- Highmark Health (Albany, NY)
- …:** Highmark Inc. **Job Description :** **JOB SUMMARY** This job provides case and condition management services to Pediatric members with behavioral health ... needs with the depth of engagement ranging from coaching interventions to intensive case management interventions. The overall goal is to help members navigate the… more
- Astor Services (Bronx, NY)
- …will facilitate all Family Team Conferences (FTC) for cases carried by all Case Planners in the Preventive Program. + Attend monthly ACS FTC Facilitator meetings ... be prepared to conduct the FTC by reviewing the case and discussing it with the case ...+ Meeting the expectations of the Provider Agency Management Review System (PAMS) and other auditing entities. + Completing… more
- Project Renewal, Inc. (Brooklyn, NY)
- …In addition to lodging and three meals a day, clients receive comprehensive case management services, plus an array of substance abuse related and health care ... but are not limited to the following activities: + Review client intake forms regularly for accuracy and complete...and complete additional paperwork needed for the completion of case management intakes. + Update weekly caseload breakdowns and… more
- Datavant (Albany, NY)
- …vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ... severity of a patient's health status. **You will:** + Review , analyze, and code diagnostic information in a patient's...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- Datavant (Albany, NY)
- …Prevention Specialist is to effectively defend utilization of available health services, review of admissions for medical necessity and necessity of continued stay ... letter Identification of referrals to the medical director for review + Select appropriate preferred and contracted providers +...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- City of New York (New York, NY)
- …requests for action, and/or complaints brought to its attention. - Perform necessary case review , takes any necessary action in HRA OneViewer, Fair Hearing ... for investigating the issue, determining the appropriate response, conduct any necessary case actions (including the issuance of benefits, addition of a new … more
- New York State Civil Service (West Brentwood, NY)
- …coordinator (either case manager or ACT Team) for each assisted outpatient. Review /report all concerns involving county implemented AOT Program to the AOT Program ... to cases referred, to determine if referrals were appropriate, if proper case management was assigned and carried out, if individual received appropriate therapy,… more
- Datavant (Albany, NY)
- …Organizes and prioritizes multiple cases concurrently to ensure departmental workflow and case resolution + Provides coder education via the auditing process + ... from these requirements will be reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in which you will be working,… more
- Datavant (Albany, NY)
- …understanding of complications, co-morbidities, severity of illness, risk of mortality, case mix index, secondary diagnoses, and procedure impact on DRG. + ... from these requirements will be reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in which you will be working,… more
- Ellis Medicine (Schenectady, NY)
- …and evaluate individual healthcare needs. Integrate Discharge Planning, Utilization Review and Performance Improvement activities at the patient, hospital and ... and effectively anticipates, identifies and resolves issues through utilization review and discharge planning processes. Collaborates with the ED physicians… more