- Rochester Regional Health (Rochester, NY)
- …savings reduction opportunities. *Gathers benchmarking data to highlight opportunities. *Utilizes case volume to estimate utilization . *Verifies spend data with ... SUMMARY The Supply Chain Professional is responsible for strategic sourcing management across varied commodities system wide. STATUS: Full Time LOCATION: Riedman… more
- Molina Healthcare (Rochester, NY)
- …(CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) ... of health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies… more
- Mount Sinai Health System (New York, NY)
- …The Department of Social Work Services takes a leadership role in MSHP Care Management (CM), in this case , supporting an integration of primary care and ... Care Management , Health Home **Responsibilities** The Social Worker/Depression Care Manager will provide behavioral health care services to adults who receive… more
- WMCHealth (Valhalla, NY)
- …Westchester Medical Center. Administrative supervision is exercised over a number of Case Management Staff within the primary areas of responsibility. ... Internal Applicant link Job Details: N4 Supervisor of Nursing/Nurse Manager - Clinical Care Management Internal Posting: 12/03/25… more
- Albany Medical Center (Albany, NY)
- …and accurately. The Core Tech will support an integrated SPD/Sterile core/Supply Chain Management function in the operating room. Functions in the OR setting under ... the direction of the OR RN clinical manager (s). Assures surgeons' needs as identified on the surgical...as a liaison between the Surgery departments, SPD, Materials Management , and Clinical Engineering departments as necessary to assure… 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...utilization of resources. Carries out activities related to utilization management , discharge planning, care coordination and… more
- Elevance Health (New York, NY)
- **Clinical Operations Medical Director** **Medical Oncology** **Carelon Medical Benefit Management ** **Virtual** : This role enables associates to work virtually ... proud member of the Elevance Health family of companies, Carelon Medical Benefits Management , formerly AIM Specialty Health, is a benefit- management leader in… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Coordination Specialist provides administrative support for any of the programs of Utilization Management , Behavioral Health, Quality Management , or Member ... tasks under pressure. + Demonstrates proficiency in basic navigation and utilization of department specific applications: care management system, department… more
- Animal Care Centers of NYC (New York, NY)
- …supervisor. Preferred Qualifications: + Crisis intervention, social services, counseling, or case management background strongly preferred. + Experience working ... + Oversee intake flow, including online inquiry triage, appointment scheduling, walk-in management , and urgent case prioritization to maintain a manageable… more
- Molina Healthcare (Syracuse, NY)
- …(CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional ... chief medical officer on denial decisions. * Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. *… more