- Bassett Healthcare (Cooperstown, NY)
- …consistent with ethical standards of practice in the field . Participates in the Utilization Review Process . Collaborates with outside agencies, such as CPS/DSS ... coordinate treatment plan goals and objectives . Participates in case conference treatment team meetings . Treats patients, colleagues,...of practice in the field . Participates in the Utilization Review Process . Collaborates with outside… more
- Molina Healthcare (Buffalo, NY)
- …managed care experience in the specific programs supported by the plan such as utilization review , medical claims review , long-term services and supports ... Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM),… more
- Kaleida Health (Buffalo, NY)
- …of experience in any combination of case management, home care and utilization review preferred. Knowledge of and experience with Interquel Criteria set and ... degree in Nursing required within five (5) years of hire to the position. Certified Case Manager (CCM) preferred. Employees in the job title prior to 3/29/10 are… more
- Arms Acres (Carmel, NY)
- …NY (http://maps.google.com/maps?q=75+Seminary+Hill+Road+Carmel+NY+USA+10512) Apply Job Type Full-time Description Case Manager (CASAC-T, CASAC, LMSW, LMHC, ... LCSW) Arms Acres is looking for a Clinical Case Manager to join our team in...patient treatment plans and requested by program director. Performs utilization review , provides progress reports and develop… more
- Garnet Health (Harris, NY)
- …effectively organize/prioritize accordingly, and implement evidence based care. Social Work Clinician/ Case Manager - primary role is to provide psychiatric/detox ... plan. The SW Clinician will also be the primary Case Manager for the detox patient on...detox patient on the medical floor assuring discharge planning, utilization review , and insurance approval. At Garnet… more
- Elevance Health (Latham, NY)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... to discuss review determinations. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss … more
- Global Foundries (Malta, NY)
- …criteria, and potential challenges. + Document Preparation: Prepare and review immigration documents, including visa applications, petitions, and supporting ... Stay informed about changes in immigration laws, policies, and procedures. + Case Management: Manage a portfolio of immigration cases, tracking progress and… more
- Elevance Health (New York, NY)
- …Medical Director** **Carelon Medical Benefits Management** **Radiology Benefit Management/ Utilization Review ** **Virtual:** This role enables associates ... necessity decisions. + Brings to their supervisors attention, any case review decisions that require + Medical...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- J&J Family of Companies (White Plains, NY)
- …differentiation with approved clinical studies and marketing aids to support the case for adoption. Achieve all sales performance goals and objectives for ... not limited to call plan attainment, resource execution and utilization , compliance and sales training requirements. + Consistently adhere...your time. Here's what you can expect: * Application review : We'll carefully review your CV to… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …with federal and state regulations and company policy and procedures. Acts as in-house case manager by considering all aspects of the residents care and ... that govern the process + Acts as an in-house Case Manager demonstrating detailed knowledge of residents...basis + Responsible for timely and accurate completion of Utilization Review and Triple Check + Serves… more
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