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Utilization Manager
1 week ago
LESC New York, United States:MAJOR DUTIES: · In concert with the agency's mission and goal of sustaining high quality care/service delivery to persons served, the Utilization Manager works to assist CASAC Counselors and supervisory staff as needed with assuring compliance with external and internal utilizat ...
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Utilization Manager
2 weeks ago
LESC New York, United StatesJob Description · Job DescriptionDescription:MAJOR DUTIES: · In concert with the agency's mission and goal of sustaining high quality care/service delivery to persons served, the Utilization Manager works to assist CASAC Counselors and supervisory staff as needed with assuring co ...
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Utilization Manager
1 week ago
LESC New York, United States: MAJOR DUTIES: · In concert with the agency's mission and goal of sustaining high quality care/service delivery to persons served, the Utilization Manager works to assist CASAC Counselors and supervisory staff as needed with assuring compliance with external and internal utiliz ...
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Utilization Manager
2 days ago
LESC New York, United States: · MAJOR DUTIES: · In concert with the agency's mission and goal of sustaining high quality care/service delivery to persons served, the Utilization Manager works to assist CASAC Counselors and supervisory staff as needed with assuring compliance with external and internal utili ...
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Utilization Manager
4 days ago
LESC New York, United StatesJob Description · Description: · MAJOR DUTIES: · In concert with the agency's mission and goal of sustaining high quality care/service delivery to persons served, the Utilization Manager works to assist CASAC Counselors and supervisory staff as needed with assuring compliance wit ...
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Utilization Manager
2 weeks ago
LESC New York, NY, US, United States:MAJOR DUTIES: · In concert with the agency's mission and goal of sustaining high quality care/service delivery to persons served, the Utilization Manager works to assist CASAC Counselors and supervisory staff as needed with assuring compliance with external and internal utilizat ...
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Utilization Review Manager
4 weeks ago
Tandym Group New York, United StatesA 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 o ...
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Manager, Utilization Management
2 days ago
UnitedHealth Group New York, United StatesCreates and upholds policies and procedures for coverage determinations. Serves as subject matter expert for Medicare coverage determinations. Writes and maintains department job aids. Utilizes data for staffing optimization and streamlining workflow. ...
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Director of Utilization Management
1 week ago
Village Care New York, United StatesJob Description · Job DescriptionExciting Opportunity for experienced RN Utilization Management Leaders As a Full Time Director of Utilization Management at VillageCare, you will have the unique opportunity to showcase your expertise in driving operational efficiency and ensuring ...
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Water Utilities Manager
2 weeks ago
Shepherd Engineering Search New York, United StatesWere excited to announce a new opportunity for a Water Utilities Manager in Northern Colorado. · The Water Utilities Manager will play a pivotal role in the strategic management of the Water Division. · Responsibilities will span various areas including water resource planning, ...
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Utilization Manager
1 week ago
LESC New York, NY, US, United States:MAJOR DUTIES: · In concert with the agency's mission and goal of sustaining high quality care/service delivery to persons served, the Utilization Manager works to assist CASAC Counselors and supervisory staff as needed with assuring compliance with external and internal utilizat ...
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Utilization Manager
1 week ago
Lower Eastside Service Center New York, United StatesJob Type · Full-time · Description · MAJOR DUTIES: · In concert with the agency's mission and goal of sustaining high quality care/service delivery to persons served, the Utilization Manager works to assist CASAC Counselors and supervisory staff as needed with assuring complia ...
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Utilization Manager
6 days ago
LESC New York, United StatesJob Description · Job DescriptionDescription:MAJOR DUTIES: · In concert with the agency's mission and goal of sustaining high quality care/service delivery to persons served, the Utilization Manager works to assist CASAC Counselors and supervisory staff as needed with assuring co ...
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Utilization Manager
5 days ago
LESC New York, NY, United States Full time: MAJOR DUTIES: · In concert with the agency's mission and goal of sustaining high quality care/service delivery to persons served, the Utilization Manager works to assist CASAC Counselors and supervisory staff as needed with assuring compliance with external and internal utili ...
