- Healthfirst (NY)
- …at least one year is in the following areas: Geriatrics, Home Care, Discharge Planning, Case Management or Medical Surgical Nursing.** + **In order to access the ... or BSN** + **Relevant clinical experience such as previous care or utilization management , home care, or geriatrics** + **Knowledge of Department of Health (DOH)… more
- PathStone Corporation (Middletown, NY)
- …of potential problems with both employers and participants. Coordinate and/or conducts case management , staff meetings and PAAC meetings. Ask questions and ... Completion of program goals in collaboration with office staff and program management teams. Develops, analyzes, distributes & ensures achievement of office goals &… more
- Elevance Health (Latham, NY)
- …of 4 years managed care experience and requires a minimum of 2 years clinical, utilization review, or case management experience; or any combination of ... critical thinking skills and nursing judgment and experience. + Collaborates with case management nurses on discharge planning, ensuring patient has appropriate… more
- Zoom (Albany, NY)
- …kickoffs, all-hands meetings, incentives, and recognition programs. + Change Management : Collaborating with senior leadership teams to create communication plans ... member to be informed, included, and inspired. + Technology Utilization : Leveraging various communication tools and platforms effectively to...opportunity. Below is the potential closing date, just in case you want to mark it on your calendar.… more
- Molina Healthcare (Albany, NY)
- … (CPHM), Certified Professional in Healthcare Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) ... to a national business segment (ie Medicare, Marketplace, advanced imaging/central utilization management services) in the development and execution of… more
- Molina Healthcare (Buffalo, 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
- Global Foundries (Malta, NY)
- …technical requirements between internal and external teams. This is a Program Management position not a people manager position. Essential Responsibilities : ... more information, visit www.gf.com. Summary of Role: Automotive Product Program Manager Lead a cross-functional team focusing on PostFab deliverables associated with… more
- Sharecare (Albany, NY)
- …change techniques, the nurse helps to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is ... disease management program intervention guidelines. A Disease Management Nurse is supervised by an Operations Manager...during the training period will be evaluated on a case by case basis and must be… more
- Highmark Health (Albany, NY)
- …Highmark Inc. **Job Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned ... and federal law standards and are within the care manager 's professional discipline. + For assigned case ...**Required** + 7 years in any combination of clinical, case / utilization management and/or disease/condition … more
- Molina Healthcare (Albany, NY)
- …(CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) ... oversight and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and chemical… more