Utilization Manager - Queens, NY

+Asiste a CASAC Counselors y supervisory staff en asegurarse de que se cumplan los requisitos de revisión y calificación. · +Conduce revisiones programadas/requeridas para sitios de servicios residenciales. · ...

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 ...

Assists CASAC Counselors and supervisory staff with assuring compliance with external and internal utilization review/quality and appropriateness requirements. · ...

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 ...

We are one of the leading human services organizations in New York City and the largest Hispanic-led nonprofit in the State, serving over 150,000 individuals every year. · ...

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. · ...

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 ...

Healthcare staff can work anywhere….The BEST work with US · ...

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 ...

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 ...

The Utilization Management Professional will gather and synthesize clinical information to authorize services. They will review health care services to determine consistency with contract requirements, coverage policies and evidence-based medical necessity criteria; collect and a ...

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 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 ...

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 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 ...

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 ...

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

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 ...