Utilization management jobs in New Rochelle, New York - Page 2Create job alerts

Trains healthcare services staff on professional standards of documentation. At least 2 years in case, disease or utilization management; managed care; or medical/behavioral health settings. Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified Professional in Health C

Required Certifications- BLS, PRI (Patient Review Instrument) Certification, SCREEN Training Certification Unit Type- Case Management (Utilization Review) Trauma Level- 2 Charting System- Allscripts Case load: Floors typically have 33-40 patients; Most floors are split with 1 CM & 1 SW; Caseload: 17

Job Description About Us One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn't your average doctor's office. We're on a mission to transform healthcare, which means improving the experience for everyone involved - from patients and providers to employers and health networks. Our seamless in-office and 24/7 virtual care services, on-site labs, and programs for preventive care, chronic care management, common illnesses and mental health concerns have been delighting people for the past fifteen years. In February 2023 we marked a milestone when One Medical joined Amazon. Together, we look to deliver exceptional health care to more consumers, employers, care team members, and health networks to achieve better health outcomes. As we continue to grow and seek to impact more lives, we're building a diverse, driven and empathetic team, while working hard to cultivate an environment where everyone can thrive. Employment type: • Managing a patient panel with a broad array of patient needs; conducting a mix of acute, chronic, and well visits, • Treating patients in-office or in testing centers as well as conducting occasional tele-health visits, • Continuous learning during weekly Clinical Rounds and through other modalities, • Ongoing collaboration with in-office teammates via daily huddles, as well as with virtual clinical teams, • Utilization of your specific clinical training and opportunities to perform in-office procedures, • Enrolled in, or have completed, an accredited Family Medicine or Internal Medicine residency program, • Practiced at least 2 of the last 5 years in an outpatient primary care setting seeing all ages (0+), • Board certified in Family Medicine or Internal Medicine, or Board Eligible with plans to obtain board certification within 1 year of your One Medical start date, • A passion for human-centered primary care, • The ability to successfully communicate with and provide care to individuals of all backgrounds, • The ability to effectively use technology to deliver high quality care, • Clinical proficiency in evidence-based primary care, • The desire to be an integral part of a team dedicated to changing healthcare delivery, • An openness to feedback and reflection to gain productive insight into strengths and weaknesses, • The ability to confidently navigate uncertain situations with both patients and colleagues One Medical is committed to fair and equitable compensation practices. The base salary range for this role is $252,000 to $268,000 per year based on a full-time schedule. Final determination of starting pay may vary based on factors such as practice experience and patient care schedule. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. The total compensation package for this position may also include annual performance bonus, benefits and/or other applicable incentive compensation plans. For more information, visit Relocation assistance may be available for this role. One Medical offers a robust benefits package designed to aid your health and wellness. All regular team members working 24+ hours per week and their dependents are eligible for benefits starting on the team member's date of hire: Taking care of you today • Paid sabbatical for every five years of service, • Free One Medical memberships for yourself, your friends and family, • Employee Assistance Program - Free confidential services for team members who need help with stress, anxiety, financial planning, and legal issues, • Competitive Medical, Dental and Vision plans, • Pre-Tax commuter benefits, • 401K match, • Credit towards emergency childcare, • Company paid maternity and paternity leave, • Paid Life Insurance - One Medical pays 100% of the cost of Basic Life Insurance, • Malpractice Insurance - Malpractice fees to insure your practice at One Medical is covered 100%., • UpToDate Subscription - An evidence-based clinical research tool, • Continuing Medical Education (CME) - Receive an annual stipend for continuing medical education, • Rounds - Providers end patient care one hour early each week to participate in this shared learning experience One Medical participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. Please refer to the E-Verification Poster and Right to Work Poster for additional information.

