- Evolent (Albany, NY)
- …the support services review process. Responsible for the quality of utilization review determinations, including appeals. + Provides input into audit ... member of the Medical leadership team, providing timely medical review of service requests. Oversees the Surgery Field Medical...needed for new hires to educate and train on Utilization management system and Field Medical Director… more
- Humana (Albany, NY)
- …and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... Utilization management experience in a medical management review organization, such as Medicare Advantage,... Case managers or Care managers on complex case management , including familiarity with social determinants… more
- Humana (Albany, NY)
- …and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... Utilization management experience in a medical management review organization, such as Medicare Advantage,... Case managers or Care managers on complex case management , including familiarity with social determinants… more
- MTA (New York, NY)
- …mindset and utilization of data analytics to establish more efficient management and maintenance practices of our physical assets. The selected individual must ... Deputy Director Enterprise Asset Management Value Realization Job ID: 6664 Business Unit:...this would include being a trusted resource who can review business circumstances and provide valued ideas from an… more
- GMHC (New York, NY)
- …Proficiency in Microsoft Excel, including: + Data tracking and analysis for case management and program reporting. + Creating and managing spreadsheets ... presentations for internal meetings, board updates, and staff training). Experience with electronic case management and data tracking systems, such as: + AWARDS,… more
- Rochester Regional Health (Rochester, NY)
- …10/28/2024, 3 years acute hospital care experience not required. PREFERRED QUALIFICATIONS: + Case Management or Utilization Management experience ... Job Title: Care Facilitator Department: Case Management Location: Canton-Potsdam Hospital with... Management Data base to support the clinical review process. + Concurrently monitors resources utilization ,… more
- Humana (Albany, NY)
- …and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... Utilization management experience in a medical management review organization, such as Medicare Advantage,... Case managers or Care managers on complex case management , including familiarity with social determinants… more
- RiseBoro Homecare Inc. (Brooklyn, NY)
- …norms ie, use of calendars, checking email, etc. + Assign cases to Therapists and Case Managers + Monitor, review , and approve all written work produced by FFT-A ... + Schedule home visits in an effective manner and review the team's weekly itineraries + Monitor participant feedback...impact, progress, and alliance + Support staff in the utilization of Session Planning Guides and Case … more
- Humana (Albany, NY)
- …and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... Utilization management experience in a medical management review organization, such as Medicare Advantage... Case managers or Care managers on complex case management , including familiarity with social determinants… more
- CAMBA (Brooklyn, NY)
- …safe, and drug-free environment. CAMBA's Flagstone Family Center provides comprehensive case management services to 158 families. CAMBA's The Kensington ... Family Shelter provides comprehensive case management services to 64 families. CAMBA's...all weekly/monthly/quarterly/semester/annual reports and statistical information for both CAMBA management and funder use. + Prepare, review … more