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502 Jobs
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.
Utilization Management Intern
MetroPlus Health PlanNew York, NY
Category: Utilization Review and Case Management
Intern
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 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.
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
2 Ways to Formally Accept an Offer

Accepting a job offer can be really exciting and a huge sigh of relief! Although formally accepting an offer may seem like a simple task, it requires a little more thought and effort than you may have originally believed. Here is everything you need to know about how to accept a job offer in the correct and professional way. 

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
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 PlanBrooklyn, NY
Oversee utilization review activities and ensures cases are reviewed timely meeting NYS DOH and CMS regulatory standards.
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.
jobsearcher.com/blog
28 Easy Online Jobs for Teens

If you’re a teen looking to make extra money, an online job is the perfect way to do it. There are tons of online jobs for teens. When you work online, you cut out time-consuming commutes, so you can make money and still have plenty of time for schoolwork and hanging out with friends. 

Utilization Management Claims Coordinator
MetroPlus Health PlanNew York, NY
Category: Utilization Review and Case Management
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
Lead Utilization Analyst
MetroPlus Health PlanNew York, NY
This role will focus on utilization, performance, and efficacy of various health services, including MLTC, Behavioral Health, HIV/SNP, Integrated Case Management, and Utilization Management.
Utilization Review 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.
jobsearcher.com/blog
The 5 Most Insightful Types of Questions to Ask Interviewers

An ideal interview is one in which there is a productive exchange between the interviewer and the candidate. Hence it is normal and expected for you to have some questions to ask interviewers. The interviewer usually opens the floor for this after they are done asking the major questions they have prepared. Many prospective candidates get so lost in selling themselves as the appropriate candidate for the job that they forget to prepare questions for the interviewer.

Utilization Care Manager
MetroPlus Health PlanBrooklyn, NY
Job Description 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 jobs Company: metroplus health plan in Brooklyn, NY

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