- Guardian Life (Albany, NY)
- …services. Act as a liaison between all parties required in case management to facilitate collaboration toward RTW goals. Utilization of independent vendors ... and status of treatment plan and length of disability. Plan for ongoing case management through proactive partnering with treating providers to move claimants… more
- New York State Civil Service (Syracuse, NY)
- …relationship to cases referred, to determine if referrals were appropriate, if proper case management was assigned and carried out, if individual received ... coordinator (either case manager or ACT Team) for each assisted outpatient. Review implementation of the court order, monitor programs to ensure quality services… more
- Resource Recovery Center of Orange County LLC (Middletown, NY)
- …services in compliance with NYS OASAS regulations and Joint Commission. + Review psychosocial assessments, treatment plans and any other clinical documentation as ... needed for regulatory requirements. + Complete Utilization Reviews. + Ensure timely completion of required compliance documentation is upheld. + Review clinical… more
- Health Advocates Network (Albany, NY)
- …with the federal CMS ASPEN Suite; Two (2) years of experience performing utilization review , medical review , fraud investigations, surveillance or monitoring ... in the Office of Primary Care and Health Systems Management 's Center for Health Care Provider Services and Oversight...and researching medical history. 5. Participate in regularly scheduled case review meetings to determine the priority… more
- Whitney Young Health Center (Albany, NY)
- …degree in a human services related field and 3 years' experience providing case management /care coordination in a community and human services agency. Strong ... acuity level. + Participates in weekly HIV/HCV/PrEP Clinical Care Review + Assist clients to access programs that will...related field with 2 years of work experience providing case management /care coordination services with one of… more
- Catholic Health Services (Melville, NY)
- …patient's insurance within 24 hours of admission or date of service, coordinate with Case Management and Utilization Management for insurance requirUse ... date of service. The role will work closely with Utilization Management , Patient Accounts, and other key...during, and after a patient's visit/stay. For scheduled services, review and analyze patient visit information to determine whether… more
- Educational Alliance, Inc. (New York, NY)
- …Clinical Services and Documentation (80%) + Provide caseloads with weekly individual case management and counseling sessions consistent with the individualized ... appropriateness of the current level of treatment, corresponding with LOCADTR and utilization review instruments. + Coordinate integrated services with medical,… more
- Community Housing Innovations (White Plains, NY)
- …and reporting requirements to ensure all files are audit ready. + Create a client/ case profile utilizing the web-based client management system, Counselor Max. + ... of homeownership applications, including organizing files and maintaining waitlist. + Review all grant applications to determine the eligibility of an applicant… more
- University of Rochester (Rochester, NY)
- …to our NICU for notification of transfer to third party payers. + Notify Utilization Management of clinical requests by third party payers and requests for ... incorrect effective dates for newborn and NICU cases. + Review each Maternity admission for insurance history by utilizing...and assists with paperwork if necessary. + Quality and Case Management + Consistently monitor current admissions… more
- CAMBA (Brooklyn, NY)
- …admitted clients receive social service intake with 48 hours of assignment to case manager. + Monitor and track client intakes and move-outs utilizing DHS rosters ... tracking forms are completed and submitted to DHS. + Review and update ACS client rosters. + Meet with...Meet with community agencies to assist with high risk case conferences as needed. + Maintain professional relationships with… more