Utilization management jobs in Richmond Hill, NYCreate job alerts

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 ...

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 ...

Qualified candidates will be an experienced Clinician, RN with a Case Management and Utilization Management background, with an emphasis on Case Management and Director level experience. Director of ...

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

Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management will be needed using standardized criteria to achieve optimal patient outcomes and ...

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 ...

Provide care management to a group of members through collaborative assessment, planning ... Utilize evidence-based strategies to prevent hospitalization and inappropriate ER utilization

... managing prescription medication, and triaging medical complaints and responding to medical ... on proper utilization of those medical devices. * Supervise procedures for students taking ...

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 ...

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 ...

Technology Utilization: * Leverage company systems to manage scheduling, reporting, and operational efficiency. * Maintain accurate records for HR documentation, inventory, and daily reporting

... 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 ...

We are seeking a Registered Nurse RN Case Manager to join our team! You will be responsible for the assessment, diagnosis, and treatment of assigned patients from a telephonic standpoint for a well ...

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

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

... management to individuals managing chronic health conditions residing in Brooklyn, Manhattan ... while ensuring optimal utilization of resources, service delivery, safe patient care, and ...

Minimum Qualifications NYC Children's Center is recruiting for a Utilization Review Coordinator to analyze and evaluate quality, effectiveness, and efficiency of psychiatric and medical services ...

Care Manager - ED Shift: 9am-5pm Hybrid (40 hours weekly) Location: New York, NY 10037 Duration: 13 Weeks (Possible Extension) Pay: $52/hr. Job Summary: • Review and evaluate the assessment and UAS ...

Operational Efficiency and Cost Management: Optimize resource allocation and utilization to ensure efficient and effective product operations. * Manage relationships with vendors and contractors ...

Case Management * Discipline: RN * Start Date: 12/30/2024 * Duration: 14 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel Why choose Host Healthcare? Because a great Host ...

Case Management * Discipline: RN * Duration: 14 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel *$600 travel bonus *Day 1 health insurance with United Healthcare *PTO plan ...

Case Management * Discipline: RN * Start Date: 12/30/2024 * Duration: Ongoing * 40 hours per week * Shift: 8 hours * Employment Type: Staff Manager of Care Delivery - RN HealthCare Support is ...

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 ...