utilization management Jobs NY


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

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 ...

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

Physician Clinical Reviewer- Orthopedic/ Hip,...
Evolent Health - Albany, NY

Be Doing:** As a Physician Clinical Reviewer, you will be a key member of the utilization management team. We can offer you a meaningful way to make a ...

Clinical Review Nurse - Concurrent Review
Centene Corporation - New York, NY

findings, discharge plans, and actions taken on member medical records in health management systems according to utilization management policies and

Director, Clinical Care Mgmt
WMCHealth - Valhalla, NY

team clinical and nonclinical team activities to facilitate integrated proactive utilization management . Performs Case Management functions through

Nurse Case Manager - Radiology
Albany Medical Center - Albany, NY

works proactively with the Quality Improvement Teams, patient care standards, and utilization management to coordinate the appropriate use of resources to

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 ...

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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