Utilization management jobs in North Bergen, NJ - Page 6Create job alerts

Job DescriptionSalary: About Uphold Uphold is a financial technology company that believes on-chain services are the future of finance. It provides modern infrastructure for on-chain payments, banking, and investments. Offering Consumer Services, Business Services, and Institutional Trading, U...

Job DescriptionUpskills provides expert financial software consulting to investment banks and leading financial institutions in Asia Pacific, Middle East and Europe. With a strong, Front to Back expertise in the cash and derivatives markets, coupled by an in-depth knowledge of financial markets t...

Job Description CoreWeave is the AI Hyperscaler™, delivering a cloud platform of cutting edge services powering the next wave of AI. Our technology provides enterprises and leading AI labs with the most performant, efficient and resilient solutions for accelerated computing. Since 2017, CoreWeave...

Job Description As the Vice President, Programs, you will be responsible for leading the overall strategy, profit and loss, and execution of the GuideOne business unit. This executive level role aligns long-term strategy and financial goals with business processes to successfully manage delegat...

Job DescriptionOur mission: to eliminate every barrier to mental health. At Spring Health, we're on a mission to revolutionize mental healthcare by removing every barrier that prevents people from getting the help they need, when they need it. Our clinically validated technology, Precision Menta...

Job DescriptionOur mission: to eliminate every barrier to mental health. At Spring Health, we're on a mission to revolutionize mental healthcare by removing every barrier that prevents people from getting the help they need, when they need it. Our clinically validated technology, Precision Menta...

Job Description Position Name Chief Development Officer Position Description As a member of the senior leadership team, the Chief Development Officer (CDO) will work closely with the CEO to create and execute the development strategy to grow and diversify financial support for Restore. With an...

Job DescriptionPRIMARY FUNCTION/PURPOSE: The Shift/Safety Supervisor is directly responsible for the management and supervision of the Safety Monitors on duty on their assigned shift. Monitors all activities to ensure safety in the physical plant and civility amongst clients, visitors and staff. ...

Job Description Suicide Prevention/Team Leader Work Location: 1310 Rockaway Parkway, Brooklyn Hours: Full Time 35 hours per week, Availability requires late afternoons, evenings and Saturdays. This position is 100% fully in-person. No remote work available Salary: $60,000 - 65,000 BCS partne...

Job DescriptionPRIMARY FUNCTION/PURPOSE: The Shift/Safety Supervisor is directly responsible for the management and supervision of the Safety Monitors on duty on their assigned shift. Monitors all activities to ensure safety in the physical plant and civility amongst clients, visitors and staff. ...

Job DescriptionPRIMARY FUNCTION/PURPOSE: The Shift/Safety Supervisor is directly responsible for the management and supervision of the Safety Monitors on duty on their assigned shift. Monitors all activities to ensure safety in the physical plant and civility amongst clients, visitors and staff. ...

Job Description Slice Hub Leader - East Rutherford, New Jersey Ilir Sela started Slice with the belief that local pizzerias deserve all of the advantages of major franchises without compromising their independence. Starting with his family's pizzerias, we now empower thousands of restaurants wi...

NextGear, a Cox Automotive Brand, is currently hiring a Field Sales Representative/Senior Client Solutions Executive to join our team in southern New York/Connecticut. Person needs to live in this area. The Senior Client Solutions Executive (SE) is a full-time outside sales position. The positi...

COMPANY OVERVIEW Journeys is a teen retail leader with an emphasis on footwear and unique specialty items including apparel, backpacks, hats and accessories. With more than 800 stores in all 50 US states, Puerto Rico and Canada, Journeys offers the most popular brands that cater to the teen lif...

AKA Sutton Place NY is looking for a General Manager to lead its operations and sales efforts, providing exceptional service and maintaining high standards across all aspects of the property. Responsibilities: • Oversees all Operations and Sales of property., • Communicating role expectati...

About the Company We’re FreshDirect, we’ve offered the best selection of fresh food since 2002, and we can proudly say that we pioneered online grocery shopping. From our state-of-the art facility in the Bronx, we provide grocery delivery to the greater New York City metropolitan area, ...

Responsibilities: • Lead and oversee all aspects of the facility, from route management and warehouse operations to go-to-market strategy and sales execution, • Understands warehouse logistics and can think like a sales leader, • Guide your team thro...

Job Description Key responsibilities • Develop, implement, and maintain comprehensive OHS policies, procedures, and programs to ensure compliance with federal, state, and local regulations and industry standards., • Lead the OHS team in conducting regular safety audits, inspections, and risk as...

Job Description We are seeking an experienced Project Manager to join our team in the Professional Services department. The ideal candidate should have extensive experience in managing end-to-end project management activities, including vendor selection, procurement, budgeting, scheduling, stakeh...

Job Description You will play a key leadership role across multi-disciplinary teams, guiding them through complex consulting engagements and be responsible for creating and positioning strategic change agendas within largest accounts across the C-suite, spanning the intersection between complex B...

Job DescriptionAbout Us: Complete Playground is a dynamic indoor play facility dedicated to providing a safe, exciting, and memorable experience for children and families. We are passionate about fostering play, learning, and creativity in a fun-filled environment. Position Summary: We are seeki...

Job Description You will play a key leadership role across multi-disciplinary teams, guiding them through complex consulting engagements and be responsible for creating and positioning strategic change agendas within largest accounts across the C-suite, spanning the intersection between complex B...

