utilization management Jobs NY


Physical Therapy Reviewer
Centers Plan for Healthy Living - Queens, NY

with the guidance and plans they need for healthy living. JOB SUMMARY: The Utilization Management nurse works within a multidisciplinary team to help ...

UM RN
Centers Plan for Healthy Living - Staten Island, NY

with the guidance and plans they need for healthy living. JOB SUMMARY: The Utilization Management nurse works within a multidisciplinary team to help ...

Remote Medical Director
Centene Corporation - New York, NY

functions for the business unit. + Provides medical leadership of all for utilization management , cost containment, and medical quality improvement ...

Medical Director - Mid West Region
Humana - Albany, NY

interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge

Physician Clinical Reviewer, Vascular Surgery
Evolent Health - Albany, NY

a Vascular Surgery , Physician Clinical Reviewer you will be a key member of the utilization management team. We can offer you a meaningful way to make a

Utilization Review Nurse
Albany Medical Center - Albany, NY

Management /Social Work Work Shift: Day (United States of America) Responsible for Utilization Management , Quality Screening and Delay Management for

Physician Advisor
Garnet Health - Middletown, NY

and community. The Physician advisor is a key member of the hospital's Utilization Management Committee. The Physician Advisor also ensures physician ...

Case Manager - Case Management
Arnot Health - Elmira, NY

of patient care. The Case Manager will review all patients for utilization management and appropriate discharge planning. The Case Manager's average ...

Intake Coordinator
Highmark Health - Albany, NY

for the patient, and then creates the case (data entry) in Highmark's utilization management system for clinical review. Ensures all accurate information is

Referral & Prior Auth Rep III
University of Rochester - Rochester, NY

resolving complex problems that include but are not limited to pre-certifications; Utilization Management ; coordination of benefits; baby not on policy; ...


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