Utilization management jobs in Sunnyside, NYCreate job alerts

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

Manage documentation of resident care services * Promote a cooperative relationship among health care teams Requirements: * Must hold valid Registered Nurse (RN) license * Minimum 3 years Long-Term ...

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 ...

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 ...

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 ...

Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift, night shift, and ... management, preferably within a healthcare or hospital setting Exceptional interpersonal and ...

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 ...

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 ...

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

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

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

... 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 ...

Educate patients and their families on managing health conditions and post-treatment care. * Coordinate with healthcare providers to ensure comprehensive patient care. * Monitor patient progress and ...

... utilization of services and improved quality of care. Expect to spend about 80% of your time in the ... Support proactive discharge planning and manage/coordinate Care Transition following ER visit ...

Exhibit strategic thinking and sound decision-making thorough knowledge and utilization of business ... Manages all sale

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

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 ...

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

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

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 ...

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 ...

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 ...

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 ...

Equiliem is seeking a local contract nurse RN Case Management for a local contract nursing job in Jersey City, New Jersey. Job Description & Requirements * Specialty: Case Management * Discipline ...