Top 4325 Program Manager Jobs in New York

Transitions of Care Manager
Family Choice of New York —Depew, NY
- $95,000 - $100,000 a year
- Full-time
- CPR Certification
- Nursing
- RN License
- Health savings account
- Health insurance
Quick Apply
Program Manager
Confluence Philanthropy —Manhattan, NY
- $70,000 - $80,000 a year
- Email
- Hybrid work
- Research
- Mid-level
- Office
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Program Management Advisor
Macy’s —New York, NY
- $129,840 - $216,120 a year
- Bachelor's degree
- Conflict management
- Experience equivalent to degree accepted
- Store discount
- Paid holidays
Senior, Program Management
Macy’s —New York, NY
- $155,880 - $259,680 a year
- 8 years
- Bachelor's degree
- Mentoring
- Store discount
- Paid holidays
Wellness Manager - Bronx, NY - Hybrid
WORKCARE INC —Bronx, NY
- $75,000 - $87,000 a year
- Full-time
- 5 years
- HIPAA
- Mid-level
- Wellness program
- Health savings account
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Program Management Advisor
Macy’s —New York, NY
- $129,840 - $216,120 a year
- Bachelor's degree
- Conflict management
- Organizational skills
- Store discount
- Paid holidays
Program Manager, TikTok Program Management Office
TikTok —New York, NY
- $132,000 - $216,000 a year
- Mid-level
- Office
- Bachelor's degree
- Paid parental leave
- Paid holidays
Program Manager
NYU Langone Health —New York, NY
- $84,577.92 - $100,900.80 a year
- Microsoft Excel
- Microsoft Outlook
- Urgent Care
- Wellness program
13d
Student Training Program Manager, Education Impact
Google —New York, NY
- $111,000 - $160,000 a year
- Full-time
- English
- Mid-level
- 3 years
5d
Program Manager
Northwell Health —Port Jefferson, NY
- $66,300 - $108,311 a year
- Full-time
- Research
- Mid-level
- Bachelor's degree
5d
Program Manager
1199SEIU Family of Funds —New York, NY
- $89,200 - $111,500 a year
- Temporary
- Microsoft Word
- 5 years
- Mid-level
Events Program Manager
Palantir Technologies —New York, NY
- $75,000 - $103,000 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- Children
- Commuter assistance
- Paid parental leave
Program Manager, Workplace Experience Development
CBRE —New York, NY
- $140,000 - $160,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Presentation skills
- Health insurance
- Dental insurance
Program Manager, Academic Planning
Columbia University —New York, NY
- $80,000 - $85,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Office
12d
Program Coordinator, Undergraduate Humanities Fellowships and Public Programs
New York University —New York, NY
- $70,000 - $84,700 a year
- Full-time
- Hybrid work
- Mid-level
- Master's degree
- University
14d
Program Manager, REWS Launch Team
Google —New York, NY
- $111,000 - $160,000 a year
- Full-time
- Mid-level
- Office
- 3 years
11d
Manager, Optimization
Oscar Health —New York, NY
- $117,576.00 - $154,318.50 a year
- Hybrid work
- Mid-level
- Office
- 3 years
- Paid parental leave
- Paid holidays
Quick Apply
Research Program Manager
NYU Langone Health —New York, NY
- $84,577.93 - $109,200.00 a year
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Wellness program
Program Manager
New York University —New York, NY
- $70,000 - $84,460 a year
- Full-time
- Hybrid work
- 5 years
- University
- Bachelor's degree
Assistant Manager - JFK Airport ACES Program
Block by Block —New York, NY
- $120,000 a year
- Holidays
- English
- Mid-level
- Mentoring
- Paid jury duty
- Health savings account
Quick Apply
8d

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Program Manager jobs near New York

Transitions of Care Manager

Family Choice of New York -
Depew, NY

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Job Details

Full-time
$95,000 - $100,000 a year

Benefits

Health savings account
Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Employee assistance program
401(k) matching
Life insurance

Qualifications

Optimizing workflow processes
CPR Certification
Long-term care regulations
Operations management
RN License
Managed care organization experience
Team leadership
BLS Certification
CMS
Working with geriatric patients
Employee relationship building
Team development
CMS regulatory compliance
Driver's License
Policy & process development
Bachelor's degree
Medicare regulations
Geriatrics
Senior leadership
Post-acute care experience

Full Job Description

This position has overall accountability to act as an internal consultant to the operations staff in the functioning of the utilization management program. It is responsible for monitoring acute utilization, training UM staff in the principles of utilization management, preparation of accurate utilization management reports, and timely and accurate submission of utilization management data. In addition, the position will serve as back up to the RN Coordinators.

