- Excellus BlueCross BlueShield (Rochester, NY)
- …I + Reviews and makes recommendations and/or decisions on Utilization or Case Management activities. Utilization review activities include: reviews of requests ... addition to Level I Qualifications) + Minimum 2-3 years of experience in medical management , utilization review and case management . + Knowledge of managed… more
- GMHC (New York, NY)
- …Proficiency in Microsoft Excel, including: + Data tracking and analysis for case management and program reporting. + Creating and managing spreadsheets ... presentations for internal meetings, board updates, and staff training). Experience with electronic case management and data tracking systems, such as: + AWARDS,… more
- Comunilife (Long Island City, NY)
- …Services Description Comunliife is looking for experience Clinical Social Workers to lead their case management team in programs in the Bronx and Brooklyn. The ... is responsible for the supervision and training of the case management staff of the HRA HASA...team approach; excellent interpersonal skills + Ability to handle complex challenges and balance multiple demands on time and… more
- Deloitte (New York, NY)
- …engineering expertise. We transform engineering teams, modernize technology, and deliver complex programs with a product engineering approach. Our flexible delivery ... and support various internal applications and infrastructure and the complex programs surrounding these applications including internal consultants, near-shore,… more
- Meta (New York, NY)
- …Rx channels. **Required Skills:** Product Marketing Manager - Prescription Payer Management Responsibilities: 1. Lead the definition and execution of vision ... out-of-network provider conditions 4. Influence product development and support a case for business investment by synthesizing, analyzing, and implementing learnings… more
- CDM Smith (Buffalo, NY)
- …government officials to clarify technical questions and provide updates to project management as necessary. - Provide technical guidance and training to more junior ... the work of junior engineers on project work. **Job Title:** Management Specialist 6- Geothermal Discipline Leader **Group:** ISO **Employment Type:** Regular… more
- Mastercard (New York, NY)
- …and governments realize their greatest potential._ **Title and Summary** Director, Product Management - Corporate Solutions As a Director on the US Corporate ... engagement and understanding of In Control to drive strategy alignment and use case validation * Partnering with global product team to drive enhancements for our… more
- Molina Healthcare (NY)
- …supporting our Washington State Medicare plan. We are seeking a candidate with previous Case Management experience and a WA RN licensure. The candidate should ... per regulated timelines and determines who may qualify for case management based on clinical judgment, changes...+ RNs are assigned cases with members who have complex medical conditions and medication regimens + RNs conduct… more
- Deloitte (Rochester, NY)
- Oracle HCM Cloud Specialist Senior: Talent Management & Learn Modules What drives you? Is it complex , challenging, possibly global projects? Is it the ... in one or more of the following modules: Talent Management , Learn + 4+ years of experience leading teams...are dependent on the facts and circumstances of each case . A reasonable estimate of the current range is… more
- Graham Windham (Bronx, NY)
- …Family Treatment/ Rehabilitation Program (FTR) located in Bronx, NY offers intensive preventive case management services to families at risk of removal of ... making decisions for their families and communicating effectively with those involved in their case . + Partner with case planners to help families engage and… more