Utilization review jobs in New York, NY - Page 5Create job alerts

Job Description About Grace at Home Grace at Home is an innovative health and care company on a mission to eliminate barriers and to improve care in high-need, urban and rural communities. Grace at Home’s purpose is to every day improve the health and well-being of those who need care the most –...

Job Description Our client, a prestigious Am Law 100 global law firm, is seeking a Coordinator, Practice Management to join their New York office. This is an excellent opportunity for a proactive and detail-oriented professional eager to support both strategic initiatives and day-to-day operation...

Job Description MISSION STATEMENT: Acacia Network provides a comprehensive and competitive benefits package to our employees. In addition to a competitive salary, our benefits include medical, dental, and vision coverage. We also offer generous paid time off, including vacation days and paid hol...

Job Description Sign-on eligible FUNCTION: To provide comprehensive clinical case management services that include: assessments; individual, group and family treatment; treatment plan coordination; referent relations; discharge planning; and intervention with client support systems, including so...

Job DescriptionSalary: Job Description: We are seeking a dynamic and experiencedClinical Directorto lead our therapy clinics operations, ensuring exceptional patient care and seamless collaboration with Health Maintenance Organizations (HMOs). This leadership role is integral to maintaining th...

Job DescriptionOur mission: to eliminate every barrier to mental health. At Spring Health, we're on a mission to revolutionize mental healthcare by removing every barrier that prevents people from getting the help they need, when they need it. Our clinically validated technology, Precision Menta...

Job Description Dane Street is expanding our physician panel! This is a telework opportunity for supplemental income for physicians providing a caseload customized to your schedule. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis. The i...

Job Description Job Title: Clinical Criminal Legal Specialist Job Summary: Are you a licensed clinician looking to improve your skills in serving and advocating for individuals with mental illness? Are you interested in contributing to soci...

Job Description We are seeking a Licensed Master Social Worker- Hybrid Opportunity to join our team! You will provide emotional and administrative support to clients in either individual or group settings. Note: It is a hybrid role and need to be onsite once a week. Job Summary: The Licensed M...

Job Description iAutomation is a high technology distributor of automation components to the industrial automation market. With product technologies in controllers, motion systems, pneumatics, safety, vision, sensing and mechanical, iAutomation is equipped to solve all automation applications. ...

Job DescriptionSummary Our health and human service agency client in Nutley, NJ, is seeking a Director of Outpatient Services for their organization. This pivotal role will be vital in providing oversight of their mental health outpatient program. This position ensures the integration of the agen...

Job Description Overview Employed by PAGNY for NYC Health + Hospitals/Kings County, Kings County Hospital operates a world-renowned Level 1 Trauma Center, one of only three in Brooklyn, which serves 2.6 million residents of Brooklyn and Staten Island. The hospital is academically affiliated with...

Job DescriptionCompany Description Discovery Behavioral Health (DBH) is a national leader in behavioral healthcare and one of the fastest growing companies in the field. DBH offers world-class treatment for those struggling with eating, mental health, and substance use disorders, and places a h...

Ensures case management sheet is current and accurate. Case Management Certification, preferred. Experience in case management and clinical pathways, variance analysis and trending, quality management/utilization review and home care/discharge planning, preferred.

Formulary Strategy & Utilization Review Pharmacist.

Elevate your career at Marotta Controls, a New Jersey Top Workplace three years running! Dedicated to innovation, quality and excellence, we deliver cutting edge control systems for the Aerospace & Defense industry. At Marotta, we value bold thinking and teamwork, and we empower our employees to ...

Elevate your career at Marotta Controls, a New Jersey Top Workplace three years running! Dedicated to innovation, quality and excellence, we deliver cutting edge control systems for the Aerospace & Defense industry. At Marotta, we value bold thinking and teamwork, and we empower our employees to ...

ANCC case management certification preferred. Minimum five years experience in utilization review management and/or case management preferred. Ability to use critical thinking and clinical reasoning skills effectively problem-solve and provide case management services.

Innova Solutions is immediately hiring for a Director of Integrated Case Management(RN) Position type: Fulltime Location: New York City and hybrid As a Director of Integrated Case Management(RN) you will: - Hybrid-min 2 days on site. - Might need to come in a day or two more if they are...

Senior Assistant Actuary Description The analytics focused Sr. Assistant Actuary is responsible for developing, analyzing, and maintaining pricing models for the North America Small and Lower Middle Market Workers’ Compensation Line This role can be based in Jersey City, NJ, Whitehouse Statio...

Bilingual Spanish Homecare RN with 15K Sign on Bonus and PENSION! This Jobot Job is hosted by: Donna Gawroski-Kusik Are you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your resume. Salary: $115,000 - $130,000 per year A bit about us: Premier health services organiza...

Senior Tax Accountant About the Organization & Opportunity - Senior Tax Accountant - Our client is a well established professional services firm with locations across the tri-state area as well as the eastern seaboard - They are a growing, family-owned company that cares about its employees ...

Job DescriptionBenefits: - Group Life Insurance - Voluntary Insurance Plans - EAP - Public Service Loan Forgiveness- qualfied employer - Dental insurance - Health insurance - Opportunity for advancement - Paid time off - Parental leave - Training & development - Wellness resources Dat...

