Care Manager Utilization Specialist
2 weeks ago
Job Specialty: Utilization Management and Care Coordination
Job Duration: 9 months
Shift: Hybrid 9-5
Guaranteed Hours: 40 hours per week
Responsibilities:
- Provide care management and coordination services to patients and families.
- Conduct utilization reviews and plan discharges to ensure optimal patient outcomes.
- Collaborate with healthcare teams to ensure appropriate care and resource allocation.
- Demonstrate strong leadership and communication skills to drive results and improve patient care.
- Maintain and document patient care activities in compliance with regulatory requirements.
- Utilize skills in a hybrid work setting, balancing in-office and remote responsibilities.
Requirements:
- Minimum of five years of clinical experience as a Registered Nurse; leadership experience preferred.
- Registered Nurse, Licensed Practical Nurse, or Physical Therapist license required.
- Baccalaureate degree required; PRI and Screen certification within three months of employment; Master's Degree and Bilingual Spanish Certification in Case Management preferred.
What We Offer:
- Opportunity to work with a dynamic team in a hybrid work setting.
- Continuous learning and certification opportunities to meet industry standards.
- Collaborative and supportive work environment.
-
Director of Utilization Management
2 weeks ago
New York, New York, United States Village Care Full timeJob Title: Director of Utilization ManagementAt VillageCare, we are seeking a highly skilled and experienced Director of Utilization Management to lead our team in driving operational efficiency and ensuring quality patient care.Job SummaryThe Director of Utilization Management will oversee the utilization review process, collaborate with interdisciplinary...
-
Utilization Insurance Specialist
4 weeks ago
New York, New York, United States Mount Sinai Health System Full timeJob Title: Utilization Insurance SpecialistJoin the Mount Sinai Health System team as a Utilization Insurance Specialist, where you will play a critical role in ensuring the efficient and effective management of patient care.Key Responsibilities:Conduct thorough reviews of medical admission records and continued stays to ensure appropriateness and timeliness...
-
Utility Operations Specialist
1 month ago
New York, New York, United States Upward On Full timeAbout the OpportunityWe are seeking a highly skilled Utility Operations Specialist to join our team at Upward On. This is an exciting opportunity for a seasoned professional to take on a leadership role and contribute to the success of our organization.About Upward OnUpward On is a national commercial and residential owner/developer/management company with a...
-
Staff Dentist
1 month ago
New York, New York, United States Liberty Dental Full timeJob SummaryWe are seeking a highly skilled Staff Dentist to join our team at Liberty Dental Plan. As a Staff Dentist, you will play a critical role in ensuring the timely and accurate adjudication of dental claims and prospective requests for dental services.Key ResponsibilitiesConduct clinical review of claims and pre-authorizations for all lines of...
-
Utility Engineering Specialist
4 weeks ago
New York, New York, United States New York State Civil Service Full timeJob SummaryWe are seeking a highly skilled Utility Engineering Specialist to join our team at the New York State Department of Public Service. As a key member of our Office of Rates and Tariffs, you will play a critical role in preparing and analyzing written material, critically evaluating information, and preparing clear, concise, and technically accurate...
-
Medical Director
4 weeks ago
New York, New York, United States Innova Solutions Full timeJob Title: Medical Director - Utilization Review SpecialistInnova Solutions is seeking a highly skilled Medical Director to join our team in a Utilization Review Specialist role. As a key member of our clinical leadership team, you will be responsible for performing utilization management related to inpatient level of care and home care services.Key...
-
Skincare Specialist
4 weeks ago
New York, New York, United States New York Cardiovascular Specialist Full timeJob DescriptionAs a skilled Esthetician, you will provide high-quality skincare treatments to patients, enhancing their overall well-being and appearance.Key ResponsibilitiesConduct thorough examinations of clients' facial skin using advanced equipment.Offer personalized skincare recommendations and guidance on proper skin care routines.Cleanse and prepare...
-
Utilization Manager
1 month ago
New York, New York, United States PROMESA R.H.C.F. Full timeJob Title: Utilization ManagerPromesa R.H.C.F. is seeking a highly skilled Utilization Manager to join our team. As a key member of our healthcare team, you will be responsible for ensuring that our patients receive the highest level of care while also meeting the requirements of managed care organizations.Key Responsibilities:Collaborative Communication:...
-
Drug Utilization Review Specialist
2 weeks ago
New York, New York, United States destinationone Consulting Full timeJob Title: Drug Utilization Review SpecialistAt destinationone Consulting, we are seeking a highly skilled Drug Utilization Review Specialist to join our team. As a key member of our healthcare recruitment team, you will play a crucial role in evaluating medication use patterns to promote safe and effective medication therapy.Key Responsibilities:Conduct...
