Utilization management jobs in Corona, NYCreate job alerts

Case Management * Discipline: RN * Start Date: 11/25/2024 * Duration: Ongoing * 40 hours per week * Shift: 8 hours * Employment Type: Staff Manager of Care Delivery - RN HealthCare Support is ...

This CARM role will manage a team responsible supporting SPGI's acquisition, utilization, and distribution of market data sourced from stock exchanges globally. The primary focus will be to review ...

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 ...

... utilization management/review for an assigned group of patients to determine the appropriateness of the admission and continued stay, assist in the development of the plan of care; ensure that the ...

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

Complete Readmission screen in the Care Management Module (CarePort). * Conduct Utilization review via Chart Review. * Conduct timely concurrent reviews and responses to third party payors request ...

Registered Nurse - Case Manager. Nurses with experience in any of the following areas are strongly ... Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift and mid shift Job ...

Meet regularly with the Behavioral Health Manager and Chief Behavioral Health Officer. * Consult ... Participate in Utilization reviews and remaining available for emergency consultations. • Analyze ...

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 ...

Responsible for case management and patient care delivery through nursing assessment, nursing intervention, patient education, patient care coordination and utilization of referral services, as part ...

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

... management of members with chronic and/or catastrophic illness, members who are frail elderly and ... Combine utilization of medical care and pharmacy, with specific focus on the transition of care ...

The position also involves reviewing outcomes, coding, and utilization data to enhance participant ... managed care field.

Managing a patient panel with a broad array of patient needs; conducting a mix of acute, chronic ... Utilization of your specific clinical training and opportunities to perform in-office procedures ...

REGISTERED NURSE The Registered Nurse reports to the Nurse Manager. This position provides ... to ensure optimal utilization of services. * Ensure quality standards set by the external ...

Case Management * Discipline: RN * Start Date: 12/17/2024 * Duration: 9 weeks * 40 hours per week * Shift: 8 hours, evenings, nights * Employment Type: Travel Host Healthcare is an award-winning ...

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 ...

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 ...

The NP is responsible for managing protocols for study subjects enrolled in therapeutic and non ... Familiarity with database utilization, regulatory compliance and human subject's protection issues

Case management: 1 year (Preferred) License/Certification: * RN (Required) Work Location: On the road, field based.

Seizure management * Ensure that training in the above noted areas is given to all new hires and per diems prior to their assuming client specific work assignments. * Provide training and ongoing ...

Experience in case management preferred. * Certifications: * Case Management Certification (CCM or ACM) preferred or willingness to obtain. * Skills: * Strong clinical knowledge * Excellent ...

Provides high quality nursing care to meet the needs of the patient and manages/coordinates the delivery of multidisciplinary health care services for a caseload of patients. We are an equal ...

Job Overview - RN Case Manager (MLTC) Step into a key role as an RN Case Manager with our client, supporting MLTC members throughout the Bronx and Westchester, NY. This hybrid role combines remote ...