- Humana (Albany, NY)
- …metrics. + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. ... on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to...in teams focusing on quality management , utilization management , case management , discharge planning… more
- 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 ... assigned meetings including, but not limited to, weekly Medical Director staff meetings, weekly case consistency meetings,...Qualifications) + Minimum 2-3 years of experience in medical management , utilization review and case management… more
- Mastercard (Harrison, NY)
- …help people, businesses and governments realize their greatest potential._ **Title and Summary** Director , Deal Management Overview The NAM Deal Management ... team is looking for a Director , Deal Management to manage the business development deal process with...with external customers for contracts and business terms for larger/ complex deals; makes a point to escalate any observed… more
- Humana (Albany, NY)
- …metrics. + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. ... on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to...in teams focusing on quality management , utilization management , case management , discharge planning… more
- Humana (Albany, NY)
- …metrics. + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. ... prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or… more
- Project Renewal, Inc. (Bronx, NY)
- …Housing (HRA) and Urban Development (HUD). + Direct clinical supervision of case management staff, which also includes providing on-going training, assessment, ... T Title: Clinical Director Program: Bedford Green House Phase II Salary:...as all levels of staff. + Computer: Knowledge of case management software as well as proficiency… more
- University of Rochester (Rochester, NY)
- …Dean of Students. Occasional evening and weekend hours. **ESSENTIAL FUNCTIONS** CARE Student Case Management + Maintain a caseload of CARE referrals for students ... partnership and support for ODOS teams and events. The Case Manager assists the Director with oversight...referrals from the Behavioral Intervention Team (BIT) to provide case management services and deliver recommended interventions.… more
- Rochester Institute of Technology (Rochester, NY)
- …short-term individual therapy, group therapy, consultation, risk assessment, crisis intervention, and case management with a range of clinical issues. + ... **9607BR** **Position Title:** Associate Director of Training **Organization:** Counseling and Psychological Services **Job Responsibilities:** Direct Service +… more
- Albany Medical Center (Albany, NY)
- …terms. The Director is skilled at drafting, analyzing, and negotiating complex payer contracts. The Director develops contract proposals and leads in ... physician and hospital clinical leadership, legal, compliance, billing, finance, IT, case and utilization management , quality, credentialing, and other related… more
- SMBC (New York, NY)
- …needs, and regulatory landscape. . Proficiency in financial modeling and business case development. . Excellent communication and stakeholder management skills, ... a competitive portfolio of benefits to its employees. **Role Description** The Director will lead strategic initiatives and transformation efforts within the Cash … more