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Qualified candidates will have prior LTSS or Medicare Inpatient Utilization Management experience within a Managed Care setting, LTSS, MLTC MAP, will have a NYS Registered Nurse License , familiar with MCG/Milliman/Interqual Guidlines and a desire to join a great team.
$102,000 - $107,000 a yearFull-timeRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Collaborate with other organizational departments responsible for functional aspects of the HIV Special Needs Plan, including, but not limited to Integrated Care Management, Behavioral Health, Managed Long-Term Care, Utilization Management, Quality Management, Credentialing, Regulatory Affairs, Compliance, Corporate Affairs, Provider Network Operations, Medicare Services, Information Systems, Finance, Claims, and Member Services and Eligibility.
$150,000 - $157,236 a yearFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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This role may also support our solid waste management, environmental services, geotechnical engineering, oil and gas, water resources, and construction administration practice areas. This role will support a wide range of projects related to our Renewable Energy practice area in the areas of erosion and sediment control design, stormwater management design, and land development engineering.
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Each Staff Attorney participates in various legal program functions, including: (1) initial intake and in-depth evaluation of cases for representation; (2) participation at community legal clinics; (3) information and pro se services at the immigration courts; and (4) direct representation of NYC based clients, including adults, unaccompanied minors, and adults with children (AWC) in removal proceedings.
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Oversee and occasionally direct audio production; talent casting, sound design, music development, and in-studio sessions. Lead and maintain strong design direction while collaborating across multidisciplinary teams - Visual Experience Design, Physical / Exhibit Design, Content, Project Management/Producers, and Creative Technology.
$100,000 - $130,000 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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The Department of Risk Management at SUNY Downstate Health Sciences University is seeking a full-time Risk Management Coordinator / TH Utilization Review and Quality Assurance Senior Coordinator.
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Your field duties will include the following: supervision and performance of construction quality assurance and construction quality control activities in several states, including the construction of landfill components and other environmental control systems; collaboration and coordination with senior staff and management and direction of support staff.
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Our staff demonstrates competencies in OPWDD, OCFS, DOHMH, and DHS core training requirements with strengths in positive behavior support, Strategies in Crisis Intervention and Prevention – Revised (SCIP-R), medical support, and effective supervision of the individuals they serve.
Starting at $16 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Position Overview: Reporting to VP, Executive Director of Commercial & Industrial, the VP, Portfolio Management is responsible for managing the oversight, development, and direct management of real assets located within the Borough of Staten Island that includes assets such as Empire Outlets, Staten Island Stadium, the Lighthouse Museum, Lighthouse Point, St. George Ferry Terminal, Teleport and various others.
$120,000 - $125,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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For activities of professional and non-professional staff in delivering a health therapy program and support services including physical, occupational, inhalation specialties, radiological, laboratory, emergency, ambulatory care services, medical utilization review and quality assurance.
$64,171Full-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Transit Management Analyst Trainee OA: $54,146 (Flat Rate; Represented by TWU) Transit Management Analyst Trainee TA: $52,037 (Flat Rate Non-Represented) Transit Management Analyst Trainee.
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Keywords: Direct service professional, counselor, residential counselor, direct care counselor, habilitation specialist, human services, social services, social worker, case manager, health services, developmental disabilities, mental health behavioral health, OPWDD, OMRDD.
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A master’s degree from an accredited college or university in economics, finance, accounting, business or public administration, human resources management, management science, operations research, organizational behavior, industrial psychology, statistics, personnel administration, labor relations, psychology, sociology, human resources development, political science, or urban studies, or a Juris Doctor degree from an accredited law school.
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Cryptography, Kubernetes Security, Web Security, Governance, Privacy, Trust, Safety, Authentication, Identity Management, Access Control, Key Management, Inter-Service Authentication, Secure Application Frameworks, Detection & Response.
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The Columbia University, Robert N Butler Columbia Aging Center is seeking a full-time Staff Associate II (Biostatistician) to aid in statistical analysis and day-to-day data management associated with multiple concurrent research projects of the Aiello Research Group.
$60,000 - $80,000ExpandApply NowActive JobUpdated Today
utilization management direct staff jobs Company: Metroplus Health Plan in Brooklyn, NY
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