- Elevance Health (New York, NY)
- …mandated policies, and CMS Coverage Determinations, as applicable. + Perform physician-level case review of utilization requests for procedures and interventions ... The **Medical Director, Cardiology** is responsible for supporting the medical management staff ensuring timely and consistent medical decisions to members and… more
- Global Foundries (Malta, NY)
- …either an individual contributor (as directed and/or independently), or as a manager : * Provides centralized human resources services and transactions and associated ... stakeholders and develops and maintains service level agreements. * Monitors efficiency, utilization and effectives of shared services teams and direct changes as… more
- Albany Medical Center (Albany, NY)
- …WIC + Facilitates the utilization of resources to meet patient outcomes ( case management ). + Writes letters of medical necessity as indicated + Participates ... Under the supervision of the Nursing Supervisor and Nurse Manager , the Ambulatory Care RN provides nursing support to...following. Other related duties may be assigned: Support for Self- Management + Enhances health literacy + Performs a baseline… more
- CVS Health (Albany, NY)
- …County, NY, Broome County, NY + 2+ years' experience in medical social work or case management . + Candidate must have one of the following: Licensed Master ... in the care planning process in collaboration with the Care Manager , to include the following actions: assessment, goal setting, establishing interventions… more
- Catholic Health (Kenmore, NY)
- …of (1) year experience as a registered nurse required + One (1) year previous case , disease, or utilization management experience preferred + One (1) year ... illness, improve compliance with evidence based clinical guidelines, encourage patient self- management , increase coordination of care, increase the utilization … more
- Sharecare (Albany, NY)
- …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, ... + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex...Advocates (Nurse) for conditions that require clinical care and case management assistance + Primary duties include… more
- St. James Hospital (Hornell, NY)
- …know. + Assists ED and Med/Surg manager with staff scheduling + Assists case management with completion of UR reviews + Monitor documentation for adherence ... nursing staff within the facility along with elements of case management . Performs complex and varied tasks...follow-up, documentation, and communication of incidents to the appropriate manager and Chief Nursing Officer (CNO). + Works in… more
- Rochester Institute of Technology (Rochester, NY)
- …the cloud-based platform. + Liaise with the Registrar's Office and Enrollment Management to ensure scholars have fulfilled their needed requirements. + Ensure PASP ... and understanding best practices for fiscal responsibility. + Work with Assistant Manager of Operations and Events and Operations Director of Performing Arts to… more
- Comunilife (Queens, NY)
- …Directorfor its Casa Hope Families Shelter program. As a member of the Comprehensive Case Management (CCM) Team, The Program Director is responsible for daily ... operations including staff supervision and collaboration with on-site building manager at the Casa Hope Program. The Program Director...lead the team in proving a full range of case management services as well as medical,… more
- Outreach Development Corporation (Brentwood, NY)
- …+ Assess the level of risk involved in clients in crisis situations. Case Management + Maintain client information about community resources and services ... to outside agencies through appropriate contacts. + Evaluate the effectiveness of case management activities through regular consultation with supervisors and… more