- CVS Health (Albany, NY)
- …comply with state regulations mandating fraud plans and reporting; Medicaid experience is preferred . Leads a team in the planning and execution of investigations of ... best course of action to take in a timely and effective manner. Conducts case reviews and provides feedback to investigators on completeness and quality of the… more
- The Salvation Army (Elmira, NY)
- …with disabilities to perform the essential functions. *Document all case activity, including outreach, consent development and assessment, plandevelopment, client ... Master's Degree with one - two years of experience preferred .* Relevant experience in serving children and families in...across a broad spectrum of cultural, ethnic, and racial communities * Ability to work in an effective and focused… more
- GMHC (New York, NY)
- …responsibilities, ensuring that Housing Case Managers, as well as potentially the Intake Case Manager , Mental Health Counselor, and Substance Use Case ... standard of service delivery and adherence to contractual obligations. + Lead case conferences involving housing case managers, clients, and external providers… more
- City of New York (New York, NY)
- …QA Supervisor may be required to travel citywide to co-assist the Child Protective Manager in these meetings Preferred Skills The preferred candidate should ... part of the Jaden Reform is responsible for investigative case reviews, performance Evaluation, collection of data through extensive...borough zones. Under the supervision of a Child Protective Manager , with wide latitude for the use of judgment… more
- Elevance Health (New York, NY)
- …and providers. **How you will make an impact:** + Perform physician-level case review, following initial nurse review, of Medical Oncology regimens and supportive ... care. + Perform physician-level case review, following initial nurse review, of chemotherapy regimens. + Determine medical necessity of requests using guidelines and… more
- Elevance Health (New York, NY)
- …**How you will make an impact:** + Ensures timely completion of clinical case reviews for their board certified specialty. + Makes physician to physician calls ... making medical necessity decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review or policy interpretation.… more
- Westhab, Inc. (Briarwood, NY)
- …appropriately identifies the needs of the clients, provide appropriate referrals and ensures case manager follow up with resources to promote the program ... The Social Services Director will supervise the team(s) engaged in providing intensive case management assistance to men in a 200+ bed men's homeless shelter in… more
- City of New York (New York, NY)
- …and risk of future harm to each child in the family. Based upon the case circumstances, child protective staff may act immediately to protect the children. Under the ... supervision of a Child Protective Manager with wide latitude for the use of judgment...all casework staff in unit to ensure that all case practice requirements are met - Assist staff in… more
- Elevance Health (New York, NY)
- …Coordinator - RN Clinician** is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN ... clinicians participating in the member's case in accordance with applicable state law and contract;...+ Current, unrestricted RN license in applicable state(s) required. ** Preferred Skills, Capabilities and Experiences:** + MA/MS in Health/Nursing… more
- CenterWell (Cicero, NY)
- …As a **Home Health Registered Nurse** , you will: + Provide admission, case management, and follow-up skilled nursing visits for home health patients. + Administer ... on-going care and case management for each patient, provide necessary follow-up as...patient, provide necessary follow-up as directed by the Clinical Manager . + Confer with physician in developing the initial… more