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unit supervisor
4 weeks ago
City of New York New York, United StatesJob DescriptionThe Office of Child Support Services (OCSS) works with New York City families to ensure non-custodial parents provide financial support for their children. Management Analysis, Quality & Data monitor the performance and effectiveness of the New York City child supp ...
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unit supervisor
1 week ago
City of New York New York, United StatesJob Description · The Office of Child Support Services (OCSS) works with New York City families to ensure non-custodial parents provide financial support for their children. Management Analysis, Quality & Data monitor the performance and effectiveness of the New York City child ...
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Unit Supervisor
2 weeks ago
New York City, NY New York, United StatesAPPLICANTS MUST BE PERMANENT IN THE ASSOCIATE FRAUD INVESTIGATOR CIVIL SERVICE TITLE. · Bureau of Fraud Investigation (BFI) is mandated to detect and deter Public Assistance fraud and misuse by conducting investigations of individuals and groups that attempt to or commit fraudul ...
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Unit Supervisor
3 weeks ago
NYC Careers Manhattan, United States**UNIT SUPERVISOR**: · - Apply**UNIT SUPERVISOR**: · - Agency: HRA/DEPT OF SOCIAL SERVICES · - Posted on: 05/11/2024- Job type: Full-time · Location · MANHATTAN · - Title Classification: Exam may be required · Department · Office Of Investigation-NM · - Salary range: $72, $83, AP ...
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Supervisor - RN - Unit -Full-time
2 days ago
Kingston Court Nursing & Rehab - York, PA York, PA, United States Full timeGenesis is a leading provider of post-acute healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how care is delivered by bringing together people like you passionate - highly skilled and mo ...
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Supervisor 1, Drive Unit Test And Validation
1 week ago
Lucid Motors Newark, United StatesWe are looking for a Drive Unit Test Supervisor to oversee test operators utilizing various equipment in department.Our ideal candidate exhibits a can-do attitude and approaches their work with vigor and determination. Candidates should have demonstrated the ability to learn quic ...
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Civil Unit Supervisor, Legal Services Fund
3 weeks ago
Building Service 32BJ Benefit Funds New York, United StatesJob Description · Job DescriptionJob Title: Civil Unit Supervisor, Legal Services Fund · Department: Civil · Reports To: Deputy Director of the Legal Services Fund · FLSA Status: Exempt · Summary The 32BJ Legal Services Fund provides legal representation to over 100,000 eligibl ...
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Pre-authorization Unit Supervisor
1 week ago
MJHS New York, United StatesThe 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-qualit ...
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Pre-Authorization Unit Supervisor
4 weeks ago
MJHS New York, United StatesReq #: · 1454 · Job ID: · 13047 · Job Location: · New York, NY · Zip Code: · 10040 · Category: · Management - Clinical · Agency: · Elderplan · Status: · Regular Full-Time · Office: · Salary: · $101, $126,879.27 per year · The challenges of affordable healthcare continue ...
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Vendor Assignment Unit Supervisor
1 week ago
NYC Careers Manhattan, United States**Vendor Assignment Unit Supervisor**: · - Apply**Vendor Assignment Unit Supervisor**: · - Agency: ADMIN FOR CHILDREN'S SVCS · - Posted on: 05/01/2024- Job type: Full-time · Location · MANHATTAN · - Title Classification: Exam may be required · Department · Family Home Care( DPS) ...
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Pre-Authorization Unit Supervisor
3 weeks ago
Metropolitan Jewish Health System New York, United StatesOverview: · The 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. Thes ...
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Vendor Assignment Unit Supervisor
1 month ago
City of New York New York, United States Paid WorkJob Description · *THIS POSITION IS ONLY OPEN TO CANDIDATES WHO ARE PERMANENT (NOT PROVISIONAL) IN THE CIVIL SERVICE TITLE. * · THE SELECTED CANDIDATE WILL BE OFFERED A SALARY BETWEEN $73,641 - $81,005 · The Administration for Children's Services (ACS) protects and promotes the s ...
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Supervisor, Vetting Integrity Unit
1 week ago
The Port Authority of New York and New Jersey (PANYNJ) Hoboken, United States**Description**: · About the Role · The Office of Inspector General (OIG) works to keep the agency corruption-free. To accomplish this, the OIG detects, receives, and investigates allegations of fraud, corruption, waste, and abuse with respect to employees, or other individuals o ...
