Utilization management jobs in Harrison, NYCreate job alerts

The Case Management Care Coordinator, Utilization Management is a member of the healthcare team and is responsible for coordinating, communicating, and facilitating the clinical progression of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator, Utilizatio...

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.

Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to manage length of stay, promote efficient utilization of resources and ensure that care meets evidence-based practice standards and regulatory/payor requirements and follows th...

Active New York State Licensed Practical Nurse (LPN) or Registered Nurse (RN) license. Utilization Management Nurse (MLTC Focus). Remote, New York (Active NY nursing license required).

Calling all healthcare rockstars! Are you a RN (Registered Nurse) with experience in Case Management (Utilization Review) If so, you might be the right fit for this travel healthcare position in Bronx, NY.

The Care Manager under the direction of the Vice President of Clinical Services, is primarily responsible for managing both simple and complex medical cases to achieve high-quality patient care outcomes and minimize unnecessary medical expenses, through the coordination of services, both outpatie...

We're hiring a Senior Analyst, Utilization Management to join our Strategic Planning team. The Senior Analyst, Strategic Planning supports developing and executing on strategies to achieve team or larger organization targets. The Senior Analyst, Strategic Planning has a strong focus on using data...

The Care Manager will assist the provider in directing care to the most appropriate setting, evaluating alternative care plans, and assessing outcomes through outreach to the members. The Care Manager under the direction of the Vice President of Clinical Services, is primarily responsible for man...

Precertification: Utilization Management Nurse Consultant - SCPU.

Familiar with hospital resources, community resources, and/or resource/utilization management. The role integrates and coordinates utilization management, care coordination, discharge planning functions and performance improvement activities for all care managers. The Supervisor, Care Management ...

Case Management (Utilization Review).

The Director of Case Management & Utilization will be responsible for the strategic direction setting, management, continuous improvement, and maintenance of the Case Management/Utilization. Two (2) years of experience in case management/utilization review/quality improvement leadership position ...

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.

Consults with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective care throughout the medical management process. Nurse Medical Management II - Utilization Management. Ensures medically appropriate, high quality, cost effective care through as...

A traveler facility in White Plains, NY is seeking its next amazing RN (Registered Nurse) to work in Case Management (Utilization Review). Let’s enjoy the journey together!.

Precertification: Utilization Management Nurse Consultant.

We're hiring a Senior Analyst to join our Utilization Management Design & Configuration team.

Case Management (Utilization Review).

Consults with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective care throughout the medical management process. Nurse Medical Management II - Utilization Management. Ensures medically appropriate, high quality, cost effective care through as...

To excel as the Director of Utilization Management at VillageCare, you must possess. Director of Utilization Management. This role will require you to lead a team of utilization management professionals, provide guidance on complex cases, and communicate effectively with stakeholders.

Graduate of accredited school of nursing.

TravelNurseSource is working with Fusion Medical Staffing to find a qualified Case Manager RN in Bronx, New York, 10457!. Registered Nurse - Case Manager. Case Manager Registered Nurse travel assignment.

We are committed to providing healthcare professionals with a variety of rewarding opportunities. SPECIALTY is an independent, privately owned and operated nursing agency founded by an RN who understands the vital role nurses play in critical care. We offer three types of healthcare staffing assi...

TravelNurseSource is working with Specialty Professional Services to find a qualified Case Manager RN in White Plains, New York, 10601!.Our Client is currently seeking Case Management for positions in White Plains, NY for a 4x10 Days shift.The ideal candidate will possess a current NY license or ...