- Molina Healthcare (Syracuse, 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
- MVP Health Care (Rochester, NY)
- …For in New York** , and an **Inclusive Workplace** . The Behavioral Health (BH) Professional is responsible for conducting utilization review for mental ... with at least 2 years being ASD related + Utilization or Case Management experience in a managed care...our customers in every interaction **Your key responsibilities:** + Review all requests for behavioral health… more
- Gateway-Longview (Buffalo, NY)
- …+ In collaboration with the Asst. Directors, monitor overall staff productivity and utilization of the Behavioral Health Services department and respective ... Job Title: Clinical Supervisor - Behavioral Health Clinic Department: Behavioral...consistent basis and provide feedback to assure productivity and utilization is met + In collaboration with the Assistant… 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)
- …degree preferred. + Licensed/credentialed applicants preferred. + Two years of experience in utilization review in a hospital, health care, or managed ... of federal and state regulations applicable to treatment and reimbursement. + Utilization review procedures and techniques. Our Comprehensive Employee Benefits… more
- CenterWell (Albany, NY)
- …best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can ... part of our caring community and help us put health first** Conviva Care Solutions is seeking a RN...medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part… more
- Garnet Health (Harris, NY)
- …for the detox patient on the medical floor assuring discharge planning, utilization review , and insurance approval. Join the Garnet Health team and let your ... your career home with us as a Social Worker on our Inpatient Behavioral Health Unit (BHU) team at/in Garnet Health Medical Center-Catskill. Responsibilities… more
- Healthfirst (NY)
- …other Operations leaders including but not limited to Care Management, Clinical Eligibility, Behavioral Health , and Appeals and Grievances teams to align ... set forth by CMS, New York State Department of Health (DOH), and other oversight entities** + **Develop and...improve department performance** + **Collect, analyze, and report on utilization trends, patterns, and impacts to identify areas for… more
- Molina Healthcare (Buffalo, NY)
- **JOB DESCRIPTION** **Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management ... and chemical dependency services and assists with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides… more
- Samaritan Daytop Village (Rhinebeck, NY)
- …staff as needed with assuring compliance with external and internal utilization review /quality and appropriateness requirements. What qualifications do you ... recognized as one of New York's Largest as well as nationally known comprehensive Health and Human Service Agency. With 60+ programs and growing across New York City… more