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Utilization Manager
2 weeks ago
LESC New York, NY, United States Full time: MAJOR DUTIES: · In concert with the agency's mission and goal of sustaining high quality care/service delivery to persons served, the Utilization Manager works to assist CASAC Counselors and supervisory staff as needed with assuring compliance with external and internal utili ...
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Utilization Manager
6 days ago
LESC New York, United States Full timeDescription:MAJOR DUTIES: · In concert with the agency's mission and goal of sustaining high quality care/service delivery to persons served, the Utilization Manager works to assist CASAC Counselors and supervisory staff as needed with assuring compliance with external and intern ...
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Medical Director of Utilization Management
1 week ago
VillageCare New York, United States Part timeJoin VillageCare as a Part-Time Medical Director and be part of a team that values excellence and integrity in healthcare. This exciting opportunity offers hybrid flexibility of working from home, making it an ideal position for a skilled Physician seeking a perfect work-life bal ...
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Customer Success Utilization Manager
3 weeks ago
Karl Storz Endoscopy-America New York, United StatesThe Customer Success Utilization Manager plays a critical role in managing overall success, effectiveness, and adoption of the technologies installed (hardware and software of Operation Room/ Video installation projects) within their respective regio Manager, Project Management, ...
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Medical Director of Utilization Management
1 week ago
Village Care New York, United States Part timeJob Description · Job DescriptionJoin VillageCare as a Part-Time Medical Director and be part of a team that values excellence and integrity in healthcare. This exciting opportunity offers hybrid flexibility of working from home, making it an ideal position for a skilled Physicia ...
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Water Utilities Manager
4 weeks ago
Shepherd Engineering Search New York, United StatesWe're excited to announce a new opportunity for a Water Utilities Manager in Northern Colorado. · The Water Utilities Manager will play a pivotal role in the strategic management of the Water Division. · Responsibilities will span various areas including water resource planning, ...
rn, utilization management - , NY, United States - University of Rochester
Description
OpeningFull Time 40 hours Range URCB 213 Utilization Management
Schedule
8 AM-4:30 PM; WKNDS AS NEEDED
Responsibilities
General Description:
The Utilization Management Nurse role is a unique and exciting opportunity that blends the knowledge of nursing and the business aspects of the healthcare system.
The position spans the entire healthcare system working collaboratively with Health Information Management, Financial Counselors, Patient Financial Services, Physicians, Social Work, patients, and various insurance companies.
The UM RN is responsible for the review of clinical documentation utilizing evidence-based criteria to support medical necessity and appropriate level of patient care for services provided.
The UM RN is also responsible for reviewing outcome trends and patterns to identify educational opportunities and performance improvement processes across the healthcare continuum.
In addition, the UM RN is responsible for auditing the quality of clinical documentation and providing education based on findings.
The role requires strong communication skills and critical thinking skills. Primarily Monday through Friday with occasional off-shift and weekend commitments depending on the needs of the department. The majority of work is remote with some on-site requirements as needed.Qualifications:
RN with Utilization Review experience preferred; 3-5 years of recent acute hospital experience preferred.
The University of Rochester is committed to fostering, cultivating, and preserving a culture of equity, diversity, and inclusion to advance the University's mission to Learn, Discover, Heal, Create - and Make the World Ever Better.
In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion/creed, sex, sexual orientation, citizenship status, or any other status protected by law.
This commitment extends to the administration of our policies, admissions, employment, access, and recruitment of candidates from underrepresented populations, veterans, and persons with disabilities consistent with these values and government contractor Affirmative Action obligations.
How To ApplyAll applicants must apply online.
EOE Minorities/Females/Protected Veterans/Disabled
Pay Range
Pay Range:
$68,640 - $89,232 Annually
The referenced pay range represents the minimum and maximum compensation for this job.
Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.