- Guthrie (Binghamton, NY)
- …care setting with strong care management , utilization review, and payer knowledge. A Case Management certification or obtaining a Case Management ... case reimbursement. a) Identifies cost/clinical outlier patients for intensive case management and facilitates evaluation of alternative care options. b)… more
- Guthrie (Cortland, NY)
- Summary The LPN Utilization Management (UM) Reviewer, in collaboration with Care Coordination, Guthrie Clinic offices, other physician offices, and the Robert Packer ... Business Office, is responsible for the coordination of Utilization Management (UM) processes and requirements of prior authorization/certification for reimbursement… more
- Excellus BlueCross BlueShield (Rochester, NY)
- Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for ... health member clinical management programs. + Maintains knowledge of current Case Management Society of America (CMSA) Standards, NCQA Standards, Case … more
- Fedcap (New York, NY)
- Position Summary: The Assistant Director of Case Management will provide oversight of the Vocational Rehabilitation Services and Wellness case management ... management , and disciplinary actions, if necessary. + Oversee case management outreach efforts to promote full compliance amongst all agency clients.… more
- CDPHP (Latham, NY)
- …values and invites you to be a part of that experience. Conducts case management program activities in accordance with departmental, corporate, NYS Department ... a key element for the member's health.[JW1] + Maintains knowledge of current Case Management Society of America (CMSA) Standards, NCQA Standards, Case … more
- GMHC (New York, NY)
- …Use (SU) Case Manager (CASAC)provides client-centered substance use counseling and case management to individuals enrolled in the HUD Connection to Housing ... monthly home visit per client to assess housing stability and provide case management services. + Build and maintain trusting relationships with clients to… more
- GMHC (New York, NY)
- …Description TheHousing Case Manageris responsible for providing comprehensive case management services to vulnerable clients experiencing housing instability ... The Housing Case Manager will be responsible for the following duties: Case Management & Advocacy: + Caseload Management :Maintain a caseload of up to… more
- Comunilife (Bronx, NY)
- …skills to live more independently in permanent housing. Responsible for general case management , working with resident's families and significant others for ... provides congregate treatment services, ie, one (1) meal a day; case management and recreational activities to persons living with HIV/AIDS. Other… more
- GMHC (New York, NY)
- …processes, including conducting apartment viewings and assisting with related documentation. Case Management & Support Services: + Caseload Management ... one monthly home visit per client to assess housing stability and provide case management services. + Develop and implement individualized case management… more
- CDPHP (Latham, NY)
- …responsible and accountable for coordinating the care of CDPHP members who meet case management criteria across the continuum of care, ensuring and facilitating ... care for the member population serviced by CDPHP. Based on national standards for case management practice, the RN Case Manager will focus on empowering the… more