Clinical Evaluation Manager, Utilization Management - New York

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 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 ...

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'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 ...

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. · ...

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 ...

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

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 ...

Overview · 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 financ ...

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

Clinical Appeals Nurse conducts comprehensive medical necessity reviews using evidence-based guidelines (Milliman or InterQual) and ensures thorough timely accurate documentation in accordance with regulatory payer and organizational standards. · ...

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 ...

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. · Provide strategic direction and leadership to UM leaders and teams executing department functions including p ...

Summary of Position · Support the department's quality of care and cost containment. Provide utilization management as needed to ensure coordination of health care delivery. Conduct medical appropriateness evaluations of acute care hospital admissions, post-acute care requests, a ...

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 ...

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 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. · ...

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 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 ...

Assesses member needs and identifies solutions that promote high quality and cost-effective health care services. · ...