TASKS:

Oversee and manage utilization management, in accordance with CMS requirements, FCNY, and IHA policies and procedures. This includes Part A utilization in the acute and post-acute SNF setting, including admission, on-going certification of medical necessity, and discharge when medical necessity needs are no longer met.
Responsible for overseeing the concurrent review of Medicare Part A and SAR stay length of stay.
Oversee and manage the provision of the Part A TIP Services Program in compliance with facility contracts and CMS compliant Part A utilization.
Oversee FCNY Early Care Program in compliance with facility contracts.
Lead UM and transitions process improvement initiatives and identify opportunities to optimize processes that drive positive outcomes.
Assure that Utilization Management department follows applicable policies and procedures.
Attend monthly UM/QM meetings.
Review data to detect outliers, trends, and unusual patterns of utilization and recommend interventions to the UM committee and management team.
Monitor service delivery and outcomes to ensure services are not over-utilized or under-utilized.
Participate and attend operational and clinical meetings as directed.
Participate and lead provider and facility training on UM processes, levels of service/criteria, and IHA billing scenarios
Monitors partner facility adherence with quality indicators and model of care requirements.
Advise health plan of prolonged or clinically intensive hospitalizations per policy.
Manage and oversee Transitional Care Management across all SNP programs.
May actively communicate with network partners regarding transitions.
Oversee and monitor reconciliation of wrapped transitions.
May assist and oversee diversions in both SNP Programs.
Oversight of Transitions of Care for SNP Members in EHR or Care Management Record: Inpatient, ER, Observation, and all planned and unplanned transitions.
May prepare quality review of transitions of care as requested by management.
May identify trends and areas for improvement within partnering facilities as requested by the Director of Quality and Compliance or Director of ISNP and Clinical Services.
May conduct informal facility staff education and teaching to improve the effectiveness and efficiency of care delivery.
Provide back up to department team members as needed.
Performs quality reviews on all record requests.
Other duties as assigned.

MANAGEMENT RESPONSIBILITIES:

Determine staffing requirements.
Recruit, hire and onboard/train new staff.
Supervise direct reporting staff according to overall company policy.
Set employee goals and objectives.
Monitor and conduct performance evaluations of staff at the end of the 90-day introductory period, at established development plan dates and at annual anniversary dates for own direct reports.
Delegate work duties to staff to attain objectives.
Provide coaching, disciplinary/corrective action as necessary up to termination.
Develop staff to maximize potential.
Develop department procedures.
Apply strategic planning to determine company, department or unit objectives.
Collaborate with and contribute to the Leadership Team.
Other duties as assigned.

EDUCATION: Registered Nurse licensed in the State of New York, Bachelor's degree preferred

EXPERIENCE/ABILITIES:

Minimum of 5 years of experience with geriatric population.
Knowledge of CMS, NCQA, and URAC standards and regulations related to quality and utilization management, physician networks, and other managed care organizations.
At least 3 years of demonstrated leadership and management in a senior role with a health care organization specializing in the care of geriatric patients.
Must be able to build and maintain collaborative, cooperative, productive relationships with all internal and external customers including members and their families nursing facility staff, physicians, the health plan and any other stake holders in the community.
Must be goal oriented with a strong sense of personal initiative and accountability to achieve performance targets.
Experience in the development and execution of processes to improve workflow, efficiency, and effectiveness.

REQUIREMENTS:

CPR certification
Valid NYS Driver’s License and maintain automobile insurance per company requirements

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, age, or national origin.

Job Type: Full-time

Pay: $95,000.00 - $100,000.00 per year

Benefits:

401(k)
401(k) matching
Dental insurance
Employee assistance program
Flexible spending account
Health insurance
Health savings account
Life insurance
Paid time off

Work Location: In person

Quick Apply

Refine Your Search

Program Manager jobs in New York

Transitions of Care Manager

Program Manager

Program Management Advisor

Senior, Program Management

Wellness Manager - Bronx, NY - Hybrid

Program Management Advisor

Program Manager, TikTok Program Management Office

Program Manager

Student Training Program Manager, Education Impact

Program Manager

Program Manager

Events Program Manager

Program Manager, Workplace Experience Development

Program Manager, Academic Planning

Program Coordinator, Undergraduate Humanities Fellowships and Public Programs

Program Manager, REWS Launch Team

Manager, Optimization

Research Program Manager

Program Manager

Assistant Manager - JFK Airport ACES Program

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