Utilization management jobs in Jamaica, NYCreate job alerts

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.

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.

Informs member and provider of Utilization Management determinations and treatment alternatives. Assists all departments with the resolution of members’ problems related to utilization management issues. Performs all Utilization Management activities in compliance with all regulatory agency requi...

We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. We're hiring a Senior Analyst, Utilization Management to join our Strategic Planning team. Healthcare experience and an understanding of provider/payer market, particularly in the ACA ...

Assists all departments with the resolution of members’ problems related to utilization management issues. Performs all Utilization Management activities in compliance with all regulatory agency requirements. MetroPlusHealth Utilization Management policies, procedures, and protocols.

Precertification: Utilization Management Nurse Consultant - SCPU.

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...

A traveler facility in White Plains, NY is seeking its next amazing RN (Registered Nurse) to work in Case Management (Utilization Review). Medical Solutions also supports you with industry-leading benefits, such as:. Day-one medical, dental, and vision insurance.

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...

Precertification: Utilization Management Nurse Consultant -SCPU.

Care Management, Care Coordinator, Utilization Management. 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...

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...

As a new Director of Utilization Management at VillageCare, you can expect to oversee the utilization review process, collaborate with interdisciplinary teams to optimize patient care, and develop strategies to enhance operational efficiency. Exciting Opportunity for experienced RN Utilization Ma...

Case Management (Utilization Review).

Assumes responsibility for supervision of other case management care coordination managers in the absence of a Supervisor. The Supervisor, Care Management is accountable for oversight of the department's designated team member caseloads and plans effectively in order to meet staffing needs, manag...

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 ...

Case Management (Utilization Review).

Our healthcare system is comprised of two hospitals, an alliance of 700+ physicians, and medical facilities in dozens of locations throughout Southwest Florida that offer nationally recognized, quality health care. NCH is transforming into an Advanced Community Healthcare System(TM) and we’re pro...

TravelNurseSource is working with Core Medical Group to find a qualified Case Manager RN in Bronx, New York, 10457!.

TravelNurseSource is working with Fusion Medical Staffing to find a qualified Case Manager RN in Bronx, New York, 10457!.Please Contact for facility info.Interested in making a positive impact? You’ve come to the right place.At Fusion Medical Staffing, our goal is to improve the lives of everyone...

Emergency Room Registered Nurse. We are seeking an experienced Emergency Room Registered Nurse to join our dynamic team in the Bronx, New York.

TravelNurseSource is working with Host Healthcare to find a qualified Case Manager RN in Bronx, New York, 10457!.

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