- 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
- 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