- Excellus BlueCross BlueShield (Buffalo, NY)
- …necessity reviews and peer-to-peer calls in timely manner and provides support for the Case Management (CM) and Registered Nurse (RN) reviewers and manages the ... denial process. + Leads interdisciplinary complex care management rounds. + Provision of...+ Provision of clinical oversight and leadership to Utilization Management / Case Management (UM/CM) staff working… more
- City of New York (New York, NY)
- …including a variety of client eligibility and recertification systems, case management systems, housing systems, employment/work engagement services, ... (one) Computer Specialist Software IV, to function as a Director of Solution Engineering for IDNYC. The Director...leader capacity or as a major contributor on a complex project in data administration, database management … more
- WMCHealth (Valhalla, NY)
- …public relations, or a related field, with at least 5 years in a senior management or director -level role. Experience in a large health system, academic medical ... Senior Director , Network Communications Company: NorthEast Provider Solutions Inc....Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Executive/ Management Department: Marketing Union: No Position: Full Time Hours:… more
- City of New York (New York, NY)
- …review and assessment of annual physical inspections, provider performance and invoice management and case related activities and oversight of provider agency ... Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTRATIVE DIRECTOR OF SOCIAL SERVICES CIVIL SERVICE TITLE, OR PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR… more
- Rochester Institute of Technology (Rochester, NY)
- **9315BR** **Position Title:** Director of Research Compliance **Organization:** VP for Research **Job Responsibilities:** + Oversee the Conflict of Interest process ... researchers including review of all project COIs, drafting of management plans or addressing conflict issues associated with individuals...Radiation Safety Committee + Advise and assist the SRS Director and SRS staff on both pre-and post award… more
- Datavant (Albany, NY)
- …experience managing multi-disciplinary product teams, including hiring, mentoring, performance management , and scaling organizations to deliver complex ... rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional,… more
- Evolent (Albany, NY)
- …meaningful impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use ... appropriate, high-value care aligned with clinical guidelines. + Collaborate with leadership, management , and clinical staff to address complex cases and support… more
- Community Health Action of Staten Island (Staten Island, NY)
- …partners. + Collect and submit data. Collect and submit data. Document all case management activities in accordance with guidelines and standard procedures. + ... * Prevention & Intervention Job Type Full-time Description Title: Intensive Case Manager Department: Prevention & Intervention Reports To: Director , Domestic… more
- Mount Sinai Health System (New York, NY)
- …Rotation)** The Case Manager (CM) will be responsible for all aspects of case management for an assigned group of inpatients to determine the appropriateness ... new admissions to identify patients where utilization review, discharge planning, and/or case management will be needed using standardized criteria to achieve… more
- Project Renewal, Inc. (Bronx, NY)
- …Responsibilities Case Manager is responsible for providing the required assessment, case management and short-term counseling to clients enabling them to ... evaluations as per agency standards for assigned caseload. + Efficiently utilizes digital case management database, AWARDS, to input and update all client… more