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Utilization Management Care Manager jobs - New York, NY

Viewing 1 - 10 of 2,486 jobs

  • Clinical Evaluation Manager Utilization Management

    Visiting Nurse Service of New York - New York City, NY

    Coordinates with VNSNY CHOICE Care Coordination management, subject matter experts, physicians, member ... and discharge planners in utilization tracking, care coordination, and monitoring to ensure care is appropriate,...

    1 day ago from Visiting Nurse Service of New York

  • Manager - Strategy & Operations Health Plans Service Ops

    Deloitte Development - New York City, NY

    pharmacy, administration of claims and benefits, drug utilization, distribution, disease management, and volume ... process improvement, provider contracting, project management and Health Care Reform. Product Development We...

    30+ days ago from Deloitte Development LLC

  • Medical Claim Review Medical Director - Virtual

    UnitedHealth Group - New York City, NY

    focus on the application of clinical knowledge in various utilization management activities with a focus on ... Project management background a plus. • Excellent presentation skills for both clinical and non-clinical...

    27 days ago from UnitedHealth Group

  • Nurse, Long Island

    Tenet Health - Brooklyn, NY

    of medical management interventions; utilization management, case management, and disease management. Our nurses ... which include utilization, case and disease management. • Analyze the data provided through the Value Based Care...

    30+ days ago from Tenet Health

  • Director of Emergency Care and Resuscitation, Field Support - (National)

    Philips - New York City, NY

    We simplify healthcare by focusing on the people in the care cycle, patients, and care providers. Through combining ... Your Profile: · 5 years of management experience and/or leadership experience with demonstrated track record of success...

    1 hour ago from philips

  • Utilization Nurse Coordinator

    Archcare - Brooklyn, NY

    Responsibilities: Serves as liaison/resource to home care staff related to care/utilization.Conducts or arranges for edu ... opportunities for all home care staff related to clinical care management with an emphasis on utilization management...

    30+ days ago from ArchCare

  • RN Case Manager - Post Acute Care

    Maxim Healthcare Services - Bronx, NY

    managed care experience 2 – 5 years’ experience in utilization and case management required. Home health, SNF, ... require daily/frequent on-site visits at Acute Care Facility and intermittent on-site visits at Post-Acute Care...

    2 days ago from Zip Recruiter

  • Pharmaceutical Systems Experienced Associate (6573373)

    PwC - New York City, NY

    applications and other technical solutions. Demonstrates utilization of creative problem-solving abilities and a ... of industry audiences, clients and internal staff and management, which includes whitepapers, studies and client...

    17 days ago from PwC

  • Order Management Specialist! Interviewing!

    WorldLink - Ridgefield Park, NJ

    and accurately process incoming Customer Orders · Order Management- Ensure that orders are managed within SEA and ... including utilization of SAP order management · High degree of detail orientation as well as high degree of...

    1 day ago from ZipRecruiter

  • Clinical Evaluation Manager Utilization Management Manhattan Region

    Visiting Nurse Service of New York - New York City, NY

    and paraprofessionals — deliver compassionate care, unparalleled medical expertise, and 24/7 solutions and ... or complex care required. Minimum of two years in utilization review with strong cost containment/case management...

    1 day ago from Visiting Nurse Service of New York

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