Job Description Position: Vice President of Information Technology Focus Areas: Data Management, Analytics, Reporting, Networking, and IT Support Key Responsibilities:

Product Manager New York, NY Contract-to-hire As a Product Manager, you will be responsible for business engagement and/ technical product management of multiple products for an enterprise Partnership & Content team supporting Sales & Legal business groups. This role requires a deep underst...

Senior Manager of Events Location: New York City Salary Range: $75,000 Full-Time | 4 days onsite/ one day remote LHH is conducting a search on behalf of our client, a mission-driven cultural and historical nonprofit organization based in New York City. This organization is dedicated to preser...

Company Description Job Description Primary Function of Position The U.S. ION® Endoluminal Sales Associate reports to the U.S. ION® Endoluminal Program Manager (EPM). The ION® Endoluminal Sales Associate plays a critical role in the early adoption of the Ion® platform in expanding access to m...

Job DescriptionAssociate Director, Manufacturing OperationsAllendale, NJ Lynkx Staffing LLC specializes in placing talented professionals in the Biotechnology, Pharmaceutical and Medical Devices industries in New Jersey. The Associate Director, Manufacturing Operations is responsible for efficien...

Job DescriptionDescription: We are currently seeking a Coordinator of Operations to oversee our Preschool Programs for children with developmental disabilities throughout the five boroughs. Why Join ADAPT? It's more than a job; it's a calling. It's where passion meets purpose. ADAPT Communit...

Job DescriptionCompany Description As part of the Wilshire family, you can rest assured that every day you are contributing to an organization that is helping investors improve their financial outcomes. For more than 50 years, Wilshire has been dedicated to providing customized portfolio soluti...

Job Description Job Summary: The Coordinator of Day & Community Habilitation Services oversees the daily operations of these programs. Essential Duties and Responsibilities: · Oversee and monitor the daily operations of the Day Habilitation programs and services. · Supervise the Day and Co...

Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: ASAP Duration: 13 weeks 37 hours per week Shift: 12 hours Employment Type: Travel Travel RN – Case Management / Utilization Review Location: The Bronx, NY Start Date: ASAP Assignment Length: 13 weeks Shift: Days ...

RELOCATION ASSISTANCE AVAILABLE Charge RN Med Surg Up To $25K SIGN ON BONUS Benefits: • Health Insurance (Medical, Dental, Vision), • 401(k) with matching, • Student Loan Repayment: Up to $20,000, • Competitive salary and comprehensive benefits package. Schedule: Weekends Only--.6 FTE or...

Why Northwest Health? We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible. Team...

Job Description Our mission is to create the Experience of a Lifetime for our employees, so they can, in turn, create the Experience of a Lifetime for our guests. We own and operate the most renowned destination resorts in the world as well as regional and local ski areas outside major cities, ...

Job Description Our client, a healthcare services provider, is seeking a Medical Front Desk Receptionist in Bronx, NY. Pay Rate Range: $17.00 to $18.00 per hour, depending on experience. Location: Bronx, NY - onsite role Work Hours: 8:30 AM - 5:00 PM, Monday - Friday with the flexibility to wo...

A facility in Bronx, NY is seeking its next amazing RN (Registered Nurse) to work in Case Management (Utilization Review).Read on if this sounds like your perfect fit! Nurses and allied healthcare professionals are in high demand nationwide, and our team of industry-leading, traveler-favorite rec...

Job DescriptionSkills: Two years case/resource management and utilization management is required Education: RN License - required AHA BLS - required

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000...

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000...

Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical operations. Perform provider orientations and ongoing provider education, including writing and updating orientation materials. Uses data analyti...

Familiarity with utilization management/case management.

Experience in case management/care coordination, managed care, and/or utilization management (Required). Complete the Community Health Assessment (CHA) Variance Resolution (clinical dispute process) between NYIA and EmblemHealth via the CHA Variance Form. Conduct quality assurance review of compl...

Job Description Classification: Non-Exempt Reports to: Supportive Housing Program Director Location: Huntersmoon, Rustin, and Stardom Hall Hourly Range: $24.72 - $27.47 Position Type: This is a full-time position and may include some evening and weekend hours, on occasion. Lantern staff m...

Job Description About the Role Youth Counselor (NSD) are the guardians of the daily milieu, and their role is absolutely central in our efforts to help the youth residing in the facility. Supervise their assigned children in everyday life from the time they get up in the morning to the time the...

Job Description Welcome to Brightline! We are seeking remote, part-time Licensed Behavioral Therapists (licensed in the state of New York) to provide high-quality care to Brightline members. If you’re passionate about delivering evidence-based mental health care for kids, teens, and families — w...

Job Description Dane Street is expanding our physician panel! This is a telework opportunity for supplemental income for physicians providing a caseload customized to your schedule. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis. The i...

Job Description Welcome to Brightline! We are searching for Full-Time, Licensed Behavioral Therapists to deliver both onsite and virtual care at our flagship location in Brooklyn. This is an opportunity to partner with leadership, launch our first-ever physical care center, and support future car...

Job Description Overview Physician Affiliate Group of New York (PAGNY) is adding an Adult Unit Chief to the Inpatient Unit at NYC Health + Hospitals/Kings County. The Behavioral Health Center offers a comprehensive suite of services for mental health including First Episode Psychosis program, me...