Utilization Management Supervisor
1 week ago
Oversee the daily pre-authorization process for Palliative and Hospice clients
Job #2020-0005
Location: New York City
Salary: very competitive compensation package
As Utilization Management Supervisor, you will review data to monitor regulatory requirements (standard/expedited time frames, organizational determination outcomes and communication, inter-rater reliability), provide direction for complex cases, monitor pending cases, review and educate staff on new criteria trends (including Interqual, local carrier policy, national coverage determinations), and act as a liaison with interdepartmental communication.
Qualifications include:
Graduate of an accredited nursing program: BS/BSN preferred
Previous managed care experience in the area of utilization management and/or care management
Minimum one year nursing practice in clinical settings, i.e. hospital, nursing facility or home health, with 1-3 years of management experience that includes a working knowledge case management and utilization management processes
Working knowledge of Windows, Word, Excel and clinical care management software
Current NYS RN license
CCM preferred
Excellent clinical assessment and disease management skills
Knowledge of current standards of medical practice and healthcare delivery systems
Knowledge of Interqual preferred
Knowledge of Federal and State regulatory requirements for managed care
Knowledge of principles and concepts of CQI methodologies
Apply for this job
Fill out the form below to apply for Utilization Management Supervisor (RN).
Your name
Your phone #
(optional)
Attach your resume
What else would you like us to know?
By submitting this form, you consent to having HealthSearch Group collect your name, email, & phone. Read our privacy policy
for more about how we use your info.
#J-18808-Ljbffr
-
Utilization Manager
1 week ago
New York, United States PROMESA R.H.C.F. Full timeJob DescriptionJob DescriptionPOSITION OVERVIEW: The Utilization Manager is responsible for the day to day functions of collaborative communication with external case managers at referring provider facilities and/or managed care organizations (MCO) for data collection, interpretation and certification/recertification from third party payers at pre-admission...
-
Utilization Manager
20 hours ago
New York, United States PROMESA R.H.C.F. Full timeJob DescriptionJob DescriptionPOSITION OVERVIEW: The Utilization Manager is responsible for the day to day functions of collaborative communication with external case managers at referring provider facilities and/or managed care organizations (MCO) for data collection, interpretation and certification/recertification from third party payers at pre-admission...
-
Utilization Review Manager
Found in: Appcast Linkedin GBL C2 - 7 days ago
New York, United States Tandym Group Full timeA growing health services network in New York is currently seeking an experienced, licensed Registered Nurse (RN) to join their Case Management team as a Utilization Review Manager. In this role, the Utilization Review Manager (RN) will be responsible for assisting the Director of Case Management in overseeing the Utilization Management Program.About the...
-
Groundskeeper Supervisor
1 week ago
New York, United States Melville Management Corp Full timeJob DescriptionJob DescriptionThe Groundskeeper Supervisor will be hands-on supporting the on-site Property Manager to ensure the cleanliness and up keep of exterior property and grounds of estate. Position will also have to interact and assist family members and guests in supports of their needs when visiting the property.Exterior Job FunctionsMaintenance...
-
Care Manager Supervisor
3 weeks ago
New York, United States Astor Services Full timeJob DescriptionJob DescriptionDescription:The Care Manager Supervisor is responsible for the daily programmatic oversight of the assigned care management unit as well as meeting the outlined mandates of the Transitions and NMCC program. The supervisor works closely with the care managers to ensure the overall provision and coordination of care management...
-
Assistant Nurse Manager Pediatric Operating Room
Found in: beBee jobs US - 1 week ago
New York, New York, United States Clinical Management Consultants Full timeA hospital in New York City is actively seeking an Assistant Nurse Manager Pediatric Operating Room to join their team. The Assistant Nurse Manager Pediatric Operating Room will work at a large academic hospital known for their cancer care, speciality surgical department, women's health, and psychiatric services team. Attracting world class physicians and...
-
Maintenance Supervisor
2 weeks ago
New York, United States An Exciting Property Management Company Full timeJob DescriptionJob DescriptionSeeking a seasoned, highly motivated and customer service driven Maintenance Supervisor for apartment community located in Brooklyn, NY. APARTMENT INCLUDED WITH POSITIONRequirements:24/7 availability for emergenciesreliable transportationvalid NY Driver’s Licenseindependent leader/managerstrong communicationexperienced with...
-
Assistant Director of Nursing
6 days ago
New York, United States NYC Health + Hospitals Full timeAbout NYC Health + Hospitals: Lincoln Medical and Mental Health Center is one of New York City’s premier acute care hospitals. Located in Downtown Bronx, Lincoln is a teaching hospital renowned for its Centers of Excellence, and a recognized industry leader in the implementation of state-of-the art medical technology and best practices. Our team of highly...
