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Utilization Management Manager
MetroPlus Health PlanNew York, NY
Performs care management including hospital admission certification, continued stay review, discharge planning, out-patient and ancillary services review, etc., following established MetroPlus Utilization Management policies, procedures and protocols.
Utilization Management Coordinator
MetroPlus Health PlanNew York, NY
This is position is classified as a managerial title, in addition to a variety options for Health Benefits through MetroPlus, managerial employees receive vision, dental, gym reimbursement and life insurance benefits through the Management Benefits fund of the City of New York. Please view the benefits page for more detailed information.
jobsearcher.com/articlesUtilization Management Job Description
To do so, OptumCare provides administrative and business support services to both owned and affiliated medical practices which are part of OptumCare.
This is a new position in our Northwest Network, it will have split Care Management and UR duties.
Utilization Management Manager
MetroPlus Health PlanNew York, NY
Performs care management including hospital admission certification, continued stay review, discharge planning, out-patient and ancillary services review, etc., following established MetroPlus Utilization Management policies, procedures and protocols.
Utilization Management Intern
MetroPlus Health PlanNew York, NY
Category: Utilization Review and Case Management
Intern
Medical Director - Utilization Management
MetroPlus Health PlanYonkers, NY
A minimum of two years’ experience in a managed care setting, in particular utilization management
Full-time
Medical Director - Utilization Management
Metroplus Health PlanNew York, NY
Position OverviewThe Medical Director is responsible for assisting in ensuring appropriate health care utilization management (UM).
$200 - $250 Full-time
jobsearcher.com/blog
Management Job Titles: Which One Fits You?

We all know what managers do because we’ve all worked under at least one (if not many) over the course of our careers. And, boy, can they impact our lives – both at the office and personally. On one hand, a bad manager can torpedo morale and even drive us to seek a new job. Someone who is good at managing others, on the other hand, will inspire and motivate us. In the same way, managers – good and bad - directly impact our happiness at work (and in life). 

Medical Director - Utilization Management
Metroplus Health PlanGrand Central, NY
Position OverviewThe Medical Director is responsible for assisting in ensuring appropriate health care utilization management (UM).
Utilization Management Team Leader
MetroPlus Health PlanLarue, TX
Oversee utilization review activities and ensures cases are reviewed timely meeting NYS DOH and CMS regulatory standards.
Medical Director - Utilization Management
Metroplus Health PlanNew York, IA
A minimum of three years clinical experience A minimum of two years experience in a managed care setting, in particular utilization management Licensure and/or Certification Required Valid and current license to practice medicine in the state of New York. Board Eligible/Certification Professional Competencies Integrity and Trust Customer Focus Functional/Technical Skills Written/Oral Communications
Utilization Management Team Leader
MetroPlus Health PlanNew York, NY
Oversee utilization review activities and ensures cases are reviewed timely meeting NYS DOH and CMS regulatory standards.
$100,000 - $118,896 Full-time
jobsearcher.com/blog
How to Drive Business Growth through Data Driven Decision Making

COVID-19 and the uncertainty that came with it has stress-tested millions of businesses in the past two years. While experience and industry knowledge are important in decision-making, they often fall short in times of crisis when existing rules no longer apply. This has pushed many to look at data driven decision making as a way to reduce risk and achieve business objectives.

Director of Utilization Management
MetroPlus Health PlanNew York, NY
Provide day to day oversight of Team Leader activities to ensure utilization review activities are conducted timely meeting NYS DOH and CMS regulatory standards.
Utilization Management Team Leader
MetroPlus Health PlanBrooklyn, NY
Oversee utilization review activities and ensures cases are reviewed timely meeting NYS DOH and CMS regulatory standards.
Utilization Management Claims Coordinator
MetroPlus Health PlanNew York, NY
Category: Utilization Review and Case Management
Director of Utilization Management
Metroplus Health Plan IncRussell, IA
Provide day to day oversight of Team Leader activities to ensure utilization review activities are conducted timely meeting NYS DOH and CMS regulatory standards.
jobsearcher.com/blog
The Easy 2021 Guide to How to Make A Resume

When you apply for a job, your resume will be the first impression an employer gets of you, and we all know how important it is to make a great first impression!

Director of Utilization Management Appeals
MetroPlus Health PlanNew York, NY
Provide day to day oversight of the appeals team activities to ensure utilization review activities are conducted timely meeting NYS DOH and CMS regulatory standards.
Full-time

utilization management jobs Company: metroplus health plan

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