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Care Manager - Utilization Management

Posted By:
Ashleigh Caplan
Posting ID:
Metropolitan New York Area
Category:Medical / Health
Listing Type:Job

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Seeking Experienced Care Manager – Utilization Management. Apply today!

Our client is a pre-paid health care services plan comprised of a network of government-sponsored health care agencies and programs, as well as participating providers, serving New York City and surrounding metropolitan areas. With an expansive and all-inclusive community of general and specialty health care providers, just about everyone who qualifies for government-sponsored health care can gain access to the vast array of low- to no-cost services offered. Currently, they seek a professional who enjoys making a significant impact on the success of an organization.

Care Manager - Utilization Management
Metropolitan New York Area
The Care Manager spearheads both simple and complex medical cases to achieve high-quality patient care outcomes and minimize unnecessary medical expenses through the coordination of services, both inpatient and outpatient. This position assists the provider in directing care to the most appropriate setting, evaluating alternative care plans, and assessing outcomes through outreach to the members.
Qualified candidates will hold an Associate or Bachelor of Science degree in Nursing and possess three or more years of clinical managed care experience. Candidates must have experience and ability with utilization reviews; integral experience is a plus! Current New York State licensure as a Registered Nurse is preferred, but not necessary. In addition to being tech minded, this individual should have outstanding communication skills and be able to build and maintain strong relationships with vendors, other departments, members, and more.
In addition to a tremendous career opportunity, our client provides generous employee benefits, including full state benefits, a 401(k) plan, a pension plan, and 11 to 12 paid holidays per year. What’s more, they offer a relaxed work environment and embrace diversity (75 languages are spoken). Best of all, those who wish to contribute significantly to our client’s success will be highly welcome!
Looking for an opportunity to make a big difference? Send your resume and letter of interest, for immediate consideration. Be sure to specify “Care Manager - Utilization Management – 36909B” in the subject line.
Our Client is an Equal Opportunity Employer.
RCI Recruitment Solutions is a privately owned firm headquartered in Jupiter, Florida, with operations throughout the United States. For almost 40 years, RCI has provided a wide range of candidate sourcing and related recruitment services. Its proprietary and client-specific solutions encompass a variety of services, including advertising, consulting, media services, and staffing technology.

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