- Sanofi Group (Albany, NY)
- …for Health Care Providers (HCPs) and Patients. Payer medical and pharmacy Utilization Management (UM) criteria create process delays for patients like ... **Job Title:** Field Reimbursement Manager Tzield- Northeast Region **Location:** Remote **About the...local and national payer landscape, including Specialty Pharmacy and Utilization Management criteria for TZIELD + Reactively… more
- HCR Home Care (Batavia, NY)
- …$19.00 - $23.00 Hourly Role and Responsibilities The Health Home Care Manager will p rovide collaborative, client-centered support to Health Home Program clients ... using the development of person-centered goals, culturally competent care management , and professional healthcare and social service coordination. Health Home Care… more
- Glens Falls Hospital (Glens Falls, NY)
- …30 hours per week, can be found*here*. **Job:** **Nursing - Case Management * **Title:** *Registered Nurse (RN) - Care Manager (GFMG) (Flexible Scheduling ... that may necessitate treatment change and will attend regular case review meetings. The Care Manager will...CCM or two years acute care/home * Care and/or case management experience preferred. * Masters Degree… more
- Abbott (Hauppauge, NY)
- …This includes influencing stakeholders within the hospital, driving product utilization , support on contracting, relationship development, relationship management ... Island territory currently has an opportunity available for a **Territory Manager , PCIO (Coronary Physiology/OCT).** This role will be responsible for ensuring… more
- New Directions Youth and Family Services (Amherst, NY)
- …equitable human service organization to apply. Job Description Title: Children's Care Manager Department: Health Home Care Management Title of Immediate ... Supervisor: Health Home Supervisor POSITION SUMMARY: The Children's Care Manager provides Health Home Care Management Services for youth ages 0-21. The Care … more
- Saratoga Hospital (Saratoga Springs, NY)
- …criteria to identify severity of illness & intensity of service for appropriate utilization management and 1st level criteria reviews. Documents required data in ... the Collaborative Practice Groups, Magnet Councils, Interdisciplinary Committees and/or Utilization Management Committee. Develops and implements interdisciplinary… more
- Catholic Health (Buffalo, NY)
- …prior insurance /managed care/ utilization review experience in the role of a Case Manager or Disease Manager , Population Health, Discharge Planning or ... Management and interdisciplinary care team, provides comprehensive case management and discharge services to patients... Manager KNOWLEDGE, SKILL AND ABILITY + Possesses case management skills critical to working on… more
- Crouse Hospital (Syracuse, NY)
- …+ Three (3) - Five (5) years acute hospital experience. + NICU experience + Case Management or Utilization Management experience preferred. Benefits ... Crouse's Care Coordination Services team is hiring a Care Manager (in the NICU) to review the services delivered...maintaining the quality of care. + Participates in the utilization management process using standards of care… more
- BronxCare Health System (Bronx, NY)
- …assist the department's leadership develop strategies for denial prevention, improved utilization management , documentation of medical necessity and identify ... Overview The Appeals Manager is responsible to assist in the analysis...work. On the job or formal training in certified case management , denial and appeals management… more
- City of New York (New York, NY)
- …living with HIV, as well as 8,000+ affected families. HASA provides intensive case management , rental assistance, emergency and permanent supportive housing, and ... and more independent lives. We assist with an individualized case management that targets the support and...Social Services initiatives in the designated Regions. The Regional Manager oversees HASA centers in the five boroughs that… more