Utilization management jobs in Elmhurst, New York (NY) State

What does a Utilization Management, Non-Clinical Supervisor do?The Utilization Management Non-Clinical Supervisor role at VillageCare presents a unique opportunity to lead and support our dynamic Utilization Management team. Join us in making a positive impact on the health care industry!What we'...

The Utilization Management Non-Clinical Supervisor role at VillageCare presents a unique opportunity to lead and support our dynamic Utilization Management team. Join our team at VillageCare as a Full Time Utilization Management, Non-Clinical Supervisor in this exciting remote position! As a key ...

Precertification: Utilization Management Nurse Consultant -SCPU. Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function. Prior Authorization or Utilization Management experience. Identifies opp...

Are you a problem solver with a passion for improving healthcare services? VillageCare is seeking a Full Time Utilization Management DME Manager to join our team. As the Utilization Management DME Manager at VillageCare, you will play a crucial role in coordinating, planning, and organizing vario...

Precertification: Utilization Management Nurse Consultant. Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function. Prior authorization or Utilization Management experience. Identifies opportuni...

We're hiring a Senior Medical Director to join our Utilization Management Operations team. You will oversee the operations of Utilization Management. Serve as point of accountability for escalated clinical issues, including internal and external appeals, member and provider complaints and grievan...

Precertification: Utilization Management Nurse Consultant. Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function. Prior Authorization or Utilization Management experience. Identifies opportuni...

Supervisor of Utilization Management, Clinical (Hybrid). Supervises the day-to-day operations of VNS Health Plans Medical Management clinical and non clinical staff. Makes recommendations to the development, utilization, and evaluation of internal processes to ensure customer satisfaction, effici...

As the Vice President of Utilization Management at VillageCare, you will play a vital role in developing and implementing strategies to optimize utilization management functions. A minimum of 8 years of management experience in a health-related field, along with at least 10 years of experience in...

VNS Health is seeking a Registered Nurse (RN) Utilization Review for a nursing job in Manhattan, New York. Develops forms, record abstracts, reports, and other tools used to implement concurrent and retrospective patient care review, including the design, testing and evaluation of the review meth...

Montefiore Medical Center is seeking a Registered Nurse (RN) Clinic OR - Operating Room Director for a nursing job in Bronx, New York. Under the leadership of the Vice President, Surgical Services, the Business Director will seek to challenge and re-invent traditional paradigms of management of M...

Montefiore Medical Center is seeking a Registered Nurse (RN) ED - Emergency Department for a nursing job in Bronx, New York. New York State License for Registered Professional Nurse and current registration or valid permit to practice in New York State as an R. One (1) year of acute care RN exper...

Montefiore Medical Center is seeking a Registered Nurse (RN) Clinic Manager for a nursing job in Bronx, New York. ...

VNS Health is seeking a Registered Nurse (RN) Clinic Utilization Review for a nursing job in Manhattan, New York. Coordinates external case reviews requested by enrollees, including preparing and submitting documentation according to regulatory requirements and tracking external reviews throughou...

Helpful Links:MSK Compensation PhilosophyReview our great benefits offeringsLearn more about Nursing at MSK: Our highly skilled, Magnet® recognized nursing team at Memorial Sloan Kettering (MSK) comprises over 5,600 staff, including 600+ advanced practice Providers and over 70 clinical nurse spec...

VNS Health is seeking a Registered Nurse (RN) Home Health Field Supervisor for a nursing job in Manhattan, New York. Current license to practice as a Registered Nurse in New York State  . By providing case management support including clinical intervention, development of care plans, and follow-u...

Memorial Sloan Kettering Cancer Center is seeking a Registered Nurse (RN) Bone Marrow Transplant for a nursing job in Brooklyn, New York. ...

Montefiore Medical Center is seeking a Registered Nurse (RN) Maternal - Newborn for a nursing job in Bronx, New York. The Registered Nurse actualizes the vision, mission, values, balanced scorecard performance measures for Montefiore Medical Center. New York State License for Registered Professio...

Montefiore Medical Center is seeking a Registered Nurse (RN) ICU - Intensive Care Unit for a nursing job in Bronx, New York. The Staff Nurse provides professional nursing care to assigned patients. NYS RN License and Registration. To learn more about the “Montefiore Difference” – who we are at Mo...

Montefiore Medical Center is seeking a Registered Nurse (RN) ED - Emergency Department for a nursing job in Bronx, New York. New York State License for Registered Professional Nurse and current registration or valid permit to practice in New York State as an R. ...

Montefiore Medical Center is seeking a Registered Nurse (RN) Labor and Delivery for a nursing job in Bronx, New York. Posted job title: Registered Nurse-Wakefield. To learn more about the “Montefiore Difference” – who we are at Montefiore and all that we have to offer our associates, please click...

Talent4Health is seeking a local contract nurse RN Home Health Case Management for a local contract nursing job in Brooklyn, New York. We are devoted to offer dependable recruitment solutions for our candidates, and we are always a phone call away for all their questions or concerns. ...

Montefiore Medical Center is seeking a Sterile Processing Technician Director for a job in Bronx, New York. The Director of Sterile Processing Department for Montefiore Medical Center will have direct oversight for all Sterile Processing Department activities performed across Perioperative Servic...

Montefiore Medical Center is seeking a Echo Technologist Director for a job in Bronx, New York. All members of the Division have faculty appointments at the Albert Einstein College of Medicine, a major biomedical and clinical research facility. Montefiore Medical Center Job ID #1021280300. Posted...