utilization management Jobs NY


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

Inpatient Nurse Case Manager: Mon-Fri, Day ...
Albany Medical Center - Albany, NY

proactively with the Quality Improvement Teams, patient care standards, Social Work, and utilization management to coordinate the appropriate use of ...

Behavioral Health Medical Director - N. ...
Humana - Albany, NY

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

Financial Coordinator III
University of Rochester - Rochester, NY

families; third-party payers; governmental agencies; employers; social work; financial case management ; and utilization management . The Financial ...

Clinical Review Therapist - Physical Health
Centene Corporation - New York, NY

preferred. Knowledge of therapy regulations and guidelines preferred. Knowledge of utilization management processes preferred. **License/Certification:** + ...

Clinical Review Nurse - Prior Authorization
Centene Corporation - New York, NY

preferred. Knowledge of Medicare and Medicaid regulations preferred. Knowledge of utilization management processes preferred. **License/Certification:** + ...

Registered Nurse Manager -Care Coordination
Trinity Health - Syracuse, NY

and claims payment knowledge to pre and post service review. + Analyzes utilization management trends. + Unit and organizational quality improvement and

BH Care Manager II
Elevance Health - Albany, NY

services only, and there is licensed staff supervision. + Previous experience in case management / utilization management with a broad range of experience ...

Field Access Manager - Manhattan
Bausch + Lomb - Bronx, NY

Subject matter expert on Bausch + Lomb's patient support programs, payer utilization management , access issue resolution, financial assistance and Company

RN Case Management - Acute Care, St. Peter'...
Trinity Health - Albany, NY

experience in acute setting **Preferred requirements:** + 1+ year of experience in case management or utilization management + Case Management


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