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Pre-Authorization RN Unit Supervisor
6 days ago
MJHS New York, United StatesJob Description · Job DescriptionThe 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 ...
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NYC Careers Manhattan, United States**Assistant Supervisor of the Accounts Payable Unit**: · - Apply**Assistant Supervisor of the Accounts Payable Unit**: · - Agency: DEPARTMENT OF TRANSPORTATION · - Posted on: 05/30/2024- Job type: Full-time · Location · MANHATTAN · - Title Classification: Exam may be required · D ...
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Supervisor 1, Drive Unit Test and Validation
1 week ago
Lucid Motors Newark, United StatesWe are looking for a Drive Unit Test Supervisor to oversee test operators utilizing various equipment in department. · Our ideal candidate exhibits a can-do attitude and approaches their work with vigor and determination. Candidates should have demonstrated the ability to learn q ...
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RN Unit Supervisor
3 weeks ago
Morris Park Rehabilitation & Nursing Center The Bronx, NY, United StatesMorris Park Rehabilitation & Nursing Center - Job Description · Job Description · Job Summary · We are seeking a RN Unit Supervisor · Hours: 1130pm - 730am · Days: Monday - Friday · About our Company: · Morris Park Nursing Home is a family owned and operated company since 1971. W ...
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City of New York Queens, United States Full timeIn order to be considered for this position candidate must be serving permanently in the Management Auditor title, or must be reachable on the Open Competitive Management Auditor list, Exam # , or be eligible under the 55a program. · As part of the Vision Zero, the Automated Enf ...
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SUNY Downstate Medical Center Brooklyn, NY, United StatesThe Department of Nursing at SUNY Downstate Health Sciences University is seeking a full-time Registered Nurse Supervisor 1, NS 26 Coronary Care Unit (Nights). The successful candidate will: Plan, direct, and supervise nursing services on an assigned Registered Nurse, Registered, ...
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RN MedSurg Unit Supervisor
3 weeks ago
Williamsbridge Center Morris Park, United States Full timeWilliamsbridge Center is hiring a Registered Nurse (RN) Unit Manager in Bronx, NY. · We are currently offering a $10,000 sign-on bonus · Duties: Handle all supervisory duties for assigned unit · Help establish and implement employee policies and procedures · Mentor less exper ...
Pre-Authorization RN Unit Supervisor - New York, United States - MJHS
Description
Req #: 1454 Job ID: 13047Job Location:
New York, NY
Zip Code: 10040 Category: Management - Clinical Agency:
Elderplan Status:
Regular Full-
Time Office:
Salary: $101, $126,879.27 per year The 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 on their own termsWhy work for MJHS?: When you work with us you will receive comprehensive and affordable health and financial benefits, in addition to generous paid vacation, personal and holiday time that you won't find at our competitors.
Do you receive a paid day off for your birthday now? No? You will here You will also receive the training, tuition assistance and career development you desire to help you achieve your career goals.
You take care of our patients, residents and health plan members, and we will take care of the restBenefits include:Tuition Reimbursement for all full and part-time staff Generous paid time off Affordable medical, dental and vision coverage for employee and family members Two retirement plans 403(b)
AND Employer Paid Pension Flexible spending And MORE MJHS companies are qualified employers under the Federal Government's Paid Student Loan Forgiveness Program (PSLF) Responsibilities:
The supervisor in this position is responsible for the oversight of the overall day to day functioning of the MLTC/DSNP pre-authorization functions.
The supervisor's daily oversight includes reviewing data to monitor regulatory requirements (standard/expedited time frames, org determination outcomes and communication, inter-rater reliability), provides direction for complex cases, monitors pending cases, reviews and educates staff on new criteria trends (including InterQual, local carrier policy, national coverage determinations), and acts as a liaison with interdepartmental communication.
Qualifications:
Graduate of an accredited nursing program: baccalaureate degree preferred.
Minimum one to three years' previous management experience preferred.
Previous managed care experience in the areas of utilization management and/or case management preferred.
Minimum one year nursing practice in clinical settings, i.e. hospital, nursing facility or home health.
Licensed to practice as a Registured Nurse in the state of New York with current registration.
CCM preferredKnowledge of InterQual preferred.
Knowledge of Federal and State regulatory requirements for managed care.
Pre-Authorization RN Unit Supervisor professionals in New York City
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Jean Duciau
Mortgage Underwriter