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By leading market level projects and strategies for provider engagement, this position will drive optimal performance on quality, risk adjustment, utilization management, financial performance, and membership growth.
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Conduct needs assessment utilizing the UAS-NY/DOH tool to determine members' qualification for Long Term Care services. Comply with NY State DOH guidelines on completion and timely finalization of all UAS assessments.
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The Team Leader organizes and supervises the work of the case managers assigned to his/her team. Job Summary:The Team Leaders is a mental health professional who reports directly to the Shelter Director of Social Services.
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The Control & Risk Assessment Leader will need to build a network of multi-departmental and multi-level stakeholders inclusive of, but not limited to Information Security, Client and Enterprise Technology, Data Protection, Global and Enterprise Risk Management, Internal Audit, Area and Regional Risk & Data teams, Service Line Quality Leaders, etc.
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The candidate for the Collateral Associate position must exhibit a strong understanding of Collateral Management Operations and its application to the CFTC and SEC bilateral Non-Cleared Swap transactions by carrying out Jefferies Policy and Procedures while applying ISDA best practices.
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The Control & Risk Assessment Leader is responsible for building a team of experienced professionals to assist in executing the strategic vision and objectives of the Control & Risk Assessment testing and assessment program.
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The Franklin Templeton US Product & Specialty Sales team is seeking an exceptional candidate to join the team as a Product Strategy Senior Associate. Our dynamic and diversified firm spans asset management, wealth management, and fintech, offering many ways to help investors make progress toward their goals.
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The Academy Leader will serve as a member of the High School Leadership Team and assist the Principal in managing student culture and teacher development. At least 1 year of secondary school leadership experience with direct people management (e.g., Dean of Students, Assistant Principal, Dean of Culture.
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Provide expert guidance and training to stakeholders on insider risk management best practices and the utilization of Proofpoint ObserveIT. Stay abreast of the latest insider risk trends, technologies, and regulatory changes to continuously enhance the institution's insider risk posture.
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Familiarity with utilization management/case management. The position requires excellent communication and organizational skills to facilitate superior care management and to act as a liaison between the members, the care management team, and the vendors.
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Ensure compliance with all required clearances per regulatory requirements – including but not limited to fingerprints, SCR, DOH, DOE, DCJS, OMH, OCA, Exclusion List Vendor, LENS DMV, TB screening, health assessment, employment & education verifications, references, etc.
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A Recreation Therapist (Art) would analyze and report behavioral patterns to a team leader or other supervisor, verbally or in medical records. Duties Description A Recreation Therapist (Art) would plan and conduct activities for adult, children, and adolescent client/patient groups, working individually or as a member of a treatment team or treatment program.
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Promote and provide recommendations on Engagement / Statement of Work (SOW) in alignment to the IT Vendor Management Strategy levers such as consolidation, and co-terming, or transformation to out-come based models, with supporting analysis.
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Position Overview Under the direction of the Senior Director of Integrated Case Management or Designee, the Medicare Care Manager Team Lead manages day to day activities of the case management team (Case Managers and Case Management Associates) to ensure quality outcomes (i.e., reduction in emergency room visits and hospital admissions, improved member satisfaction) and cost effectiveness.
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The Senior Management Consultant will support the Senior Director with management of the overall budget and fiscal matters related to T2. in management analysis or in operational direction, planning, coordination or control.
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utilization management doh team leader jobs Company: Metroplus Health Plan in Staten Island, NY
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