for direct oversight and management of clinical review processes within Appeals & Grievances Department. Ensures regulatory...Manager, A&G Clinical Review – Hybrid Salary: $115k – $140k Location: Manhattan, NY Responsibilities: Responsible...
to $105,500+ The Utilization Management Nurse Care Manager under the direction of the Vice President of Clinical Services, is primarily...-5 years’ clinical experience in an acute or applicable care setting. UM/UR experience in managed care or hospital...
responsible for management and end to end processing of clinical appeals, grievances and quality of care concerns that conforms... plus years’ experience in managed care including appeals and grievance and/or compliance 2 years’ prior supervisory...