- Albany Medical Center (Albany, NY)
- …to physician and hospital clinical leadership, legal, compliance, billing, finance, IT, case and utilization management , quality, credentialing, and other ... The Director builds external relationships with payers' senior network management , leads meeting, oversees and/or prepares presentations, and is responsible for… more
- Nuvance Health (Poughkeepsie, NY)
- …of the Director , The Nurse Case Manager role provide clinically-based case management to support the delivery of effective and efficient patient care. ... Paces the case from physiological and economic perspectives. Has overall accountability for the utilization management and transition management for… more
- MTA (New York, NY)
- …pool of investigators to other agencies. + Supervise the development and ensure full utilization of DDCR's investigative Case Management and Tracking System ... the Investigative team. RESPONSIBILITIES : Fundamental duties and tasks of the Senior Director Investigations: + Direct management and supervision of DDCR's pool… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …care management rounds. + Provision of clinical oversight and leadership to Utilization Management / Case Management (UM/CM) staff working with the ... calls in timely manner and provides support for the Case Management (CM) and Registered Nurse (RN)...Develops and implements the BH sections of the Quality Management / Utilization Management (QM/UM) Plan, including… more
- Comunilife (Bronx, NY)
- …January 2024, Casa El Faro. As a member of the Comprehensive Case Management (CCM) Team, The Assistant Program Director is responsible for assisting in the ... Assistant Program Director -(DHS) Casa El Faro Job Details Job Location...lead the team in proving a full range of case management services as well as medical,… more
- Centene Corporation (New York, NY)
- …Assume VPMA responsibility in absence of VPMA. + Provide medical leadership for all utilization management , pharmacy, case management , disease ... expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory,...and holidays, to meet patient care needs and support case coverage. + Performs other duties as assigned +… more
- Elevance Health (New York, NY)
- …a State agency.*_ **Preferred Skills, Capabilities and Experiences:** + 1-2 years Utilization Management experience strongly preferred. + Strong oral, written, ... entire clinical program and/or independently performs clinical reviews. The Medical Director typically has program management responsibilities including clinical… more
- Global Foundries (Malta, NY)
- Dep Director , Business Transformation Malta, NY About GlobalFoundries: GlobalFoundries is a leading full-service semiconductor foundry providing a unique combination ... a major technology and business transformation program in day-to-day project management tasks and activities. Essential Responsibilities: Operate model change driver… more
- Comunilife (Queens, NY)
- …Hope Families Shelter program. As a member of the Comprehensive Case Management (CCM) Team, The Program Director is responsible for daily administrative and ... regulations and deliverables, quality provision of services, and budget management . The Program Director will lead the...lead the team in proving a full range of case management services as well as medical,… more
- WMCHealth (Suffern, NY)
- …on predetermined quality and outcome indicators developed by the medical staff, case management director and administration. + Provides orientation/mentoring ... (RN) is responsible for implementing and supervising the day-to-day operations of the Case Management programs at Bon Secours Charity Health System. This… more