Job DescriptionSalary: MAINTENANCE MECHANIC This position is responsible for maintaining the physical integrity of the property at all times. This involves insuring a safe and secure living environment for residents, visitors and staff. It is the duty of the Maintenance Mechanic to follow al...

Assist in discharge planning to ensure continuum of care following discharge. Responsible for assisting in discharge planning coordination with unit, social workers and Utilization Review staff. Monitor status daily for all patients under court order and notify DA staff immediately if person is d...

Pharmacy Practice team members are relied upon to review and interpret marketing results, explain and present utilization and cost trends to clients and/or prospects and to complete projects critical to clients' decision-making with respect to Pharmacy Benefits management. This position provides ...

Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making. Remote Medical Director - New York. Manager, Medical Economics (Pop Health/Clinical ...

Working with members of the Global Data Privacy Office ("GDPO") and other key internal stakeholders to review proposed projects involving the collection or utilization of personal data, advising on privacy risks, and compliance with local data privacy laws, and where necessary, carrying out priva...

PharmD with managed care, DUR, or pharmacy benefit experience.

Unit Details: Case Management - B06932 type:Case Management (Utilization Review). ARMStaffing is looking for RN - Case Management in Bronx, New York.

Supports & Participates in pre-admission review, utilization management, and concurrent and retrospective review process. At least two years experience in Utilization Review processes including knowledge of. These include but are not limited to utilization review, hospital reimbursement, clinical...

About the job RN Case Manager $113/hr - Bronx, NY. Case Manager experience and utilization review experience is highly preferred.

The Utilization Review Physician collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical records for the patient population and Hackensack University Medical Center. Supports & Participates in pre-admission review, utilization man...

Performs concurrent utilization review activities on all patients within the assigned caseload. Monitors and intervenes on LOS, resource utilization and denial management/ prevention within the assigned caseload. Minimum 5 years'"¢ experience in clinical nursing, minimum of 3 years in case mana

The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is responsible for overseeing and coordinating all aspects of utilization review and insurance authorization for clients receiving substance use disorder (SUD) treatment at Bri...

Job DescriptionOur mission: to eliminate every barrier to mental health. At Spring Health, we're on a mission to revolutionize mental healthcare by removing every barrier that prevents people from getting the help they need, when they need it. Our clinically validated technology, Precision Menta...

Job Description Our Vision: To make New York City the global model for inclusive innovation and economic growth, fueled by the City's diverse people and businesses. Our Mission: Creating a vibrant, inclusive, and globally competitive economy for all New Yorkers. Position Overview: The Electr...

Job Description A global financial services company is seeking an Event Coordinator for their office in midtown Manhattan. Location: New York, NY Duration: 6 months Job Responsibilities · Maximize space utilization by implementing appropriate booking strategies based on booking guidelines...

Position Summary: The Director, Manufacturing Engineering (ME Director) is responsible for supporting business goals including product cost and quality, schedule adherence and delivery on-time to customer demand. It is a hands-on position that is responsible for ensuring the manufacturing proces...

Monogram Health is seeking a skilled and compassionate full-time Nephrologist to join our team in delivering value-based care to patients with kidney diseases. The ideal candidate will be passionate about improving patient outcomes for patients with kidney disease, reducing healthcare costs, and...

The Director will oversee departmental activities involved in utilization review, appeals management, and discharge planning to facilitate the case management process and maximize reimbursement to the hospital. Our system includes over 48,000 employees across multiple hospitals, outpatient practi...

Minimum of five (5+) years of experience in care/case management, disease management, population health management, utilization review, quality assurance, or discharge planning (preferably within a managed care, home care, or community health organization). The Clinical Assessment Manager - Care ...

This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice. Maintain compliance with all regulation changes as they impact medical and utilization review practices.

Job Description FUNCTION: The Outpatient Clinical Director administers and supervises the daily management of the outpatient treatment program, its staff and clients. The Outpatient Clinical Director is responsible to ensure and provide effective client care in regard to OASAS and JCAHO regulator...

Job Description General Purpose: The Behavioral Health Counselor is working with a PROS program to conduct individual and group services. Personalized Recovery Oriented Services (PROS) is a comprehensive model that integrates rehabilitation, treatment, and support services for people wi...

Job DescriptionOur mission: to eliminate every barrier to mental health. At Spring Health, we're on a mission to revolutionize mental healthcare by removing every barrier that prevents people from getting the help they need, when they need it. Our clinically validated technology, Precision Menta...

Job Description Suicide Prevention/Team Leader Work Location: 1310 Rockaway Parkway, Brooklyn Hours: Full Time 35 hours per week, Availability requires late afternoons, evenings and Saturdays. This position is 100% fully in-person. No remote work available Salary: $60,000 - 65,000 BCS partne...

Job DescriptionSalary: $100,000 - $130,000 About the Job We are seeking an ambitious, professional, and organized Cost Accountant to oversee financial tracking, cost reporting, and budget management for heavy civil construction project(s). This role combines both accounting expertise with a pra...