- Helio Health Inc. (Syracuse, NY)
- …in-home and community-based services + Strong background in recovery-based and person-centered behavioral health services + Must have a valid driver's license ... care in their homes. Circare is seeking aLicensed Mental Health Professional who will provide clinical treatment to enrolled...+ Actively participate in daily team meetings for status review , service plan updates and staff assignments. + Update… more
- Highmark Health (Albany, NY)
- …SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health care services, application of ... utilization , identification of opportunities for referral to a Health Coach/case management, and identification and resolution of quality issues. Monitors… more
- Whitney Young Health Center (Albany, NY)
- …by program needs, providing assessments, individual and group therapies. + Monitors behavioral health needs-ensuring treatment plans reflect the integration of ... behavioral health and primary care to improve patient outcomes. +...assess and improve the quality of patient services-conducts monthly utilization review . + Participates in the recruitment… more
- City of New York (New York, NY)
- …integration, data management, stakeholder collaboration, and capacity building to enhance behavioral health services for pregnant and parenting caregivers. Job ... tools. Program Strategy & Service Expansion - Lead the expansion of behavioral health services for pregnant and parenting caregivers, integrating substance… more
- Highmark Health (Albany, NY)
- …business relationships, the impact of Highmark's business decisions on Informatics, personnel utilization , and the use and planning of technology. The role involves ... units that may assist in the resolution of issues or problems. + Access, review , utilize, contribute content to and participate in the maintenance of the shared… more
- Highmark Health (Buffalo, NY)
- …:** **JOB SUMMARY** This job captures all inbound phone inquires for utilization management review from providers and pharmacies. The incumbent assesses ... coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical review...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Buffalo, NY)
- …Description :** **JOB SUMMARY** This job captures all inbound inquires for utilization management review from providers and pharmacies. The incumbent assesses ... and then creates the case (data entry) in Highmark's Utilization Management system for Prior Authorization clinical review...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Albany, NY)
- …of the claim rejection and the proper action to complete the retrospective claim review with the goal of proper and timely payment to provider and member ... Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a ...data to assure appropriate level of payment and resource utilization . It is also used to identify issues which… more
- New York State Civil Service (Valatie, NY)
- …experimental psychology, research psychology, industrial psychology, organizational psychology, utilization review , guidance counseling, etc. Additional Comments ... homes, as well as discipline-specific projects, including assisting with enhancing utilization of electronic health records, participation in relevant committees… more
- New York State Civil Service (NY)
- …in experimental psychology, research psychology, industrial psychology, organizational psychology, health psychology, utilization review , guidance ... With Developmental Disabilities, Office for Title Psychologist 1/2 Occupational Category Health Care, Human/Social Services Salary Grade 21 Bargaining Unit PS&T -… more