Utilization Manager Jobs in New York
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Search Results - Utilization Manager Jobs in New York
New York
improvement needs as appropriate.
• 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 all records/logs related...
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vnshealth.org -
RCM Healthcare Services-New York
documentation and support compliance with utilization management standards
Requirements
• Education
• Required: Associate’s Degree in Nursing
• Preferred (if applicable): Bachelor’s Degree in Nursing (BSN)
• Licenses & Certifications
• Required: Active...
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New York
improvement needs as appropriate.
• 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 all records/logs related...
Read more
vnshealth.org -
VNS Health-New York
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 to develop...
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New York
role required
• Excellent oral and written communication skills required
• Advanced personal computer skills, including Word, Excel or Access required
• Utilization Management experience preferred
Pay Range: USD $20.98 - USD $26.23 /Hr....
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vnshealth.org -
VNS Health-New York
to follow best practices in utilization management/care management activities Evaluates staff practice patterns on an individual and team level to identify gaps and improve communication skills and clinical practice.
• Maintains patient records in compliance...
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New York
required
Excellent oral and written communication skills required
Advanced personal computer skills, including Word, Excel or Access required Utilization Management experience preferred
Pay Range: USD $23.17 - USD $28.96 /Hr....
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vnshealth.org -
VNS Health-New York
departments—including Care Management, Utilization Management, Provider Relations, Compliance, and Analytics—to sustain continuous improvement, advance health equity, and ensure regulatory readiness.
What We Provide
• Referral bonus opportunities...
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New York
facing skills including effective presentations & communications.
• Validated organization and ability to work with others.
• Experience in resource deployment and utilization management.
• Strong interpersonal skills, with the ability to interact...
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icims.com -
New York
including a minimum of two years in a grievance and appeals or related area such as medical or utilization management requiredProficient verbal/written communication skills requiredProficient computer and typing skills and knowledge of Microsoft Office (Word...
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vnshealth.org -
Amazon-New York
of Healthcare account experience
• Experience positioning cloud-native architectures, data platforms, and AI/ML solutions to address healthcare payer challenges (care management, utilization management, network optimization, member engagement).
• Knowledge...
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amazon.jobs -
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...
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icims.com -
New York
guidance and oversight for Care Management, Utilization Management, and Grievance & Appeals, ensuring these functions operate with clinical integrity, regulatory compliance, and a member-centered approach. The CMO partners across the organization to improve...
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vnshealth.org -
New York
improvement needs as appropriate.
• 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 all records/logs related...
Read more
vnshealth.org -
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