- CVS Health (New York, NY)
- …members and providers. Leads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business ... of health care resources. **This is a remote based ( work at home) based anywhere in the US.** Aetna,...direction in support of medical management programs through participation in clinical team… more
- University of Rochester (Pittsford, NY)
- …Type: Full time Scheduled Weekly Hours: 40 Department: 500128 Psychiatry SMH Ambulatory Svcs Work Shift: UR - Day (United States of America) Range: UR URC 211 ... mentoring responsibilities for counselor interns and new staff. Reports to the Clinical Supervisor of assigned clinic. Subscribes to the Department's goal of… more
- University of Rochester (Rochester, NY)
- …Time Type: Full time Scheduled Weekly Hours: 40 Department: 500133 Psychiatry SMH Crisis Work Shift: UR - Day (United States of America) Range: UR URC 211 ... mentoring responsibilities for counselor interns and new staff. Reports to the Clinical Supervisor of assigned clinic. Subscribes to the Department's goal of… more
- HCR Home Care (East Syracuse, NY)
- …in computer database. + Receive second calls from the field staff during the Clinical Field Staff Supervisor's lunch hour, weekly Case Conferences, and other ... as needed. + Handle clinical patients' questions as appropriate for Clinical scope. This job description reflects management 's assignment of essential… more
- City of New York (New York, NY)
- …medication consents, tracking and technical assistance for psychiatric inpatient admissions and case audits - Provide clinical and administrative supervision to ... for assessing agency consent procedures for psychiatric medications - Provide case -specific consultation for issues involving management of psychiatric illnesses… more
- Trinity Health (Schenectady, NY)
- …Physical Therapy (PT), Occupational Therapy (OT), Speech Language Pathology (SLP), Social Work (LMSW), or related healthcare discipline and are seeking a position ... rehab liaison and admitting physician to determine the anticipated case mix group (CMG) to be assigned to each...assigned to each patient admitted + Collects pertinent demographic, clinical and quality data and enters it on the… more
- City of New York (New York, NY)
- …tracking of current clients in the VPS OPTIONS database and CARES, a system-wide case management system. - Build chart visualizations and pivot tables utilizing ... OPTIONS database to support implementation of interventions including linkage to case management services, medical/mental health/substance use treatment or… more
- Centene Corporation (New York, NY)
- …care and purchased care system. + Identifies and refers potential cases to Disease Management , Case Management , Demand Management and Transitional Care. ... changes everything for our 28 million members as a clinical professional on our Medical Management /Health Services...Graduate of Nursing program; BSN desired or Graduate in Clinical Psychology or Clinical Social Work… more
- US Tech Solutions (New York, NY)
- **Job Summary:** The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for ... specialty medications. The clinical pharmacist will apply clinical knowledge to...service level agreements. (20%) 2. Coordinates timely communication of case decision to physician, health-plan/employer, patient and other healthcare… more
- Elevance Health (New York, NY)
- …make an impact:** + Determines the medical necessity of requests using clinical criteria. + Performs physician-level case review of musculoskeletal utilization ... ** Clinical Operations Associate Medical Director** **Orthopedic Spine Surgery**...Associate Medical Director** **Orthopedic Spine Surgery** **Carelon Medical Benefit Management ** **Schedule: 10:30 AM-7 PM Central** **Virtual:** This role… more