- Highmark Health (Albany, NY)
- …and efficient delivery of pharmacy call center services. The Pharmacy Coordinator is responsible for supporting Highmark Wholecare's pharmacy programs with a ... address medication-related issues, promote adherence, and ensure appropriate medication utilization . **ESSENTIAL RESPONSIBILITIES** + Communicate effectively with physicians and… more
- City of New York (New York, NY)
- …HIV, as well as 8,000+ affected families. HASA provides intensive case management , rental assistance, emergency and permanent supportive housing, and assistance with ... (1) Principal Administrative Associate III to function as a Housing Team Coordinator , who will: Provide oversight, monitoring and screening of perspective placements… more
- Comfort Windows (Albany, NY)
- COMFORT WINDOWS & DOORS is seeking an Administrative Coordinator for our Rochester, NY office. Responsibilities include: + Print, assemble, and confirm accuracy of ... to their convenience; + Strategically schedule multiple installations to maximize efficient utilization of crews; + Interact with sales, service, production, and/or … more
- Highmark Health (Buffalo, NY)
- …Description :** **JOB SUMMARY** This job captures all inbound inquires for utilization management review from providers and pharmacies. The incumbent assesses ... member, and then creates the case (data entry) in Highmark's Utilization Management system for Prior Authorization clinical review. Ensures all accurate… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- About The Role MagnaCare provides Utilization Review/ Case Management / Medical Management /Claims Review services to its clients. Care Coordinators facilitate ... care management and utilization review by performing data collection & data entry, and effectively communicating with Nurse Case Reviewers/Managers, employers… more
- Intermountain Health (Albany, NY)
- …to provide care coordination for preventative care and utilization mitigation.Identifies appropriate resources, including transportation, housing, healthcare, and ... team to provide care coordination for preventative care and utilization mitigation. + Identifies appropriate resources, including transportation, housing,… more
- Guthrie (Binghamton, NY)
- …* BLS * Certification within area of expertise or practice preferred (Nursing Management , CNOR, etc.) Must obtain certification within 3 years of hire. Experience: ... experience or charge nurse experience desired Essential Functions: 1. RESOURCE UTILIZATION : Considers factors related to safety, effectiveness, cost, and impact on… more
- City of New York (New York, NY)
- …Helpdesk. Direct providers to the Helpdesk e-mail. - Assist with MWBE Utilization submissions in DYCD Financial. Review, reject, and approve submissions from ... Review documents with program managers for final review. - Review case management compliance for unit staff to evaluate and provide technical assistance when… more
- University of Rochester (Rochester, NY)
- …records tracking, treatment planning, financial counseling, and accounts receivable management . Responsible for seamless and timely patient movement through the ... accuracy of patient schedules. Reviews provider schedules to ensure maximum utilization . Negotiates down-payments and authorizes repayment status for high dollar,… more
- University of Rochester (Rochester, NY)
- …quality, quantity, and timeliness of tasks performed. + Prepares related logs and management reports. + Assists in the development of goals and objectives for the ... accuracy of patient schedules. Reviews provider schedules to ensure maximum utilization . + Negotiates down-payments and authorizes repayment status for high dollar,… more
Recent Jobs
-
Energy & Sustainability Project Manager
- JobElephant (Washington, DC)
-
Data & Analytics Associate Product Manager, North America
- Mars (Creve Coeur, MO)
-
Senior Taxonomist - Content Review & Management
- Aequor (South San Francisco, CA)
-
SOPs and Training Senior Specialist
- Merck & Co. (Lower Gwynedd, PA)