-
Drug Utilization Review Specialist
2 weeks ago
New York, New York, United States destinationone Consulting Full timeDrug Utilization Review SpecialistAt destinationone Consulting, we are seeking a highly skilled Drug Utilization Review Specialist to join our team. As a key member of our healthcare recruitment team, you will play a crucial role in evaluating medication use patterns to promote safe and effective medication therapy, ensuring optimal patient outcomes.Key...
-
Utilization Manager
4 weeks ago
New York, New York, United States LESC Full timeJob SummaryWe are seeking a highly skilled Utilization Manager to join our team at LESC. The successful candidate will be responsible for ensuring compliance with external and internal utilization review/quality and appropriateness requirements.Key ResponsibilitiesCollaborate with CASAC Counselors and supervisory staff to ensure compliance with external and...
-
Utilization Manager
2 weeks ago
New York, New York, United States LESC Full timeJob Title: Utilization ManagerJob Summary:The Utilization Manager will work closely with the agency's mission to provide high-quality care and service delivery to individuals served. This role will assist CASAC Counselors and supervisory staff in ensuring compliance with external and internal utilization review/quality and appropriateness requirements.Key...
-
Utilization Manager
2 weeks ago
New York, New York, United States LESC Full timeJob SummaryWe are seeking a highly skilled Utilization Manager to join our team at LESC. The successful candidate will be responsible for ensuring compliance with external and internal utilization review/quality and appropriateness requirements, working collaboratively with CASAC Counselors and supervisory staff as needed.Key ResponsibilitiesCollaborate with...
-
Utility Engineering Specialist
4 weeks ago
New York, New York, United States New York State Civil Service Full timeJob Title: Utility Engineering Specialist 1Job Summary:The New York State Department of Public Service is seeking a highly skilled Utility Engineering Specialist 1 to join our team. As a key member of our Office of Rates and Tariffs, you will be responsible for analyzing and reviewing company records, tariff filings, and petitions. Your excellent verbal and...
-
Operations Utility Specialist
2 months ago
New York, New York, United States Doyle Shamrock Industries Full timePosition Overview:We are seeking a dedicated and skilled Operations Utility Specialist to join our team at Doyle Shamrock Industries. This role is essential in ensuring smooth operations within our facility.Key Responsibilities:Consistently lift weights ranging from 30lbs to 75lbs.Flexibility to work various shifts, including first, second, or...
-
Utilities Manager
2 weeks ago
New York, New York, United States A&E PROPERTIES II MGMT LLC Full time{"h1": "Job Title: Utilities Manager", "h2": "Job Summary", "p": "We are seeking a highly skilled Utilities Manager to join our team at A&E Properties II Mgmt LLC. The successful candidate will be responsible for opening and maintaining all utility accounts, ensuring accuracy of the utilities database, and performing various accounting and administrative...
-
Utility Manager
1 month ago
New York, New York, United States Upward On Full timeAbout the OpportunityWe are seeking a highly skilled Utility Manager to join our team at Upward On, a national commercial and residential owner/developer/management company based in Great Neck, NY.The successful candidate will be responsible for leading a team and supervising utility analysts with at least 2 years (3+ years preferred) experience in...
-
Utilities Manager
2 weeks ago
New York, New York, United States A&E PROPERTIES II MGMT LLC Full timeJob Title: Utilities ManagerA&E Properties II Mgmt LLC is seeking a skilled Utilities Manager to join our team. The successful candidate will be responsible for managing utility accounts, ensuring accurate data entry, and coordinating with internal teams and external service providers.Key Responsibilities:Coordinate with the India Accounts Payable Team and...
-
Utilities Manager
2 weeks ago
New York, New York, United States A&E PROPERTIES II MGMT LLC Full timeJob Title: Utilities ManagerA&E Properties II Mgmt LLC is seeking a skilled Utilities Manager to join our team. As a key member of our accounting department, you will be responsible for managing utility accounts, ensuring accuracy, and providing exceptional customer service.Key Responsibilities:Coordinate with the India Accounts Payable Team and utility...
-
Community Outreach Specialist
1 month ago
New York, New York, United States Amida Care Full timeJob Title: Community Outreach SpecialistAmida Care, a leading Medicaid HIV Special Needs Plan in NY, is seeking a highly motivated and experienced Community Outreach Specialist to join our team. As a Community Outreach Specialist, you will play a critical role in engaging members who are at risk of becoming lost to care, lost to care, or not in effective...