with Utilization Management (UM) preferred. General knowledge of UM and Managed Care is desirable. Familiarity with InterQual...We are seeking a Utilization Review Nurse (LVN/RN) with strong clinical judgment to join our team at a Managed Care...
and judgment to the utilization management/care management activities Be responsible for day to day work with patients related... would be able to: Plan and conduct intervention opportunity evaluations, respond to urgent alerts and remote patient monitoring...
and Long Term Disability Insurance This is a full-time role based in anywhere in the US remote One Medical is committed... you to join our team of dedicated professionals. Together, we will shape the future of population health management and make a positive...
and effective use of Tablo. The Clinical Specialist will be responsible for driving treatment utilization through... physicians and increasing utilization in current accounts. Drive change in current accounts using clinical expertise and the...
Join VillageCare as a Full-Time Manager, Value Based Payment (VBP) and immerse yourself in an innovative environment... of a fully remote role that encourages a high-performance culture and empowers you to solve real-world problems in health care...
Join VillageCare as a Full-Time Manager, Value Based Payment (VBP) and immerse yourself in an innovative environment... of a fully remote role that encourages a high-performance culture and empowers you to solve real-world problems in health care...
is responsible for Enterprise Data Management, required to enable data-driven decisions. This includes data management, privacy...(s), including the day-to-day management of time, projects, and responsibilities. Designs and executes data and analytic projects...
to evaluate the competitiveness of our benefits offerings and recommend adjustments as needed. U.S. Benefits Program Management... processes, adhering to IRS and other regulations. Vendor Management Manage relationships with U.S. benefits vendors...
. The Senior Project Manager will demonstrate superior project management skills and oversee the execution of the tactical.... What you'll do: Provide day to day management of projects from initiation through implementation and deployment. Demonstrate...
, and continuous improvement. Stakeholder Management: Collaborates with internal departments, external partners, and other key... provides a full range of benefits. This includes medical, dental, vision, a 401(k) plan, and paid time off. For detailed...
opportunity for a Systems and Network Administrator to join our team working on-site in Midtown Manhattan. This is a full-time... Range: $115,000 - $135,000 based on experience Primary Role and Responsibilities: Network Management: Manage the organizations enterprise...
assurance-related interactions. Compliance & Risk Management: Manage risks related to claims processing quality, including... and fostering a culture of collaboration, innovation, and continuous improvement. Stakeholder Management: Collaborate with internal...
technology integration. Leverage AI and strategic data management to bring ideas to life, all while ensuring effective governance... and project management. New York Life’s AI and Data (AI&D) team within Strategic Capabilities delivers innovative data through...
technology integration. Leverage AI and strategic data management to bring ideas to life, all while ensuring effective governance... and project management. New York Life's AI and Data (AI&D) team within Strategic Capabilities delivers innovative data through...
. Leverage AI and strategic data management to bring ideas to life, all while ensuring effective governance and project... management. New York Life’s AI and Data (AI&D) team within Strategic Capabilities delivers innovative data through the...
. Leverage AI and strategic data management to bring ideas to life, all while ensuring effective governance and project... management. New York Life's AI and Data (AI&D) team within Strategic Capabilities delivers innovative data through the...
transportation. Workplace Flexibility: This position is Hybrid: This position has at least 1 full day remote per week... illnesses, high rates of co-occurring substance use disorders and high utilization of emergency/crisis services. The team...
and Development for continual product improvement Drives implementation process and full utilization of BD instrumented platforms... customer proficiency, efficient utilization, and self-sufficiency Conducts training for BD associates in BD instrumented...
guidelines with preference given to candidates with prior utilization management experience. Knowledge, Skills, Behaviors.... This is a remote, work from home opportunity. Job Summary: In this fully remote position as a Short Stay Nurse Reviewer...
Full-Time (Hybrid) In office 3 days per week required -NYC based Job Summary The Manager, IT Instructional Design... activities are to maximize the utilization, adoption and satisfaction of the EMR and associated technologies. Responsibilities...