Job Description About Us One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn't your average doctor's office. We're on a mission to transform healthcare, which means improving the experience for everyone involved - from patients and providers to employers and health networks. Our seamless in-office and 24/7 virtual care services, on-site labs, and programs for preventive care, chronic care management, common illnesses and mental health concerns have been delighting people for the past fifteen years. In February 2023 we marked a milestone when One Medical joined Amazon. Together, we look to deliver exceptional health care to more consumers, employers, care team members, and health networks to achieve better health outcomes. As we continue to grow and seek to impact more lives, we're building a diverse, driven and empathetic team, while working hard to cultivate an environment where everyone can thrive. Employment type: • "Casual Employee" (per diem, hourly clinician role), • Seeing patients with a broad array of patient needs; conducting a mix of acute, chronic, and well visits (not a panel-building role), • Treating patients in-office as well as conducting occasional tele-health visits, • Ongoing collaboration with in-office teammates via daily huddles, as well as with virtual clinical teams, • Enrolled in, or have completed, an accredited Family Medicine or Medicine/Pediatrics residency program, • Practiced at least 2 of the last 5 years in an outpatient primary care setting seeing all ages (0+), • Board Certified in Family Medicine or Internal Medicine/Pediatrics. If not yet Board Certified, must presently be a Board Eligible Family Medicine or Internal Medicine/Pediatrics Resident, or have completed a Family Medicine or Internal Medicine/Pediatrics Residency Program within the last calendar year and scheduled to take the next available Board Exam, • A passion for human-centered primary care, • The ability to successfully communicate with and provide care to individuals of all backgrounds, • The ability to effectively use technology to deliver high quality care, • Clinical proficiency in evidence-based primary care, • The desire to be an integral part of a team dedicated to changing healthcare delivery, • An openness to feedback and reflection to gain productive insight into strengths and weaknesses, • The ability to confidently navigate uncertain situations with both patients and colleagues, • Readiness to adapt personal and interpersonal behavior to meet the needs of our patientsCasual/Per Diem Providers receive:, • Malpractice Insurance - Malpractice fees to insure your practice at One Medical is covered 100%, • UpToDate Subscription - An evidence-based clinical research tool, • One Medical Issued laptop (to allow for secure access to our EHR) One Medical is committed to fair and equitable compensation practices. The hourly rate for this role is $161.00. Final determination of starting pay may vary based on factors such as practice experience and patient care schedule. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. The total compensation package for this position may also include benefits. For more information, visit One Medical offers a robust benefits package designed to aid your health and wellness. All regular team members working 24+ hours per week and their dependents are eligible for benefits starting on the team member's date of hire: Taking care of you today • Paid sabbatical for every five years of service, • Free One Medical memberships for yourself, your friends and family, • Employee Assistance Program - Free confidential services for team members who need help with stress, anxiety, financial planning, and legal issues, • Competitive Medical, Dental and Vision plans, • Pre-Tax commuter benefits, • 401K match, • Credit towards emergency childcare, • Company paid maternity and paternity leave, • Paid Life Insurance - One Medical pays 100% of the cost of Basic Life Insurance, • Malpractice Insurance - Malpractice fees to insure your practice at One Medical is covered 100%., • UpToDate Subscription - An evidence-based clinical research tool, • Continuing Medical Education (CME) - Receive an annual stipend for continuing medical education, • Rounds - Providers end patient care one hour early each week to participate in this shared learning experience One Medical participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. Please refer to the E-Verification Poster and Right to Work Poster for additional information.

Job Description About Us One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn't your average doctor's office. We're on a mission to transform healthcare, which means improving the experience for everyone involved - from patients and providers to employers and health networks. Our seamless in-office and 24/7 virtual care services, on-site labs, and programs for preventive care, chronic care management, common illnesses and mental health concerns have been delighting people for the past fifteen years. In February 2023 we marked a milestone when One Medical joined Amazon. Together, we look to deliver exceptional health care to more consumers, employers, care team members, and health networks to achieve better health outcomes. As we continue to grow and seek to impact more lives, we're building a diverse, driven and empathetic team, while working hard to cultivate an environment where everyone can thrive. Employment type: • Managing a patient panel with a broad array of patient needs; conducting a mix of acute, chronic, and well visits, • Treating patients in-office or in testing centers as well as conducting occasional tele-health visits, • Continuous learning during weekly Clinical Rounds and through other modalities, • Ongoing collaboration with in-office teammates via daily huddles, as well as with virtual clinical teams, • Utilization of your specific clinical training and opportunities to perform in-office procedures, • Enrolled in, or have completed, an accredited Family Medicine or Medicine/Pediatrics residency program, • Practiced at least 2 of the last 5 years in an outpatient primary care setting seeing all ages (0+), • Board certified in Family Medicine or Medicine/Pediatrics, or Board Eligible with plans to obtain board certification within 1 year of your One Medical start date, • A passion for human-centered primary care, • The ability to successfully communicate with and provide care to individuals of all backgrounds, • The ability to effectively use technology to deliver high quality care, • Clinical proficiency in evidence-based primary care, • The desire to be an integral part of a team dedicated to changing healthcare delivery, • An openness to feedback and reflection to gain productive insight into strengths and weaknesses, • The ability to confidently navigate uncertain situations with both patients and colleagues One Medical is committed to fair and equitable compensation practices. The base salary range for this role is $252,000 to $268,000 per year based on a full-time schedule. Final determination of starting pay may vary based on factors such as practice experience and patient care schedule. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. The total compensation package for this position may also include annual performance bonus, benefits and/or other applicable incentive compensation plans. For more information, visit Relocation assistance may be available for this role. One Medical offers a robust benefits package designed to aid your health and wellness. All regular team members working 24+ hours per week and their dependents are eligible for benefits starting on the team member's date of hire: Taking care of you today • Paid sabbatical for every five years of service, • Free One Medical memberships for yourself, your friends and family, • Employee Assistance Program - Free confidential services for team members who need help with stress, anxiety, financial planning, and legal issues, • Competitive Medical, Dental and Vision plans, • Pre-Tax commuter benefits, • 401K match, • Credit towards emergency childcare, • Company paid maternity and paternity leave, • Paid Life Insurance - One Medical pays 100% of the cost of Basic Life Insurance, • Malpractice Insurance - Malpractice fees to insure your practice at One Medical is covered 100%., • UpToDate Subscription - An evidence-based clinical research tool, • Continuing Medical Education (CME) - Receive an annual stipend for continuing medical education, • Rounds - Providers end patient care one hour early each week to participate in this shared learning experience One Medical participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. Please refer to the E-Verification Poster and Right to Work Poster for additional information.

