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103 Jobs
MetroPlus Health Plan: Director of Clinical Case Management
MetroPlus Health PlanRego Park, NY
Position Overview Under the supervision of the Senior Director of Behavioral Health/HARP, the Clinical Case Management Director will provide clinical and administrative support for all behavioral health related activities, as well as support and interact with the overall plan's Utilization Management, HARP, Quality Management, Member Services, and Enrollment divisions.
Director of Care Management
MetroPlus Health PlanNew York, NY
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, Network Relations, Medicare Services, Information Systems, Finance, Claims, and Member Services and Eligibility.
Full-time
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.
Care Manager
MetroPlus Health PlanNew York, NY
The Care Manager under the direction of the Director of the Department of Utilization Management, is primarily responsible for managing both simple and complex medical cases to achieve high-quality patient care outcomes and minimize unnecessary medical expenses, through the coordination of services, both outpatient and inpatient.
MetroPlus Health Plan: Director of Clinical Case Management
MetroPlus Health PlanWhitestone, NY
Position Overview Under the supervision of the Senior Director of Behavioral Health/HARP, the Clinical Case Management Director will provide clinical and administrative support for all behavioral health related activities, as well as support and interact with the overall plan's Utilization Management, HARP, Quality Management, Member Services, and Enrollment divisions.
Health & Wellness Advisor I
Metroplus Health Plan IncNew York, NY
As needed, participates in Interdisciplinary Care Team (ICT) phone meetings to coordinate member's care Provides care coordination that reduces avoidable utilization, increases member satisfaction and retention, and reduces gaps in care Assists all MetroPlus departments with resolution of related member retention, utilization management, quality management, customer service, and provider relations concerns.
Director of Care Management (PIC)
MetroPlus Health PlanNew York, NY
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, Network Relations, Medicare Services, Information Systems, Finance, Claims, and Member Services and Eligibility.
jobsearcher.com/blog
How to Get a Union Job? A Step-by-Step Guide

A union job can significantly impact your job security, pay, and employment benefits. Whether this is your first job or you have years of experience, a union job can offer much-needed protection in a labor market where employees are hired and fired at will. 

MetroPlus Health Plan: Director of Clinical Case Management (Mount Vernon)
MetroPlus Health PlanMt Vernon, NY
Position Overview Under the supervision of the Senior Director of Behavioral Health/HARP, the Clinical Case Management Director will provide clinical and administrative support for all behavioral health related activities, as well as support and interact with the overall plan's Utilization Management, HARP, Quality Management, Member Services, and Enrollment divisions.
MetroPlus Health Plan: Director of Clinical Case Management
MetroPlus Health PlanBellmore, NY
Position Overview Under the supervision of the Senior Director of Behavioral Health/HARP, the Clinical Case Management Director will provide clinical and administrative support for all behavioral health related activities, as well as support and interact with the overall plan's Utilization Management, HARP, Quality Management, Member Services, and Enrollment divisions.
MetroPlus Health Plan: Insurance Examiner
MetroPlus Health PlanNew York, NY
E. Member Service, DST BPO and Utilization Management)Manage and ensure appropriate follow-up and closure for all inquiries.
Home Care Services Manager
MetroPlus Health PlanNew York, NY
That includes, but not limited to their disease management physical and behavioral, medication adherence, and utilization of emergency services, hospitalizations and avoidable complications.
jobsearcher.com/blog
How to Write a Statement of Interest the Best Way

Your life's goal is to work for Company A. Their brand, their product, their reputation—it's safe to say you're a fan. The only problem is that their careers page never highlights the role that matches your skills and experience. It's a bummer for sure, but don't fret.

MetroPlus Health Plan: Director of Clinical Case Management
MetroPlus Health PlanMaspeth, NY
Position Overview Under the supervision of the Senior Director of Behavioral Health/HARP, the Clinical Case Management Director will provide clinical and administrative support for all behavioral health related activities, as well as support and interact with the overall plan's Utilization Management, HARP, Quality Management, Member Services, and Enrollment divisions.
MetroPlus Health Plan: Director of Clinical Case Management
MetroPlus Health PlanRidgewood, NY
Position Overview Under the supervision of the Senior Director of Behavioral Health/HARP, the Clinical Case Management Director will provide clinical and administrative support for all behavioral health related activities, as well as support and interact with the overall plan's Utilization Management, HARP, Quality Management, Member Services, and Enrollment divisions.
MetroPlus Health Plan: Director of Clinical Case Management
MetroPlus Health PlanQueens Village, NY
Position Overview Under the supervision of the Senior Director of Behavioral Health/HARP, the Clinical Case Management Director will provide clinical and administrative support for all behavioral health related activities, as well as support and interact with the overall plan's Utilization Management, HARP, Quality Management, Member Services, and Enrollment divisions.
MetroPlus Health Plan: Director of Care Management
MetroPlus Health PlanNew York, NY
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, Network Relations, Medicare Services, Information Systems, Finance, Claims, and Member Services and Eligibility.
jobsearcher.com/blog
How to Decide Between Two Job Offers: 10 Practical Tips

It’s arguably a good predicament to have. You’ve applied to many jobs, interviewed multiple times, and now find yourself with two legit job offers. Nice! But although this is a feel-good validation of everything you have to offer, a daunting choice lies ahead. How do you decide which job will be the best fit for you?

MetroPlus Health Plan: Director of Clinical Case Management
MetroPlus Health PlanRichmond Hill, NY
Position Overview Under the supervision of the Senior Director of Behavioral Health/HARP, the Clinical Case Management Director will provide clinical and administrative support for all behavioral health related activities, as well as support and interact with the overall plan's Utilization Management, HARP, Quality Management, Member Services, and Enrollment divisions.

utilization management member services jobs Company: metroplus health plan in Brooklyn, NY

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