- Rochester Regional Health (Geneva, NY)
- …of patient needs, including medical, surgical, trauma, pediatric, orthopedic, psychiatric, and behavioral health concerns. We also occasionally care for OB/GYN ... Nurse (RN), you're the engine and the heart of patient care at Rochester Regional Health . You make a positive difference every single day in the lives of our… more
- Rochester Regional Health (Palmyra, NY)
- …of patient needs, including medical, surgical, trauma, pediatric, orthopedic, psychiatric, and behavioral health concerns. We also occasionally care for OB/GYN ... Nurse (RN), you're the engine and the heart of patient care at Rochester Regional Health . You make a positive difference every single day in the lives of our… more
- Monte Nido (White Plains, NY)
- …Qualifications: + At least 5 years of leadership experience in a behavioral health setting is preferred; may substitute leadership experience elsewhere. ... + Working knowledge of admissions and intake, Utilization Review, and 3rd party or insurance payers. +...Experience in an Eating Disorder program or other residential behavioral health setting is very helpful. +… more
- Staffing Solutions Organization (Albany, NY)
- …years of experience in health care related field to include research, health care policy, Behavioral Health , Substance Use Disorders, or Intellectual ... chronic illnesses and/or intellectual or developmental disabilities to achieve maximum health , independence, and quality of life. Working closely with the Office… more
- Molina Healthcare (Buffalo, NY)
- …dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies and procedures to ... -related regional medical necessity reviews and cross coverage. * Standardizes behavioral health -related utilization management, quality, and financial… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Summary: This position is responsible for coordinating, integrating, and monitoring the utilization of behavioral health (BH) services for members, ... of services requested for the diagnosis and treatment of members' behavioral health conditions, applying established clinical review criteria, guidelines… more
- Centene Corporation (New York, NY)
- …in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall health of ... licensure as outlined by the applicable state required. Master's degree for behavioral health clinicians required. Clinical knowledge and ability to review… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …of consistent and quality health care services. Examples may include: Utilization Management, Quality, Behavioral Health , Pharmacy, Registered Dietitian ... Managers, especially those with varied clinical expertise (ex. Social Work, Behavioral Health , Respiratory Therapy, Registered Dietitian, Registered Nurse,… more
- Helio Health Inc. (Syracuse, NY)
- …mission to treat and promote recovery from the effects of substance use, mental health disorders, and other behavioral healthcare issues. To support the mission ... Licensed/credentialed applicants preferred. + Two years of experience in utilization review in a hospital, health care,...experience in utilization review in a hospital, health care, or managed care setting. + Knowledge of… more
- CVS Health (Albany, NY)
- …/benefit management program. + Conduct clinical reviews for adult inpatient behavioral health cases, applying established medical necessity criteria to ... United States. **Preferred Qualifications** + Previous experience working within the mental health system. + Previous experience with utilization management. +… more
