- Datavant (Albany, NY)
- …of service. This is a leadership role that combines strategic thinking, clinical product development expertise, and people management responsibilities. You'll be ... evolve and grow. **Key Qualifications** **Required** + 8+ years of product management experience in healthcare, including ownership of clinical , risk adjustment,… more
- Humana (Albany, NY)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... complex clinical scenarios, review of all submitted clinical records, prioritization of daily work , communication... Case managers or Care managers on complex case management , including familiarity with social determinants… more
- Molina Healthcare (Albany, NY)
- …assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's ... Medicare plan. We are seeking a candidate with previous Case Management experience and a WA RN...365 and familiarity with claims is highly preferred. The Case Manager must be able to work … more
- Ellis Medicine (Schenectady, NY)
- …length of stay + Appropriately refer and elevate medical and/or complex needs to appropriate case management and social work staff to ensure smooth care ... policy. + Assists Utilization Management with initial clinical review requests as needed. + Notifies Case...audit activities under the supervision of the Director of Case Management and Social Work … more
- Mohawk Valley Health System (Utica, NY)
- PHYSICIAN ADVISOR Department: CASE MANAGEMENT Job Summary The Physician Advisor collaborates with Care Managers and Attending Physicians to align on the level of ... patient monitoring practices, medical necessity concepts and associated regulations in case management decisions. Assist in the identification of unnecessary… more
- New York State Civil Service (Utica, NY)
- …to the CMSO Regional Supervisor and BBHS Social Work Supervisor and provides clinical case management services to youth and their families or caregivers. ... of individuals served by the team.* While the CMSO Clinician primarily engages in clinical case management , the practitioner might be called on to conduct … more
- Rochester Institute of Technology (Rochester, NY)
- …therapy, group therapy, consultation, risk assessment, crisis intervention, and case management with a range of clinical issues. + Demonstrated competency ... colleagues, effectively formulate and execute informed administrative decisions, ability to work independently within a dynamic clinical environment +… more
- Mount Sinai Health System (Long Island City, NY)
- **Job Description** **Care Manager-Care Management -Full Time-Day-Mount Sinai Queens** Responsible for coordinating the care of the patients across the continuum. ... Ensuring and facilitating the achievement of quality, clinical and cost outcomes; Negotiating, procuring and coordinating services and resources needed by the… more
- GMHC (New York, NY)
- …proficiency in Microsoft Excel, including: + Data tracking and analysis for case management and program reporting. + Creating and managing spreadsheets ... PowerPoint (preparing presentations for internal and external stakeholders). Experience with electronic case management and data tracking systems, such as: +… more
- City of New York (New York, NY)
- …York City. This is achieved through a combination of public health initiatives, case management , education, and direct clinical services. DUTIES ... well as informational resources that can help frame and advance the Medical Unit's work on key trends or emerging issues. Interpret and analyze data for the… more