- CenterWell (Albany, NY)
- …Director of Physician Strategy at Utilization Management. The Medical Director conducts Utilization review of the care received by members in an assigned ... review organization, such as Medicare Advantage,managedMedicaid, or Commercial health insurance. + Experience with national guidelines such as MCG(R) or… more
- Albany Medical Center (Albany, NY)
- …development of its strategic plan. Education: + A Master's Degree in health , business, education or related field. Licensure, Certification & Registration: + Must ... Responds to changes in work efficiently and effectively. Support implementation and utilization of clinical nursing research. Promote the use by colleges and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Coordination Specialist provides administrative support for any of the programs of Utilization Management, Behavioral Health , Quality Management, or Member ... well as functions related to legislative and federal regulatory mandates related to the Health Plan Essential Accountabilities: Level I + Review / prep clinical… more
- University of Rochester (Rochester, NY)
- …and review of UHS and UCC policies and procedures related to behavioral health care for compliance with AAAHC accreditation. Attends the twice monthly ... community. **ESSENTIAL FUNCTIONS** + Provides direct individual, couples and group mental health care services to UR students using various short term psychotherapy… more
- WellLife Network (Bronx, NY)
- …to build trust with clients. + Knowledge of addiction treatment models and behavioral health interventions. + Crisis intervention skills to handle emergencies. + ... As part of one of New York's largest nonprofit health and human services organizations, you'll join a team...participant needs and update program plan and / or utilization of review plans. 31. Represent the… more
- BriteLife Recovery (West Kill, NY)
- …best, most talented and caring, authentic individuals to create a world-class mission-centered behavioral health organization, focused on doing it the right way ... Maintain compliance with regulatory, licensing, and accreditation standards (eg, audits, utilization review , quality assurance). + Participate in performance… more
- Animal Care Centers of NYC (New York, NY)
- …birthdays off, personal days and sick pay. We also value physical and mental health by offering a great open access Cigna medical, dental and vision insurance at ... documentation accuracy, analyzing trends in surrender reasons and resource utilization , troubleshooting system and procedural issues, and collaborating with… 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...Experience in an Eating Disorder program or other residential behavioral health setting is very helpful. +… more
- GMHC (New York, NY)
- …program. These programs are integrated with case-managed services, financial coaching, behavioral health supports, and community partnerships that reflect GMHC's ... HRA, DOHMH and HRSA. This role is essential to advancing housing stability, health equity, and program innovation across the agency. Essential Job Functions The… more
- WellLife Network (South Richmond Hill, NY)
- …team of professionals dedicated to providing person-centered care across behavioral health , developmental disabilities, and community-based programs. Here, ... location and schedules are subject to change. 5. Attend certification inspections, utilization review and independent professional reviews as needed. 6. Attend… more
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