Director Utilization Management - Monsey, NY

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The CBRE Energy and Renewables team is seeking a Manager to maintain, expand, · and leverage our established network of 200+ utility-scale renewable energy · and power generation developers.This role focuses on cultivating strategic relationships with developers of large-scale so ...

The Utilization Manager works to assist CASAC Counselors and supervisory staff as needed with assuring compliance with external and internal utilization review/quality and appropriateness requirements.Conducts timely scheduled/required utilization reviews for Residential Services ...

The CBRE Energy and Renewables team is seeking a Manager to maintain, expand, and leverage our established network of 200+ utility-scale renewable energy and power generation developers. This role focuses on cultivating strategic relationships with developers of large-scale solar ...

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 thir ...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified national organization offering competitive benefits including a fresh perspective on workplace flexibility. · ...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. · Applicants must possess NY RN State Licensure. · Hrs are M-F 8:30 am - 5:00 pm with holiday rotation.Manages prior authorization con ...

We are seeking a Construction Manager, Utilities to join our team in Binghamton. This position is responsible for management and performance of Field Construction Managers for the construction of electric substations. · ...

The Director of Utilization Management is a strategic clinical operations leader responsible for delivering operational oversight for Utilization Management (UM) teams. · ...

The Utilization Management Nurse utilizes clinical nursing skills to support coordination documentation communication of medical services benefit administration determinations. · The nurse uses clinical knowledge independent critical thinking skills interpreting criteria policies ...

We are seeking a Project Manager Utilities to join our team in Rochester NY or Binghamton NY Effective leadership in a matrix organization Initiation Planning Executing and Closing Projects defining the project WBS Cost Baseline and OBS structure initiating the project building i ...

We're hiring a Manager with specialized experience in utilities industry to join our energy practice. Our team transforms energy sector with up-front strategic advisement through implementation of field technologies. · Bachelor's degree preferred or equivalent experience required ...

The Utilization Management Nurse will conduct reviews of current inpatient services and determine medical appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination in accordance with Utilization Management policies a ...

We are seeking a Construction Manager, Utilities to join our team in Binghamton, · NY. Your role is responsible for management and performance of Field · Construction Managers for the construction of electric substations, · transmission lines, generation upgrades and other projec ...

This position is a pivotal role in influencing the future of a reliable and sustainable energy grid. · As Utility Market Manager - REMOTE, you will develop and execute go-to-market strategies, · drive impactful connections with utility customers, · and shape business outcomes whi ...

We are seeking a Project Manager, Utilities to join our team in Rochester NY or Binghamton, NY. · ...

Directs the Utilization Management department operations and programs across all product lines in VNS Health Plans Participates in the development of the departmental strategic goals and objectives consistent with the overall VNS Health Plans strategic goals and financial targets ...

The Director of Utilization Management is a strategic clinical operations leader responsible for delivering operational oversight for Utilization Management (UM) teams. · Provide strategic direction and leadership to UM leaders and teams executing department functions including p ...

We're hiring a Manager with specialized experience in the utilities industry to join our Energy and Utilities Practice. · Establish and/or lead a program management office (PMO) or project execution for utility clients undertaking complex transformational programs. · Acts as or s ...