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Keywords: Clinical Evaluation Manager, Utilization Management, Location: New York City, NY

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RN Care Manager, Medicare

services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical... notification detailing clinical decisions. Coordinates with management, subject matter experts, physicians, member representatives...

Location: New York City, NY
Posted Date: 21 Sep 2025
Salary: $85000 per year

RN Care Manager, Medicare

services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical... notification detailing clinical decisions. Coordinates with management, subject matter experts, physicians, member representatives...

Location: New York City, NY
Posted Date: 21 Sep 2025
Salary: $85000 per year

RN Care Manager, Medicare

services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical... notification detailing clinical decisions. Coordinates with management, subject matter experts, physicians, member representatives...

Location: New York City, NY
Posted Date: 18 Sep 2025
Salary: $85000 per year

RN Care Manager

services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical... notification detailing clinical decisions. Coordinates with management, subject matter experts, physicians, member representatives...

Location: New York City, NY
Posted Date: 13 Sep 2025
Salary: $85000 per year

RN Care Manager, Medicare

services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical... notification detailing clinical decisions. Coordinates with management, subject matter experts, physicians, member representatives...

Location: New York City, NY
Posted Date: 12 Sep 2025
Salary: $85000 per year

RN Care Manager, Medicare

services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical... notification detailing clinical decisions. Coordinates with management, subject matter experts, physicians, member representatives...

Location: New York City, NY
Posted Date: 12 Sep 2025
Salary: $85000 per year

Mental Health Manager, Administration Office

, Occupational Health and Safety, Employee Health, Clinical Quality Management and Improvement, and Worksite Wellness programs.... Position Summary: The Wellness Program has an opening for a Worksite Wellness Mental Health Program Manager who will report...

Posted Date: 09 Aug 2025

Manager Patient Care Services 1- Operating Room - Mount Sinai Brookyn - Fulltime -Day

Job Description: Description The Nurse Manager I is responsible for the management of nursing practice... and operations on a designated unit/service. This includes, but is not limited to, the management of: clinical nursing practice...

Posted Date: 31 Jul 2025
Salary: $104995 - 157492 per year

Wound Ostomy Continence Nurse (RN Support Manager)

on evaluation of clinical outcomes and staff practice patterns. Collaborates with staff to improve clinical outcomes. Provides... covered services and utilization of the Key Provisions of the Affordable Care Act for Children. Collaborates with management...

Location: New York City, NY
Posted Date: 19 Sep 2025
Salary: $98200 per year

Care Manager, Pediatric - Multiple Openings/ REMOTE

utilization of services across the continuum of care. Assist the entire Care Management interdisciplinary team in managing... required, with current active RN license. CCM certification preferred. Certification in utilization or care management preferred...

Company: EmblemHealth
Location: New York City, NY
Posted Date: 07 Sep 2025
Salary: $68040 - 118800 per year

Provider Success Consultant Sr. (Value-Based) - Connecticut or New York

for guiding several priority value-based provider organizations to achieve their targets across quality, utilization of resources... and guidance in quality management, financial performance, value-based incentive programs, and practice operations. Relationship...

Posted Date: 25 Sep 2025
Salary: $99552 - 124440 per year

Lead, Total Population Health - Multiple Openings/REMOTE

Summary of Position Support the integration of care and utilization management to Total Population Health holistic... of utilization, disease and complex care management concepts and effectively apply the concepts to managing members' health care...

Company: EmblemHealth
Location: New York City, NY
Posted Date: 07 Sep 2025
Salary: $77760 - 149040 per year

Pharmacy Resident

Pharmacy resident is responsible for assisting the Clinical pharmacy manager with all aspects of formulary management, care... management and utilization management strategies across all lines of business. The pharmacy resident will be responsible...

Company: Diverse Lynx
Location: New York City, NY
Posted Date: 28 Jul 2025
Salary: $40 - 43 per hour