-
RN Supervisor Evening and Night Shift
8 hours ago
New York, United States Floral Long Term Care Full timeRN Supervisor Floral Long Term Care is looking for a talented and hard-working RN Supervisor. The RN Supervisor assumes primary nursing responsibilities for the management of resident and staff activities. The RN Supervisor utilizes nursing practice and management skills and ensures resident care is administered in accordance with the company's policies and...
-
Pipefitter Supervisor
Found in: beBee jobs US - 1 week ago
New York, New York, United States Department Of Veterans Affairs Full timeSummary This position serves as a Supervisory Pipefitter within the Facility Management Service. The primary functions includes overseeing work that entails working with pipes and fittings from a range of high pressure to low pressure steam. Duties Duties may include, but are not limited to:Plan the use of workers, equipment, facilities, material and tools...
-
Safety Operations Supervisor york
1 day ago
York, United States Traffic Management Inc. Full timeOverview: As a Safety Operations Supervisor (SOS) at Traffic Management Inc., you are responsible for the safety, operational excellence, and well-being of the most important asset at our company - our employees. As a people leader, you will have the chance to solve problems, create opportunities and deliver exceptional service to our customers and the...
-
Senior CADD Supervisor
Found in: Appcast US C2 - 2 weeks ago
New York, United States Advantage Engineering Associates P.C. (AEA) Full timeCompany DescriptionAdvantage Engineering Associates P.C. (AEA) is a certified SBE/MBE/DBE engineering firm. We focus on building relationships with clients and project stakeholders to deliver fiscally responsible project management and sound engineering judgment. AEA offers a collaborative and cordial work environment that encourages employees to continually...
-
Senior CADD Supervisor
Found in: Appcast Linkedin GBL C2 - 2 weeks ago
New York, United States Advantage Engineering Associates P.C. (AEA) Full timeCompany DescriptionAdvantage Engineering Associates P.C. (AEA) is a certified SBE/MBE/DBE engineering firm. We focus on building relationships with clients and project stakeholders to deliver fiscally responsible project management and sound engineering judgment. AEA offers a collaborative and cordial work environment that encourages employees to continually...
-
Housekeeping Supervisor
Found in: Resume Library US A2 - 1 week ago
Bronx, New York, United States The W Management Group LLC Full timeOverview: Housekeeping Supervisor Excellent Benefits • Supportive Management • Immediately Available The W Assisted Living Communities is looking to hire a Housekeeping Supervisor. We have our eye out for compassionate and energetic candidate who is committed to both employee and resident satisfaction. Work...
-
Utility Worker
Found in: Resume Library US A2 - 2 days ago
New York County, New York, United States 92nd Street Y Full timeJob Summary: The May Center Utility Worker is responsible for performing all cleaning duties, routine light equipment cleaning/storage/transport, and other tasks to create a spotless and fully functioning center environment. The May Center Utility Worker will be assigned to a primary area of responsibility of either multiple locker rooms or...
-
Case Manager Supervisor
1 week ago
New York, United States Neighborhood Association Full timeJob DescriptionJob DescriptionSummary:The successful candidate will assist the Assistant Director of Social Services in the overall operation of the program, including planning, development, implementation, monitoring, evaluating and improving procedures. The supervisor will be responsible for the daily supervision and management of the daily operations of...
-
Utility/Permit Coordinator
2 weeks ago
New York, United States Tillman FiberCo Full timeJob DescriptionJob DescriptionDescription:Utility/Permit Coordinator Job DescriptionAs part of the permitting coordination: this is a highly responsible role which serves as the liaison between permit applicants and reviewers through intake and distribution of permit applications, building plans, and other supplemental documents.As part of the utility...
-
Technical Supervisor
Found in: beBee jobs US - 1 week ago
New York, New York, United States Manpower Engineering Full timeExperis IT ManpowerGroup has partnered with a leading 500 golbal organization in the New York Broadway for a contract Technical Supervisor role to assist their team. This is an on-site role. Title: Technicl SupervisorLocation: New York BroadwayDuration: 3 months on W2 ONLY ( with high possibility of extension)Pay Rate - 32$ - 35$/HR ON W2 ONLYJOB SUMMARY...
-
Pre-Authorization Unit Supervisor
2 days ago
New York, United States Metropolitan Jewish Health System Full timeThe challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life...
-
Utility Plumber
1 week ago
New York, United States Prestige Plumbing & Heating Inc. Full timeJob DescriptionJob DescriptionPrestige Plumbing and Heating is seeking an experienced Utility Plumber to lead and supervise a small crew of semi-skilled helpers in the performance of various maintenance activities or installations of sewer and water lines. Candidate must have 5 years of verifiable utility plumbing experience on the installation of water,...