Anticipated End Date:2026-10-31 Position Title:LTSS Service Coordinator - RN Telehealth Job Description: LTSS Service Coordinator - RN Telehealth Candidate must reside in the tri-state area (NY, NJ, or CT). Virtual: This role enables associates to work virtually full-time,
Anticipated End Date:2026-10-31 Position Title:LTSS Service Coordinator - Community RN (UAS) Job Description: LTSS Service Coordinator- RN Clinician The candidate should reside in Brooklyn, Queens, Manhattan, West Chester, NY. Location: This field-based role enables associates to primarily operate
Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a members benefit coverage. Provides recommendations to the appropriate medical team
Job DetailsJob Location: Long Island City Residential - Long Island City, NY 11106Position Type: Part TimeEducation Level: License/CertificationSalary Range: $41.15 - $61.73 HourlyTravel Percentage: Up to 50% Job Shift: FloaterJob Category: NurseSUMMARYAre you ready to join
ROLE SUMMARY Everything we do, every day, is in line with an unwavering commitment to the quality and the delivery of safe and effective products to patients.Our science and risk-based compliant quality culture is innovative andcustomer
ROLE SUMMARY Everything we do, every day, is in line with an unwavering commitment to the quality and the delivery of safe and effective products to patients.Our science and risk-based compliant quality culture is innovative andcustomer
ROLE SUMMARY Everything we do, every day, is in line with an unwavering commitment to the quality and the delivery of safe and effective products to patients. Our science and risk-based compliant quality culture is innovative
ROLE SUMMARY Everything we do, every day, is in line with an unwavering commitment to the quality and the delivery of safe and effective products to patients.Our science and risk-based compliant quality culture is innovative andcustomer
The Case Manager, Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review, discharge planning, and case management as assigned. The Case Manager, Utilization Management is also responsible for efficient utilization of
ROLE SUMMARY Everything we do, every day, is in line with an unwavering commitment to the quality and the delivery of safe and effective products to patients.Our science and risk-based compliant quality culture is innovative andcustomer
Position Summary: The Manager of Utilization Management provides daily oversight for Case Management teams (which includes RN’s, Social Workers, and Coordinators). The Manager of Utilization Management is responsible for ensuring high quality, cost-effective, and appropriate allocation of
The Senior Manager, Clinical Utilization Management (UM) Operations provides strategic and operational leadership for UM activities, with a key focus on advancing UM modernization and transformation. This role partners closely with the Vice President, internal UM