- Molina Healthcare (NY)
- …comprehensive waiver enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in collaboration ... informal ICT collaboration. + Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during...Long Term Services & Supports. + 1-3 years in case management , disease management , managed… more
- Elevance Health (New York, NY)
- …for clinical operational aspects of a program. + Conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers ... be responsible for an entire clinical program and/or independently performs clinical reviews. + Typically has program management responsibilities including … more
- Molina Healthcare (Rochester, NY)
- …Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management , Certified Professional ... for denial or modification of payment decisions. + Serves as a clinical resource for Utilization Management , Chief Medical Officers, Physicians, and… more
- Trinity Health (Syracuse, NY)
- …+ Utilize clinical knowledge, critical thinking skills & the principles of case management & adult education to coordinate, implement & support the plan ... with our Hospitalist, Pharmacy, Education, Care Coordination department, and clinical staff work closely to provide individualized evidenced-based interventions for… more
- Elevance Health (New York, NY)
- …office visits with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering ... clinical reviews. The Medical Director typically has program management responsibilities including clinical policy development, program… more
- YAI (Queens, NY)
- …meeting minutes, billing, etc. + Regularly trains all direct care staff and management at assigned programs on individual service, staff action plans and behavior ... management services using the Explain Model Observe Evaluate (EMOE)...Observe Evaluate (EMOE) training system to ensure that all clinical interventions are properly implemented, to communicate clinical… more
- WMCHealth (Valhalla, NY)
- …The incumbent must have knowledge of crisis intervention principles and practices, case management practices, understanding and the ability to provide ... link (https://pm.healthcaresource.com/cs/wmc1/#/preApply/30189) Internal Applicant link Job Details: This professional clinical position is responsible for conducting clinical … more
- Veterans Affairs, Veterans Health Administration (Kings County, NY)
- …completing psychosocial history and assessments, intakes, advance directives, treatment planning, case management , individual, couples and group counseling and ... includes case work, individual, family and group counseling, discharge planning, case management and other services as appropriate. The incumbent will… more
- Bassett Healthcare (Oneonta, NY)
- …all pertinent nursing education and standards relevant to primary care and Care Management Clinical and Technical Responsibilities: Provides Care Management ... Evaluation feedback Works closely with report writers to analyze clinical outcome data Make revisions in care plan templates,...in 100% of all committee and organizational activities to case management staff Performs other duties assigned… more
- Whitney Young Health Center (Albany, NY)
- …problems, barriers, goals, support systems, advance directives, transition plan and case management interventions to improve efficiency, quality and reduce ... professional nursing practice, excellent communication and critical thinking skills, self- management expertise along with outstanding customer service to promote and… more