Utilization management jobs in Sunnyside, New York (NY) State

As the Vice President of Utilization Management at VillageCare, you will play a vital role in developing and implementing strategies to optimize utilization management functions. A minimum of 8 years of management experience in a health-related field, along with at least 10 years of experience in...

Previous managed care experience in the area of utilization management and/or care management. As Utilization Management Supervisor, you will review data to monitor regulatory requirements (standard/expedited time frames, organizational determination outcomes and communication, inter-rater reliab...

Supervises the day-to-day operations of VNS Health Plans Medical Management clinical and non clinical staff. Makes recommendations to the development, utilization, and evaluation of internal processes to ensure customer satisfaction, efficient operations, and accurate and timely resolution for al...

What does a Utilization Management, Non-Clinical Supervisor do?The Utilization Management Non-Clinical Supervisor role at VillageCare presents a unique opportunity to lead and support our dynamic Utilization Management team. Join us in making a positive impact on the health care industry!What we'...

Keeps informed of the latest internal and external issues and trends in utilization and quality management through select committee participation, networking, professional memberships in related organizations, attendance at conferences/seminars and select journal readership. Collaborates with cli...

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. Identifies opportuni...

The Utilization Management Non-Clinical Supervisor role at VillageCare presents a unique opportunity to lead and support our dynamic Utilization Management team. Join our team at VillageCare as a Full Time Utilization Management, Non-Clinical Supervisor in this exciting remote position! As a key ...

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. Identifies opp...

StealthCo is a next-generation utilization management enablement platform. Drive operations, including full P&L and cash flow management. ...

Are you a problem solver with a passion for improving healthcare services? VillageCare is seeking a Full Time Utilization Management DME Manager to join our team. As the Utilization Management DME Manager at VillageCare, you will play a crucial role in coordinating, planning, and organizing vario...

We're hiring a Senior Medical Director to join our Utilization Management Operations team. You will oversee the operations of Utilization Management. Serve as point of accountability for escalated clinical issues, including internal and external appeals, member and provider complaints and grievan...

Supervisor of Utilization Management, Clinical (Hybrid). Supervises the day-to-day operations of VNS Health Plans Medical Management clinical and non clinical staff. Makes recommendations to the development, utilization, and evaluation of internal processes to ensure customer satisfaction, effici...

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. Identifies opportuni...

As the Vice President of Utilization Management at VillageCare, you will play a vital role in developing and implementing strategies to optimize utilization management functions. A minimum of 8 years of management experience in a health-related field, along with at least 10 years of experience in...

A traveler facility in New York, NY is seeking its next amazing RN (Registered Nurse) to work in Med Surg (Medical Surgical). ...

Montefiore Medical Center is seeking a Registered Nurse (RN) Pediatrics for a nursing job in Bronx, New York. New York State license for Registered Professional Nurse and current registration of valid permit to practice in New York State as an RN. Outpatient care needs include new onset type 2 ed...

Montefiore Medical Center is seeking a Registered Nurse (RN) ED - Emergency Department for a nursing job in Bronx, New York. New York State License for Registered Professional Nurse and current registration or valid permit to practice in New York State as an R. Posted job title: Registered Nurse-...

Montefiore Medical Center is seeking a Registered Nurse (RN) Float for a nursing job in Bronx, New York. The Montefiore RN maintains standards of the practice for nursing as defined by the American NursesAssociation Code of Ethics, Nursing Scope and Standards of Practice and Nursing’s Social Poli...

Multiple busy hospitals are seeking a CRNA for locum tenens coverage.The facilities are located in Johnson City and Binghamton, New York.The schedule is Monday - Friday from 7:30am - 4:00pm, 5x8s or 4x10s with a 30-minute unpaid lunch.They have very sick patients and do big cases, ortho (minor) G...

Montefiore Medical Center is seeking a Registered Nurse (RN) Manager, OR - Operating Room for a nursing job in Bronx, New York. The Montefiore Administrative Nurse Manager, Operating Room maintains standards of the practice for nursing as defined by the American Nurses’ Association Code of Ethics...

Healthcare Support Permanent Placement is seeking a Registered Nurse (RN) Case Management for a nursing job in Bronx, New York. Oversee a team of 4-5 community nurses. Posted job title: case manager. ...

Montefiore Medical Center is seeking a Registered Nurse (RN) ICU - Intensive Care Unit for a nursing job in Bronx, New York. The Staff Nurse provides professional nursing care to assigned patients. NYS RN License and Registration. To learn more about the “Montefiore Difference” – who we are at Mo...

Montefiore Medical Center is seeking a Registered Nurse (RN) ED - Emergency Department for a nursing job in Bronx, New York. New York State License for Registered Professional Nurse and current registration or valid permit to practice in New York State as an R. ...

Emergency room nurse, emergency nurse, ER nurse, ER RN, emergency room, trauma, trauma nurse, acute care nurse, registered nurse, RN, R. Registered Nurse – Emergency Room - Travel - (ER RN). TravelNurseSource is working with AMN Healthcare to find a qualified ER/Trauma RN in ROCHESTER, New York,...