Job Description Location: Brooklyn, Queens & Nassau County, NY (in-house at partner hospitals) Reports to: OB/GYN Service Line Lead; dotted line to COO Employment Type: Full-time or Part-time; 12- or 24-hour shifts Mission & Role Summary True Health NY is a physician-led, multi-site OB/GYN & Primary Care group. We’re seeking an in-house Laborist to provide full-spectrum obstetric care—triage through delivery and immediate postpartum—while partnering closely with our outpatient OBs, MFMs, anesthesia, pediatrics/NICU, and nursing leadership. This role focuses on safe throughput, exceptional patient experience, and team-based, evidence-guided care. What You’ll Do Inpatient Obstetrics & Triage • Serve as the in-house attending for L&D, OB ED/triage, and antepartum/postpartum units during assigned shifts., • Manage labor (spontaneous/induced/augmented), including VBAC/TOLAC candidates per hospital policy., • Perform vaginal deliveries (spontaneous and operative) and cesarean deliveries (primary/repeat); first-assist or primary surgeon per privileges., • Manage obstetric emergencies: shoulder dystocia, postpartum hemorrhage (PPH bundles), eclampsia, cord prolapse, uterine rupture, sepsis, severe hypertension, etc., • Interpret and act on fetal heart rate tracings; implement evidence-based interventions and closed-loop communication., • Perform bedside procedures as credentialed: amnioinfusion, external cephalic version (ECV), limited OB ultrasound, laceration repair, manual extraction/D&C for retained placenta., • Partner with True Health NY generalists and MFM specialists for consults, comanagement, and timely transfer/escalation., • Coordinate with anesthesia, neonatology/pediatrics, lactation, and nursing leadership to maintain high-reliability L&D operations., • Participate in resident/medical student teaching if a teaching site; lead bedside drills during shifts as needed., • Champion ACOG/SMFM/CMQCC-aligned pathways (PPH, severe HTN, sepsis, trial of labor after cesarean, induction protocols)., • Lead/participate in unit drills (PPH, eclampsia, shoulder dystocia), peer review, and M&M as assigned., • Document care in the hospital EHR (e.g., Epic/Cerner) with closes within 24 hours; ensure clear, timely handoffs to outpatient providers (eClinicalWorks)., • Support throughput: triage streaming, active labor management, and efficient OR turnover in collaboration with nursing and anesthesia., • Maintain and exercise privileges for: vaginal delivery (spontaneous/operative), cesarean delivery (primary/repeat), management of obstetric emergencies, ECV, and bedside procedures listed above., • Access & Throughput: Timely triage assessment (≤10 minutes door-to-provider), efficient admission/induction workflows., • Safety: Hemorrhage bundle utilization; decision-to-incision for emergent C-section within hospital standard; low unplanned ICU transfers., • Quality: Guideline adherence, VBAC/TOLAC safety metrics, low primary cesarean for nulliparous term singleton vertex as appropriate., • Experience: ≥4.7/5 patient-experience scores; positive interdepartmental feedback., • In-house Laborist shifts (12 or 24 hours); predictable block scheduling possible., • No routine outpatient clinic requirements (optional by mutual agreement)., • MD/DO; ABOG board-certified/eligible in Obstetrics & Gynecology., • Unrestricted NY medical license (or ability to obtain), DEA; hospital privileges eligibility., • Demonstrated competence as primary surgeon for cesarean delivery and proficiency in operative vaginal delivery., • Current certifications: BLS and ACLS; ALSO and NRP preferred (or obtained within 6 months)., • Strong fetal monitoring interpretation skills; team-first communicator; calm under pressure., • Competitive shift-based compensation with differentials for nights/weekends/holidays; eligibility for quality incentives. True Health NY is an equal opportunity employer. We celebrate diversity and are committed to an inclusive environment for all employees.