Utilization management jobs in Bayonne, NJCreate job alerts

Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management will be needed using standardized criteria to achieve optimal patient outcomes and ...

Care Manager - ED Shift: 9am-5pm Hybrid (40 hours weekly) Location: New York, NY 10037 Duration: 13 Weeks (Possible Extension) Pay: $52/hr. Job Summary: • Review and evaluate the assessment and UAS ...

... Utilization Management policies, procedures, and protocols. - Oversee the coordination and delivery of comprehensive, quality healthcare and services for all members requiring care management in a ...

Qualified candidates will be an experienced Clinician, RN with a Case Management and Utilization Management background, with an emphasis on Case Management and Director level experience. Director of ...

Coordinate with Utilization Management (UM) department on concurrent and retrospective review. Follow up with assigned nurses for clinical updates to care plan. Document within two business day ...

As a Payer Utilization Management Consulting Manager/Consultant, your primary responsibilities may include: * Enterprise Function Integration * Support the development and implementation of ...

Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift, night shift, and ... management, preferably within a healthcare or hospital setting Exceptional interpersonal and ...

Working knowledge of principles of utilization management. * Prefers basic knowledge of health care contracts and benefit eligibility requirements. * Prefers knowledge of hospital structures and ...

Complementary multidisciplinary team + behind-the-scenes utilization management team * $300,000+ income potential * Expansive training program affiliation with Rutgers University Community ...

Supporting managed care initiatives, utilization management, and clinical model design. Qualifications: * Experience: 3+ years in staff supervision, value-based care, or managed care settings

Minimum Qualifications NYC Children's Center is recruiting for a Utilization Review Coordinator to analyze and evaluate quality, effectiveness, and efficiency of psychiatric and medical services ...

This partnership will provide a comprehensive clinical resource management program that includes utilization management, progression of care management, social work services, and complex discharge ...

Should have experience in generating reports for utilization billability grade pyramids etc. * Experience in planning organizing and tracking Digital Trainings Experience in creating management ...

... Resource Management team. This position will work closely with members of the tax practice, HR ... Monitor unassigned resources and their utilization, serving as the primary point of contact for ...

Manages Project Budget & Resource allocation and utilization and accountable for ROI monitoring and tracking. * Manages clients/stakeholders (including subject matter experts from different Technical ...

Provide care management to a group of members through collaborative assessment, planning ... Utilize evidence-based strategies to prevent hospitalization and inappropriate ER utilization

Exhibit strategic thinking and sound decision-making thorough knowledge and utilization of business ... Manages all sale

Manage the allocation and utilization of project resources, ensuring optimal productivity. * Leadership: * Lead and manage a diverse team of professionals, including Data Analysts, Data E-Delivery ...

... and utilization, use case development and value tracking, using this data to get ahead of and ... With solutions for both cyber asset attack surface management (CAASM) and SaaS management, Axonius ...

... utilization, and quality. The FPA will utilize their knowledge and expertise to consult with ... and Project Management teams to review and evaluate market-level on-site requests, such as ...

The Client Service Manager oversees the utilization of the Personal Shopper Program and Studio Services Program. The Client Service manager is also responsible for building community, identifying ...

Manage the productivity of a team through attainment of utilization targets * Identify and execute strategies for service development, enablement, and process that result in the pull through of Palo ...

The Nurse Manager (RN) will: * In conjunction with the DON and HR Manager, recruit, hire, monitor ... Monitor utilization of nursing services and staffing productivity * Provide clinical nursing ...

Operational Efficiency and Cost Management: Optimize resource allocation and utilization to ensure efficient and effective product operations. * Manage relationships with vendors and contractors ...