Utilization Manager Jobs in Spring Valley (NY)
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Search Results - Utilization Manager Jobs in Spring Valley (NY)
Tandym HealthNew York, 28 mi from Spring Valley (NY)
appropriate 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...
AntidotehealthNew York, 28 mi from Spring Valley (NY)mindmatch.ai
A healthcare organization is seeking a Director of Utilization Management to provide strategic and operational leadership for Utilization Management programs. The role requires overseeing various processes to ensure compliance with regulations while...
Department of Veterans AffairsNew City, 4 mi from Spring Valley (NY)
Establishes and follows a capabilities model to achieve goals for eligibility, referral and authorization, care coordination, and utilization management to ensure improved Veteran experience.
• Make recommendations for the development of psychiatric services...
New York, 28 mi from Spring Valley (NY)vnshealth.org
with internal and external partners. Works under general direction. Utilization Management experience required.
Responsibilities:
What We Provide
• Referral bonus opportunities
• Generous paid time off (PTO), starting at 30 days of paid time off and 9...
Monte Nido & Affiliates, LLCWest Nyack, 4 mi from Spring Valley (NY)
Interact with insurance companies for pre-certification and utilization management
• Participating in discharge and aftercare planning
• Therapeutic meal support, while modeling a healthy relationship with food
• Provides safe, empathetic, and affirming...
AMN Healthcare, Inc.Danbury (CT), 36 mi from Spring Valley (NY)
Advisor Lead in Danbury, Connecticut!
The Position
• The Physician Advisor will provide clinical leadership and expertise in utilization management, level-of-care(LOC) determinations, and clinical documentation across the organization.
• This physician...
TBG | The Bachrach GroupNew York, 28 mi from Spring Valley (NY)
and a key member of the Medical Leadership team, working closely with the Chief Medical Officer. This role delivers clinical leadership and oversight to ensure excellence in patient care quality, utilization management, documentation accuracy, and regulatory...
THE JEWISH BOARDNew York, 28 mi from Spring Valley (NY)mindmatch.ai
initiatives.
Participate in quality assurance activities such as chart reviews and utilization management.
Integrate recovery, rehabilitation, treatment, and vocational components of the program.
Monitor and follow up on program incidents.
Oversee...
MJHSNew York, 28 mi from Spring Valley (NY)
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...
Physician Affiliate Group of NYNew York, 28 mi from Spring Valley (NY)appcast.io
A major healthcare organization in New York is seeking a Physician Advisor to join their team. This role involves leading utilization management efforts to optimize patient care and regulatory compliance. Candidates must possess Board Certification...
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