utilization management Jobs NY


Service Integrator - FLEX
Hillside Family of Agencies - Rochester, NY

of Hillside's system of care to ensure informed decisions are made surrounding utilization management throughout the system of care to include intakes,

UM Care Review Clinician IP LPN or LVN ...
Molina Healthcare - Bronx, NY

or LVN Care Review Clinician with Prior Authorization experience. Experience with Utilization Management (UM) is highly preferred. Additional experience ...

Clinical Review Clinician - Appeals
Centene Corporation - New York, NY

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

Assistant Residential Manager - Mental Health
Rise Life Services - Hampton Bays, NY

data collection, progress notes, billing requirements. + Participates in bi-annual Utilization Management Reviews and ensures completion of Recovery

Behavioral Health Care Manager II
Elevance Health - Latham, NY

inter and intradepartmental teams projects and initiatives. + Previous experience in case management / utilization management with a broad range of ...

Vice President, Data Scientist
Mastercard - Harrison, NY

client portfolios and external relationships. Proven ability to optimize resource management (eg, utilization management , staffing, and capability

RN Supervisor/ Educator
The Grand Rehabilitation & Nursing - Batavia, NY

with other departments. + Conducting new staff orientation, review of care management , intake, and utilization management activities & documentation.

Medicaid Special Programs Assessor Care ...
CDPHP - Albany, NY

with Medicaid Long Term Care Programs preferred. + Minimum of two (2) years Utilization Management experience is preferred. + Experience with the New York ...

Specialist, Compliance Reimbursement
Loretto Management Corporation - Syracuse, NY

and coding issues. + Completes audits related to reimbursement coding compliance, utilization management and QA related to record maintenance and Health

Associate VP, Complex Care
CenterWell - Albany, NY

health and full-risk frameworks, including patient engagement, clinical professional skillsets, utilization management , care management , clinical ...


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utilization management