MetroPlus Utilization Review/Management

💰 $3,200 - $5,120 (Est.) 📍 New York City 🕐 5 days ago

Job Description

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NewYork-Presbyterian
Social Worker - Oncology
NewYork-Presbyterian · New Rochelle, NY, United States · via Medical Hirings - Talent Rush HQ
17 hours ago
Full–time
Apply on Medical Hirings - Talent Rush HQ
Job highlights
Identified by Google from the original job post
Qualifications
At least one year of Oncology experience
Master’s Degree in Social Work (MSW)
New York State License as a Licensed Masters Social Worker (LMSW)
Benefits
Enjoy comprehensive and competitive benefits that support you and your family in every aspect of life
NYP will not reimburse for travel expenses
$48.45-$62.60/Hourly
1 more items(s)
Responsibilities
Utilize your inpatient experience to provide a variety of psychosocial services, coordinate discharge planning and continuum of care for patients and families from across the world
Assist them in enhancing their capabilities of coping with illness and daily functioning
Therefore, all employees should live within a commutable distance to NYP
Job description
Social Worker - Oncology - NYP/Queens - Full Time Day

New York-Presbyterian/Queens, located in the wonderfully diverse neighborhood of Flushing, Queens, is a community teaching hospital affiliated with Weill Cornell Medicine, serving Queens and metro New York residents.

We are seeking a Social Worker for our Oncology office. Experience a place where Social Workers are respected. Utilize your inpatient experience to provide a variety of psychosocial services, coordinate discharge planning and continuum of care for patients and families from across the world. Assist them in enhancing their capabilities of coping with illness and daily functioning. Here, you will experience all the reasons why you entered such a rewarding field.

This is a day shift 8AM - 4PM; Monday – Friday at NYP/Queens Hospital in Flushing, NY.

Preferred Criteria
• Discharge Planning experience
• LCSW

Required Criteria
• At least one year of Oncology experience
• Master’s Degree in Social Work (MSW)
• New York State License as a Licensed Masters Social Worker (LMSW)

Join a healthcare system where employee engagement is at an all-time high. Here we foster a culture of respect, belonging, and inclusion. Enjoy comprehensive and competitive benefits that support you and your family in every aspect of life. Start your life-changing journey today.

Please note that all roles require on-site presence (variable by role). Therefore, all employees should live within a commutable distance to NYP.

NYP will not reimburse for travel expenses.

__________________
• 2026 Best Companies in Healthcare, Biotech and Pharma – Glassdoor
• 2026 Best Place to Work – Glassdoor
• 2026 America’s Best Large Employers – Forbes
• 2026 America’s Best-In-State Employers – Forbes
• 2026 America’s Dream Employers – Forbes
• 2026 America’s Greatest Workplaces for Culture, Belonging and Community – Newsweek
• 2026 Best Places to Work in IT - Computerworld
• 2025 Great Place to Work Certified
• 2025 Best Employers for Women – Forbes
• 2025 Companies that Care – People
• 2025 America’s Greatest Workplaces for Mental Well-Being - Newsweek

NewYork-Presbyterian Hospital is an equal opportunity employer.

Salary Range:
$48.45-$62.60/Hourly

It all begins with you. Our amazing compensation packages start with competitive base pay and include recognition for your experience, education, and licensure. Then we add our amazing benefits, countless opportunities for personal and professional growth and a dynamic environment that embraces every person. Join our team and discover where amazing works.
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NYC Health + Hospitals
MetroPlus Utilization Review/Management Coordinator I
NYC Health + Hospitals · New York, NY, United States · via LinkedIn
8 hours ago
$1,12,351 a year
Full–time
Apply on LinkedIn
Apply on BeBee
Apply on Lensa
Apply on Jobilize
Apply directly on IntelliResume
Job highlights
Identified by Google from the original job post
Qualifications
Valid New York State license and current registration to practice as a Registered Professional Nurse issued by the New York State Education Department (NYSED); and,
Two (2) years of experience in a hospital or clinical setting in a capacity which provides thorough understanding of medical diagnosis, symptoms and treatment concepts; or one (1) year of experience in Utilization/Quality Management; or,
A satisfactory equivalent of education, training and experience
Responsibilities
Working exclusively at MetroPlus, the MetroPlus Utilization Review/Management Coordinator, determines the appropriateness of admission, quality of care, and medical necessity of a patient’s course of treatment throughout the patient’s continuum of care
Monitors the quality of care, to ensure that it meets established standards
Ensures optimal utilization of resources, service delivery, and compliance with external review requirements and applicable state and federal rules and regulations for better outcomes and improved patient experience
16 more items(s)
Job description
Marketing Statement

MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth's network includes over 27,000 primary care providers, specialists and participating clinics. For more than 40 years, MetroPlusHealth has been committed to building strong relationships with its members and providers.

Purpose Of Position

Working exclusively at MetroPlus, the MetroPlus Utilization Review/Management Coordinator, determines the appropriateness of admission, quality of care, and medical necessity of a patient’s course of treatment throughout the patient’s continuum of care. Monitors the quality of care, to ensure that it meets established standards. Ensures optimal utilization of resources, service delivery, and compliance with external review requirements and applicable state and federal rules and regulations for better outcomes and improved patient experience. All personnel perform related work.

Duties & Responsibilities

Performs assigned duties related to analysis, review, and quality assurance of patient documentation.

Examples Of Typical Tasks
• Analyzes and reviews patient/medical records holistically (retrospective, concurrent and prospective review of services) for medical necessity and appropriateness, and provides

💡 Quick Summary

Seeking a career-building opportunity? The MetroPlus Utilization Review/Management position is now open for candidates interested in the Health Jobs sector. This role in New York City offers a professional environment and growth potential.

Requirement Snapshot: Candidates should possess basic communication skills, a proactive attitude, and the ability to work in a team. Experience in Health Jobs is a plus.

Sponsored

Job Details

Company Name: NYC Health + Hospitals

Frequently Asked Questions

Click the Apply Now button on this page, login or register for free on CallCenterJob.co.in, fill in your name, mobile number, city, and experience, then submit your application. The recruiter will contact you directly.
The expected salary for MetroPlus Utilization Review/Management in New York City is $3,200 - $5,120 (Est.) per month. Actual compensation may vary based on experience and negotiation.
No, MetroPlus Utilization Review/Management is an on-site position based in New York City. Candidates must be able to commute or relocate to this location.
Basic communication skills, a proactive attitude, and the ability to work in a team are required for MetroPlus Utilization Review/Management. Previous experience in Health Jobs is a plus. Freshers may also apply depending on the employer's requirements.
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