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

Mental Health Therapist
Monte Nido - Glen Cove, NY

and outpatient providers + Interact with insurance companies for pre-certification and utilization management + Participating in discharge and aftercare ...

Associate Director, Performance Suite ...
Evolent Health - Albany, NY

underwriting methodologies- **Preferred.** + Familiarity with value-based care and utilization management - **Preferred.** + Understanding of data systems

Registered Nurse Case Manager
Northwell Health - Mount Kisco, NY

+ Facilitates patient management throughout hospitalization. + Performs concurrent utilization management using evidence based medical necessity criteria....

Senior Informaticist
Humana - Albany, NY

of reporting and metrics that influence providers, members, market partners, and utilization management vendors. The work will require the ability to

RN Educator/Infection Control
The Grand Rehabilitation & Nursing - Chittenango, NY

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

Clinical Care Mgr, Primary Care
University of Rochester - Rochester, NY

the Clinical Care Manager's central role integrates and coordinates access and utilization management , proactive patient management , care facilitation and

Pharmacy Consultant (NY Helps)
New York State Civil Service - Albany, NY

experience.Preferred Qualifications: Experience in managed care and/or pharmacy benefits management . Knowledge of pharmacy utilization management


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