Utilization Management Specialist jobs in Bronx, NY

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Documentation Specialist
We have an exciting opportunity to join our team as a Documentation Specialist. To qualify, you must be an RN, Coder, or Healthcare Professional.Bachelors...
Health Systems Specialist-Westchester
Drive utilization of IDD testing within medium to large scale health systems that have multiple delivery channels....
Data Scientist
MetroPlus Health Plan - 64 reviews - New York, NY
$90,000 - $115,000 a year
Strong understanding of Quality, Care and Utilization Management and Measurement reporting. Teamwork is essential as this role requires collaborating with...

Specialist, Long Term Care Utilization Management - Telecomm...

Healthfirst - 658 reviews - New York, NY
The LTC Utilization Management Specialist supports primary care managers by arranging qualified services for their members....

Sr. Pharmacy Specialist (Utilization Management)

EmblemHealth - 399 reviews - New York, NY
Step-Protocol Review, Non-Formulary Review, Subcommittee Management (Meetings/minutes), Drug Reviews, and Updates....

Family Peer Support Specialist

Acacia Network - 68 reviews - Bronx, NY
Excellent time management skills. 5+ years as a Peer Specialist required. Assist in the selection and utilization of self-directed recovery tools such as...

Clinical Process Specialist | RN or LPN | Brooklyn

AccentCare - 180 reviews - New York, NY
Knowledge of Quality Improvement, Utilization Review and Risk Management. Clinical Process Specialist. As a Clinical Process Specialist you will:....

Clinical Nurse Specialist - Wound/Ostomy

NYU Langone Hospitals - 271 reviews - New York, NY
Certification as clinical nurse specialist by a national certification organization in related specialty areaExperience:....

Clinical Nurse Specialist - NYU Transplant Institute

NYU Langone Hospitals - 271 reviews - New York, NY
Practices prudent fiscal management of resources. We have an exciting opportunity to join our team as a Clinical Nurse Specialist....

Retention Specialist

ArchCare - 31 reviews - New York, NY
Effective time management and prioritization skills *. The Retention Specialist contacts members to provide information, education and assistance in utilization...

Manager I MLTC Operations - Pine St., NYC

Anthem, Inc. - 2,234 reviews - New York, NY 10016 (Gramercy area)
Manages resource utilization to ensure appropriate delivery of care to members, adequate coverage for all tasks and job responsibilities....

Project Specialist (SCM Performance Management)

UNOPS - 17 reviews - New York, NY 10174 (Murray Hill area)
The Project Specialist (SCM Performance Management) will perform the following duties:. Fund and management advisory services;...

Project Specialist (SCM Category Management)

UNOPS - 17 reviews - New York, NY 10174 (Murray Hill area)
Management, supply chain management, and/or business process analysis and engineering. The Project Specialist (SCM Category Management) will perform the...
Social Work Program Specialist (Volunteer Partners Program)...
Mount Sinai Health Partners (MSHP) is the management services organization developed to enhance the Health System's implementation of population health...
Health System Specialist - New York City
Drive utilization of IDD testing within medium to large scale health systems that have multiple delivery channels....

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