals experienced in prior authorization, utilization management, clinical review, medical necessity criteria, payer authorization workflows...
careers-page.com -
Atlas Search-New York
New York Metro Area (Candidates Must Reside in NY, NJ, or CT)
Full-Time Hybrid Leadership Opportunity
Total Compensation Range: $200k - $225k
We are seeking an experienced Medical Director of Utilization Management to provide clinical leadership...
whatjobs.com -
Monogram Health-New York
to, clinical interventions closure, inpatient/outpatient
• utilization, pharmacological prescribing and therapy management, multi-specialty platform and HEDIS/Gap Closure
• Actively lead daily high risk and concurrent review rounds.
• Direct supervision...
MJHS Health System-New York
with appropriate hospital staff including treating physician, PCP, utilization managers, social workers, discharge planners. Assures appropriate staffing to support departmental/agency services. Ensures all employees are oriented to their department/agency and job...
jobrapido.com -
New York
deployment and utilization management.
• Successfully operates in a fast-paced driven environment that requires the ability to handle multiple tasks simultaneously.
• Strong interpersonal skills, with the ability to interact effectively at various levels...
icims.com -
MJHS Health System-New York
service.
• One-year of related Customer Service Experience
• Prior experience in a health care setting preferred
• Familiarity with utilization management/case management
• Knowledge of HealthRules Payor, Word and Excel
• Type an average of 55 wpm
• Good...
jobrapido.com -
New York
including Word, Excel or Access required
• Utilization Management experience preferred
Pay Range: USD $20.98 - USD $26.23 /Hr....
vnshealth.org -
MJHS Health System-New York
Centered Care Plan has been updated and accurately reflects present status of the member.
• Graduate of an accredited nursing program, Bachelor's preferred
• Knowledge with Utilization management processes preferred
• Current NY RN license and registration...
jobrapido.com -
New York
substance use disorder engagement, and other behavioral health interventions.
• Support care transitions and engagement of high-risk members across care settings.
• Collaborate with Utilization Management, Care Management, Quality, and Compliance teams...
vnshealth.org -
MJHS Health System-New York
meetings
• High School Diploma or equivalent; college degree preferred.
• One year prior managed care experience required.
• Prior experience in a health care setting preferred.
• Familiarity with utilization management/case management....
jobrapido.com -
24-MAG-New York
We are sharing a specialised part-time consulting opportunity for experienced healthcare professionals across clinical practice, nursing, healthcare administration, compliance, pharmacy, health information management, medical billing, revenue cycle...
careers-page.com -
AssistRx-New York
in a role involving formulary analytics, utilization management, specialty drug analysis, or patient access reporting
• Experience developing or contributing to a commercial analytics product or client-facing insights offering
• Familiarity...
workable.com -
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