- CVS Health (NY)
- …care clinical operation environment ( utilization management, case management, and/or behavioral health case management) required. + Unrestricted RN licensure ... At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming … more
- Rochester Regional Health (Rochester, 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
- YAI (Manhattan, NY)
- …which will provide 24/7 person-centered, trauma-informed residential services for children with behavioral health challenges, who are in crisis. Determines and ... oversight. + Regularly reviews data to assess and analyze utilization , efficacy and outcomes of persons supported and uses...intervention and therapeutic services to children with mental or behavioral health needs, ideally in a New… more
- Healthfirst (NY)
- …and value-based care goals + Champion initiatives that elevate the integration of behavioral health with physical health and social determinant support ... as the clinical subject matter expert on business development efforts related to behavioral health programs, including the launch of new products or regulatory… more
- Northwell Health (Melville, NY)
- …patient satisfaction, operational efficiency, regulatory compliance, and the financial health of the organization through effective patient financial communication ... budget, identifying opportunities for cost savings and efficient resource utilization . 3. Revenue Cycle Integration: Proactively identify opportunities where contact… more
- Rochester Regional Health (Rochester, NY)
- …field plus 10 years of relevant work experience + Five to Seven years Behavioral Health experience + OASAS Qualified Health Professional. PREFERRED ... in a timely manner and participates in QI and Utilization Review processes. + Computer keyboard skills and ability...required. + Minimum of a Bachelor's degree required in Health Science, Psychology, Social Work or the alike in… more
- Catholic Health Services (Smithtown, NY)
- Overview St. Catherine of Siena Hospital is a proud member of Catholic Health and has served the residents of the Smithtown area for more than 50 years. The campus ... building. Our nurses, physicians and support staff are devoted to providing advanced health care in an environment of compassion to our patients, their families and… more
- Highmark Health (Albany, NY)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job plays a key role in ensuring projects (ie change initiatives) meet objectives on time ... to implementation. Works to drive faster adoption, higher ultimate utilization and greater proficiency of the changes that impact...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Albany, NY)
- …Wholecare's pharmacy programs with a focus on medication adherence and optimizing member health outcomes. This role involves a high volume of daily contacts with ... address medication-related issues, promote adherence, and ensure appropriate medication utilization . **ESSENTIAL RESPONSIBILITIES** + Communicate effectively with physicians and… more
- Highmark Health (Albany, NY)
- …**Preferred** + 5 years of experience with communications + 3 years of experience in Utilization Review + 3 years of experience in Account Support + 1 year of ... **Substitutions** + 6 years experience in pharmacy or managed health care setting in lieu of Bachelor degree **Preferred**...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
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