- Humana (Albany, NY)
- …MBA, MHA, MPH* Exposure to Public Health, Population Health, analytics, and use of business metrics + Experience working with Case managers or Care managers on ... understanding of Humana processes, as well as a focus on collaborative business relationships, value-based care, quality metrics, population health, and disease or… more
- Humana (Albany, NY)
- …MBA, MHA, MPH + Exposure to Public Health, Population Health, analytics, and use of business metrics. + Experience working with Case managers or Care managers on ... experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute… more
- City of New York (New York, NY)
- …open communication on individual cases while maintaining fidelity to the DYFJ Case Coordination Business Process. - Provide recommendations to ACS-contracted ... Non-Secure and Limited-Secure residential and aftercare providers regarding referrals and available resources. - Collaborate and strengthen partnerships with a variety of community representatives to ensure their involvement in Planning/Support meetings and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …management, and medical policy processes, and support for our various lines of business . The incumbent also provides input into the development of policies, programs ... I + Reviews and makes recommendations and/or decisions on Utilization or Case Management activities. Utilization review activities include: reviews of requests for… more
- Travelers Insurance Company (Syracuse, NY)
- …complexity caseload. + Handle special projects as assigned. + Provide recommendations and case analysis to all business partners on appropriate file handling ... with Travelers you'll be responsible for high quality, proactive case handling and will have the opportunity to develop...be positioned as a strong legal advocate and valued business partner. **What Will You Do?** + (May include… more
- GovCIO (Albany, NY)
- …and operational teams. + Extensive knowledge of Appian's application proprietary Case Management and Business Process Management software. + Experienced ... + Liaison with customers to collect, clarify, analyze and translate business requirements into technical design and implementation. + Produces rulesets,… more
- RiseBoro Homecare Inc. (Brooklyn, NY)
- …(when the office is closed, notify our "On-Call Emergency Service" and inform the Case Coordinator the next business day). + Absence or lateness from work ... clients, health care staff and documentation. Direction from the Case Coordinator or Supervising Nurse must be sought when...of Care. Reporting: The following must be reported to Case Coordinator immediately or as soon as possible: +… more
- Guthrie (Binghamton, NY)
- …with financial applications (PAMA, NYMA, disability paperwork, etc.) + Collaborates with Case Manager, Patient Business office, etc. to facilitate meeting ... with the healthcare team in establishing discharge plan + Consults with Case Manager as necessary and requested + Keeps patient/family/referring facility informed of… more
- Guthrie (Binghamton, NY)
- …with financial applications (PAMA, NYMA, disability paperwork, etc.) c. Collaborates with Case Manager, Patient Business office, etc. to facilitate meeting ... with the healthcare team in establishing discharge plan c. Consults with Case Manager as necessary and requested d. Keeps patient/family/referring facility informed… more
- Guardian Life (Albany, NY)
- …to facilitate "one-stop shopping" for producers to ease the process of conducting business and to ensure complete and thorough case analysis to discover ... The Business Resource Center (BRC) is Guardian's advanced sales...Advanced Planning Consultant. We are an organization providing superior case consultation to our field force on their prospect… more