Utilization Review Manager jobs in Albany, NY

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Medical Coding Specialist - East Coast
Landmark Health - 9 reviews - Latham, NY 12110
2+ year experience coding ICD.9/ICD.10 for HCC utilization. Retrospective review of records and coded data for audit....
RN-Utilization Management
Minimum of 2 years utilization management experience required. Conduct continued stay review evaluating the medical necessity, appropriateness and efficient use...
SUPERVISOR HOME HEALTH/HOSPICE
Knowledge of utilization management, principles, HCFA guidelines, home healthcare, skilled nursing, facility/long term care and durable medical equipment is...

Utilization Management Nurse Consultant

Aetna - 2,289 reviews - Albany, NY
Clinical claim review and coding/1-3 Years. Applying clinical expertise to assure appropriate benefit utilization....

Case Manager - Project Host

St Catherines Center For Children - Albany, NY 12203 (Campus Area-University District area)
Utilization of community services. Conducts and completes documentation for intake/assessment process, initial (5 Day) assessment, and quarterly/biweekly...

Utilization Management Nurse Consultant (RN)- Registered Nur...

Aetna - 2,289 reviews - Albany, NY
Applying clinical expertise to assure appropriate benefit utilization. Click here to review the benefits associated with this position....

Highway Safety Equipment Technical Supervisor

Criminal Justice Services, Division of - Albany, NY
$71,847 - $90,876 a year
The Equal Employment Opportunity Utilization Report is also available for review by contacting Sandra van Kampen....

Case Manager - Project Host

St. Catherine’s Center for Children - Albany, NY
Utilization of community services. Conducts and completes documentation for intake/assessment process, initial (5 Day) assessment, and quarterly/biweekly...

Clinical Account Manager

Magellan Health - 381 reviews - Albany, NY 12203 (Campus Area-University District area)
Supports the State Drug Utilization Review Boards and Pharmacy and Therapeutics (P&T) Committee. Plays a key role in various multi-functional projects critical...

Project Manager, Contractor & Supplier Diversity

Empire State Development, NYS - Albany, NY
$47,392 - $49,000 a year
Review and analyze data pertaining to MWBE and SDVOB utilization and commitments; Review Request for Proposals (RFP’s), Request for Qualifications (RFQ’s),...

IT Clinical Application Team Lead

Fidelis Care - 171 reviews - Albany, NY
Review, provide feedback and sign-off on design and requirements documents. The Team Lead position requires hands-on system/application knowledge and subject...

Healthcare Data Analyst (DPDM) - Item 1206

PCG Staffing Solutions Organization LLC - Albany, NY
Provide technical assistance to Managers in the Health Home program and Office of Quality and Patient Safety to determine methods to collect and review data...
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Program Director

Healogics - 100 reviews - Albany, NY
Responsible for cost management through appropriate utilization and management of labor and supply utilization....
Director of Rehab PT
Genesis Rehab Services - 189 reviews - Pittsfield, MA 01201
Completes monthly reports and formally reviews them with the facility administration. Reviews monthly department and individual therapist outcomes and supports...
Guest Experience Manager Bellmore New York
Prepare performance reviews. Ensure appropriate utilization of spa and salon staff. Review bookings, including bridal and VIP to ensure appointments are booked...

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